Eylea is an intravitreal injection of aflibercept into the eye. Price and reviews

Preparations with hyaluronic acid used in mesotherapy, biorevitalization and bioreinforcement are very diverse today.

In previous years, products produced in the USA and European countries were extremely popular. And now people have begun to buy domestic gels. By the way, the latter are no worse than imported ones. Professionals note that these products can easily compete with already proven and popular brands.

The Evgulon series of products from the Fermos laboratory meets all standards in the field of plastic cosmetology. This line contains certain compositions for bioreinforcement and biorevitalization.

Compound

All products in the line contain hyaluronic acid. Doctors recognize that the drugs are safe and highly effective. If all procedural subtleties are observed, there is no doubt that the use of this gel, in the manufacture of which the highest degree of purification is used, will not cause unpleasant consequences.

“Evgulon” and “Evgulon B” differ from each other in that the first contains a one and a half percent solution of an unstabilized hyaluronic acid polymer, and the second contains a one-percent solution of a reticulated polymer of the same acid. The difference lies in the adhesion strength of the hyaluronic acid molecules and their stability.

Unstabilized polymers are unstable. After being introduced under the skin, they break up into smaller particles. The gel fills the hollow space and replaces natural hyaluronic acid, which the human body lacks. Therefore, the product is used for the biorevitalization procedure.

Video of introduction from the operating room

The drug is administered in a dose of 2 mg (50 μl) once, in the form of three injections with an interval of one month, after which it is switched to administration every two months. After 12 months from the start of treatment, based on the results of eye diagnostics, the intervals between injections can be gradually increased. The mode of administration and duration of treatment is determined by the doctor based on the results of checking visual acuity and the condition of the fundus.

The main side effects of the drug Eylea are associated with the need to inject it into the vitreous cavity. Serious side effects of intraocular injection are very rare, but the patient should be warned about them before administration (endophthalmitis, retinal detachment, blindness, secondary cataracts , hemophthalmos, ocular hypertension). In approximately 5% of cases, administration of the drug into the eye cavity may be accompanied by pain in the eye, decreased visual acuity, hemorrhages under the conjunctiva at the injection site, the development of secondary cataracts, the appearance of opacities in the vitreous body, increased IOP, and allergic manifestations.

Despite the fact that the experience of using the drug Eylea, compared to other ophthalmic drugs, is relatively short, it has gained the trust of ophthalmologists around the world and is currently recommended for use by leading official authorities. The drug gives a chance of cure to many thousands of patients, because it demonstrates positive dynamics in 95% of patients after the first administration.

The specialists at the Retina Center are fluent in the technique of administering the drug Eylea. Contact our clinic and we will provide you with modern diagnostics and effective treatment of the most complex vascular eye diseases, which many of our patients have already experienced.

Indications

Evgulon is often administered to:

  • protect skin from aging processes;
  • increase its elasticity;
  • moisten;
  • eliminate dry skin;
  • restore their tone.

"Evgulon V" has a slightly different profile. Stabilized (reticular) hyaluronic acid contains molecules with strong bonds. The drug works great if you were looking for a gel characterized by slow disintegration.

Most often it is used for bioreinforcement, eliminating certain changes in the skin of the face, neck and décolleté.

Thanks to Evgulon B injections, a special frame is created under the skin, and the contours of the face become clear. Flabbiness of the integument is eliminated from the inside.

The Evgulon F series are dermal fillers whose main purpose is to fill wrinkles. All fillers consist of bioenzymatic hyaluronic acid stabilized with vitamin C. The fact that this vitamin is present in the products allows hyaluronic acid to degrade (resorb in body tissues) at a minimal speed.

“Evgulon F1”, “Evgulon F2” and “Evgulon F3” differ from each other in density, which is determined by the main purpose of their use.

“Evgulon F1” is considered the loosest. Its density is 22 mg/ml. Experts advise using it against superficial wrinkles: “crow’s feet”, shallow nasolabial wrinkles, folds in the décolleté area, between the eyebrows and on the forehead, that is, if only light correction is required.

"Evgulon F2" is characterized by a density of 24 mg/ml. The gel fills wrinkles of varying depths and corrects the contour of the lips.

The highest density is for the drug “Evgulon F3” (25 mg/ml). This product is usually recommended for use as an injectable implant. It is quite plastic and viscous, perfectly models the face, corrects rather deep wrinkles and drooping corners of the mouth. The gel fills the missing volumes of the oval of the face, cheeks and chin.

