An approach to structural facial rejuvenation with fillers in women

Abstract

Newer understanding of volume loss as a critical component of facial aging and the integration of volume replacement into the surgical and nonsurgical therapeutic algorithm is arguably the most significant recent development in the field of facial rejuvenation. As all structural tissues play a role in the aging face, restoring youthful characteristics (or establishing them where they are congenitally absent) starts from the skeletal framework and builds progressively to the canvas of the face. The purpose of this article is to provide an introduction and brief summary of some of the current concepts concerning facial anatomy and the anatomy of facial aging, which serve as the basis for predictable and reproducible results with the use of injectable fillers. This article does not include the various types of fillers or techniques of filler injection, but covers how to decide where to use the filler and why, in different faces, as a result of the recognition and targeted correction of currently recognized specific anatomic deficiencies.

Innovative approach for tear trough deformity correction using higher G prime fillers for safe, efficacious, and long‐lasting results: A prospective interventional study

“…The improvement in the detailed knowledge about the facial fat compartments and their changes around the lower lid with aging has led to a paradigm shift in a way we perceive and approach the changes that are seen in an aging face. 4,7,9 Thus, the treatment of the tear trough deformity is techniquesensitive and more demanding compared to any other areas of the face. Based on the clinical evaluation, Hirmand, the year 2010 classified tear trough deformity into three broad categories.…”

Treatment of the tear trough and infraorbital hollow with hyaluronic acid fillers using both needle and cannula

“…Patients with a shallow orbit, retrusive anterior maxilla, and inferior orbital rim often have a deep tear trough. In such cases, treating the prezygomatic space, pyriform aperture, and the deep midfacial fat prior to treating the tear trough will give a natural and better outcome 40 …”

Using injectable fillers for midface rejuvenation

“…In 2006, Radiesse (Merz Pharmaceuticals GmbH, Frankfurt am Main, Germany) was FDA-approved for the correction of moderate to severe midface wrinkles and folds and lipoatrophy in patients with human immunodeficiency virus. Radiesse utilizes a 30:70 ratio mixture of CaHa microspheres to aqueous carrier gel and has been well studied in facial aesthetic medicine [42,49,50] . In the midface, restoration of the cheekbones allows for correction of specific creases and defects while providing volume to the malar and submalar regions.…”