Dr Jakub Krystian
Liquid polycaprolactone seems to open a new chapter in aesthetic and regenerative medicine. The old adage “beauty must hurt” sinks into oblivion. It is now possible to stop and even reverse the effects of time without the use of a scalpel and hyaluronic acid. Experience the magic in its purest form.
In search of the Holy Grail
Stopping the aging process, immediate rejuvenation – some of the slogans that follow patients everywhere. The dream of being forever young and beautiful is complicated by the huge number of solutions available in the aesthetic medicine market. Each aesthetic doctor chooses his own front to fight progressive aging. Hence, many conflicting opinions on how to do it correctly. A product with an immediate and multi-directional effect will become a Holy Grail.
An old friend in a new installment
You do not need to introduce polycaprolactone (PCL) to anyone who has been in the aesthetics market for a long time. It is the strongest synthetic stimulator of collagen formation, which due to its high power of action requires a lot of experience from a doctor. Its huge advantage is the longer period of neocollagenesis and the full biodegradability of the product in skin tissues. In view of changing standards of the pursuit of beauty (elimination of HA-based fillers in favour of biostimulators) PCL returns to play in a new, completely liquid version – Gouri. It changes the current paradigm of work and the use of PCL in aesthetic medicine. Its liquid form provides high implantation safety. Maybe this is the Holy Grail?
The same and yet different
In aesthetic practice, a personalised approach, which includes product selection, appropriate technique, and proper anatomy analysis is of key importance. Differences in the structure of the craniofacial, particularities of expressions, patient’s diet, and the work of the musculoskeletal system significantly affect the result of treatment.
In my practice with GOURI, I noticed that that using the recommended “Asian” protocol did not show the full potential of this product on European patients. In some cases, the use of this protocol in Europeans was associated with adverse effects in the form of transient soft tissue oedema. While for Asian patients no undesirable effects were observed and the patients had great results in the form of tissue elevation and filling.
The devil is in the details
In my daily surgical practice with PCL, I use almost every type of it – tissue adhesives, threads, and surgical sutures. Intrigued by the new liquid version of the material I know well, I decided to look into its multifaceted effect. Considering Gouri’s rheology and the different facial structures of my patients, the current application protocol had to be modified by me. The element that I missed at the very beginning, which turned out to be the key to obtaining immediate and even magical post-operative effects, turned out to be the viscosity of liquid polycaprolactone.
Scalpel lift
Most patients expect an immediate, spectacular rejuvenation effect in the least invasive way possible. One of the biggest problems they ask to solve is the progressive skin flaccidity and tissue collapse. The lost fight against gravity manifests in deepening nasolabial folds and defects in the lower third of the face. The use of hyaluronic acid often aggravates existing problems by giving tissues additional weight. Not to mention the migration of hyaluronic acid. Considering increasing patient concerns against surgeries and invasive procedures such as the implantation of lifting threads, liquid polycaprolactone Gouri proved to be a brilliant solution.
Tissue adhesive and liquid lifting thread
By changing the current perception of liquid PCL as only a tissue stimulator, you can discover its hidden functions in a surprising way. Changing the existing product protocol, with particular emphasis on tissue defects, made a scalpel-free facelift possible. The approach chosen by me is injecting GOURI using upward vectors and determining specific focus points on the facial contour that along with a huge biostimulatiory potential, low viscosity, and perfect penetration of the product result in the immediate effect of tissue elevation. When we start treating this product as a glue or a liquid lifting thread, it turns out that with one procedure we are able not only to rejuvenate the patient but also to fill volumetric defects and perform a non-surgical facelift.
One step further
Only a multidisciplinary approach and unconventional actions allow you to achieve spectacular results in aesthetic medicine. This is the case with polycaprolactone, which, implanted with the right technique, in the right places, and in the right amount, is a great alternative to procedures such as lifting threads and surgery.
Dr Jakub Krystian: General surgeon, aesthetic doctor. Graduate of the International Centre of Anti-Aging Medicine Education in Warsaw. Winner of APTOS R&D Grant in category “New Product in the thread treatment field”. Academic teacher, conference speaker. He specialises in complications in treating aesthetic and regenerative medicine.
More informations: @dr_jakub_krystian