Product lines for aesthetic medicine and plastic surgery “Evgulon”, “Giatulon +” and “GIAPLYUS” were developed by the Fermos laboratory (Russia) based on many years of research on hyaluronic acid and other mucopolysaccharides, which is confirmed by the pharmacopoeial article on hyaluronic acid FSP 42-0093- 0221-00, numerous patents on this topic (No. 2159111, No. 2172168, No. 2177789, No. 2191000, No. 2280041, etc.), scientific articles and technical specifications for a wide range of products containing various modifications of hyaluronic acid.

Line "Evgulon"

The injection composition underlying the materials for intradermal implantation of Evgulon® is a unique development of the Fermos laboratory (patent No. 215738) and has 2 modifications:

EUGULON is a colorless, transparent 1.5% aqueous solution of unstabilized hyaluronic acid polymer, intended for skin biorevitalization.

Composition: 1 syringe with a capacity of 1.5 ml contains 22.5 mg of sodium hyaluronate (molecular weight 1.25 million Daltons).

Excipients: sodium chloride, phosphate buffer, pyrogen-free water.

Directions for use: according to the procedure protocol.

Biorevitalization is an injection method of rejuvenation and prevention of skin aging using gels based on hyaluronic acid, which is EVGULON.

With the introduction of EVGULON, the production of its own hyaluronic acid increases, blood supply and metabolic processes in the skin improve, which contributes to:

• restoration of water balance;

• eliminating dry skin;

• improving elasticity, turgor and skin color;

• increasing skin elasticity and tone;

• preventing the formation of wrinkles.

EVGULON-B is an opalescent 1% aqueous solution of reticulated hyaluronic acid polymer intended for bio-reinforcement of the skin.

Composition: 1 syringe with a capacity of 1 ml (1.5 ml) contains 10 mg (15 mg) of sodium hyaluronate (molecular weight -2.5 million Daltons).

Excipients: sodium chloride, phosphate buffer, pyrogen-free water.

Directions for use: according to the procedure protocol.

Bioreinforcement is a procedure for intradermal injection of hyaluronic acid using a special technique aimed at eliminating changes in the skin of the face, neck and décolleté.

The introduction of EVGULON-B allows you to solve aesthetic problems associated with various skin problems and eliminate the following age-related changes:

• sagging skin in the face and neck area;

• violations of the facial contour.

Bioreinforcement of the face using the Evgulon-B material involves creating a special “biological” frame in the subcutaneous layers. Made on the basis of reticulated hyaluronic acid polymer, EVGULON-B easily restores facial contours and improves skin condition. Bio-reinforcement of the face essentially rejuvenates the skin from the inside, smoothing out wrinkles, removing sagging and increasing the elasticity of the dermis. Thus, bioreinforcement with EVGULON-B is an optimal and reliable way to rejuvenate and lift the skin, prevent skin aging, providing maximum results.

Line of sterile wound-healing coverings "GIAPLYUS"

Sterile coatings "GIAPLYUS" are medical products that have passed clinical trials and are recommended for use by the Ministry of Health of the Russian Federation. Coatings (GIAPLUS) have different modifications depending on geometric dimensions:

• cosmetic napkin (30*25cm);

• small napkin (10*7cm);

• medium (14*10cm);

• large (20*14cm).

Main components: hyaluronic acid, anesthetic, antioxidant and antiseptic of plant origin. All ingredients are selected to complement and enhance each other’s action (patent No. 2172168):

— hyaluronic acid activates the regeneration and restoration of damaged tissues;

— the anesthetic relieves pain in the wound and relieves itching with accompanying dermatoses;

— the antioxidant stabilizes the endogenous antioxidant system and inhibits the development of free radical oxidation of lipids in cellular structures;

— antiseptic enhances the antimicrobial effect of hyaluronic acid.

Sterile wound-healing coatings "GIAPLYUS" have a wide range of effects on the rehabilitation of skin after burns, frostbite, cuts, bedsores, etc. before use in conventional and plastic surgery, since their use prevents the formation of keloid scars.

As a dressing, GIAPLUS coatings stimulate marginal epithelization of wounds, reduce bleeding, shorten the time of capillary-parenchymal bleeding, have an anesthetic effect, reduce inflammation on the surface of the wound, prevent secondary infection and the formation of keloid scars.

The effect of the GIAPLUS dressing appears on days 1-3, while the GIAPLUS dressings reduce the time of wound epithelization by an average of 5-8 days.

Indications for use in the field of aesthetic medicine: the final procedure after a session of mesotherapy, biorevitalization, contouring and chemical peels.

Directions for use: according to protocol.

Line of sterile concentrates GIATULON+

The basic element of the line is a 2% sterile gel of unstabilized hyaluronic acid “HYATULON M” (patent No. 2159111), used in a cocktail to perform the following tasks:

- increasing the duration of action of other substances introduced into the cocktail with hyaluronate, due to the formation of combined forms and the gradual release of components;

— ensuring targeted delivery of the active components of the cocktail to problem areas;

— increased microcirculation and migration of fibroblasts;

— reduction of endogenous intoxication rates;

— improvement of skin hydration and activation of hemostasis components.

Composition: 1 bottle with a capacity of 2 ml contains 40 mg sodium hyaluronate (molecular weight 1.5 million Daltons).

Excipients: sodium chloride, sodium phosphate, pyrogen-free water.

Directions for use: according to the procedure protocol.

As an additional element of the cocktail when solving “anti-age” problems, it is recommended to use a Restoring Concentrate containing a balanced set of vitamins, trace elements, enzymes and coenzymes, as well as nucleic acids and amino acids.

The restorative concentrate can be used independently to carry out “anti-age” therapy on any areas of the skin susceptible to age-related changes, as well as to solve other aesthetic problems (alopecia, etc.).

Balanced for restoration and cellular metabolism, the complex of vitamins, oligoelements, enzymes, coenzymes, nucleic acids and amino acids stimulates the production of structure-forming elements of the dermis (collagen, elastin, hyaluronic acid), enhances microcirculation, restores elasticity and tone of the skin.

Ingredients: amino acids, AMP, ATP, vitamins A, B1, B6, C, E, K, oligoelements, organic Mg.

Contraindications

Evgulon should not be used for:

  • individual intolerance to filler ingredients;
  • pregnancy and breastfeeding;
  • blood clotting disorders;
  • tendency of the skin to scar;
  • if you have somatic, mental or autoimmune diseases;
  • in case of inflammation or damage to the skin in the area of ​​future injections;
  • in the presence of infectious diseases, which includes ARVI;
  • if you have recently undergone skin resurfacing or peeling;
  • in the presence of cancer;
  • when under the age of eighteen.

Video about the mechanism of action of the drug

Compared to other drugs from the group of VEGF receptor blockers (for example, ranibizumab, trade name Lucentis), Eylea is more effective, which has been proven in several independent scientific studies. Along with high effectiveness of use, the drug is characterized by better safety and tolerability and has virtually no adverse effects on the body.

The main indications for the use of Eylea are eye diseases accompanied by neovascularization and macular edema (exudative form of AMD, diabetic retinopathy, myopic choriodal neovascularization, occlusion of the central retinal vein or its branches). The drug is not used to treat patients under 18 and over 75 years of age, during pregnancy and lactation, as well as in cases of intraocular or periocular infection.

Eylea is available in the form of a ready-to-administer solution in a bottle with a filter needle attached to it. One bottle is intended for single administration. When performing an intravitreal injection, certain rules must be strictly followed. Only qualified ophthalmologists who have experience performing such manipulations can administer the drug. The technique of administering the drug into the eye cavity is described in detail in the instructions.

Only one injection per eye can be performed per procedure. Within an hour after the injection, the doctor should monitor the level of intraocular pressure, since aflibercept can cause an increase in IOP.

Reviews of the drug Evgulon

“Over the years, I noticed how ptosis of the cheeks and submental (chin) area began to appear. I would like to return the former oval face. Therefore, I went to a cosmetologist on the recommendation of my friend. The specialist suggested that I use the relatively inexpensive Evgulon, a domestically produced gel.

I was given injections about fifteen minutes after applying the anesthetic ointment. To be honest, it was quite painful, despite the use of painkillers.

Of course, the doctor warned me that after the injections I should not use cosmetics, touch the affected areas, sunbathe, visit saunas, swimming pools, solariums, drink alcohol (which accelerates the removal of hyaluronic acid from tissues), etc.

Since I decided to get injections with fillers, it was very important for me to strictly follow the doctor’s recommendations, which is what I did.

The first days after the injections, I didn’t go outside at all. The appearance of the skin was, to put it mildly, not the most presentable. However, already on the fourth day I went to work, and my employees barely recognized me. Rejuvenated skin and different facial contours did their job, completely changing my appearance and image.

Nowadays I need to wear minimal makeup to look amazing. The skin really looks young, smooth, nourished. The saggy cheeks are gone. In a word, I really like it. The only thing is that I wish the effect lasted longer. And I will definitely come again for a rejuvenation procedure to my favorite cosmetologist Andrey, when the above filler is completely absorbed.”

(Alla, 46 years old)

Irina Fileeva

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