Lower Face

Braz, André; Humphrey, Shannon; Weinkle, Susan; Yee, G. Jackie; Remington, B. Kent; Lorenc, Z. Paul; Yoelin, Steve; Waldorf, Heidi A.; Azizzadeh, Babak; Butterwick, Kimberly J.; Maio, Maurício de; Sadick, Neil S.; Trévidic, Patrick; Criollo-Lamilla, Gisella; Garcia, Philippe

doi:10.1097/prs.0000000000001836

Cited by 65 publications

(24 citation statements)

References 19 publications

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“…Similarly, filling the preauricular area with the appropriate volume of fillers decreases the appearance of jowls and marionette lines so that less filler is required in the actual lines and prejowl sulcus. 44 …”

Section: Resultsmentioning

confidence: 99%

“…In younger Indians, marionette lines can be treated as an individual indication. In older people, because the appearance of jowls and marionette lines results largely from loss of volume in the lateral mid and lower face, these areas should be corrected first, 44 followed by filling of the prejowl sulcus itself. An aesthetically pleasing outcome can then be achieved by injecting filler directly into any residual marionette lines.…”

Section: Resultsmentioning

confidence: 99%

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Consensus Recommendations for Treatment Strategies in Indians Using Botulinum Toxin and Hyaluronic Acid Fillers

Kapoor

Chatrath²,

Anand

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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Background:Indians constitute one of the largest population groups in the world. Facial anthropometry, morphology, and age-related changes in Indians differ from those of other ethnic groups, necessitating a good understanding of their facial structure and the required aesthetic treatment strategies. However, published recommendations specific to Indians are few, particularly regarding combination treatment.Methods:The Indian Facial Aesthetics Expert Group (19 dermatologists, plastic surgeons, and aesthetic physicians with a mean 15.5 years’ aesthetic treatment experience) met to develop consensus recommendations for the cosmetic facial use of botulinum toxin and hyaluronic acid fillers, alone and in combination, in Indians. Treatment strategies and dosage recommendations (agreed by ≥ 75% of the group) were based on results of a premeeting survey, peer-reviewed literature, and the experts’ clinical experience.Results:The need for combination treatment increases with age. Tear trough deficiency is the most common midface indication in Indian women aged 20–40 years. In older women, malar volume loss and jowls are the most common aesthetic concerns. Excess medial soft tissue on a relatively smaller midface precedes age-related sagging. Hence, in older Indians, fillers should be used peripherally to achieve lift and conservatively in the medial zones to avoid adding bulk medially. The shorter, wider lower face requires 3-dimensional correction, including chin augmentation, to achieve increased facial height and the oval shape desired by most Indian women.Conclusions:These recommendations give physicians treating Indians worldwide a better understanding of their unique facial characteristics and provide treatment strategies to achieve optimal aesthetic outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Consensus Recommendations for Treatment Strategies in Indians Using Botulinum Toxin and Hyaluronic Acid Fillers

Kapoor

Chatrath²,

Anand

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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show abstract

“…There are four fat compartments in the mandibular region: the superior and inferior mandibular fat pads, which are located at the inferior border of the bone; a submandibular fat compartment; and the one that covers the parotid-masseteric fascia. 16 …”

Section: Anatomymentioning

confidence: 99%

“…The facial artery, a branch of the external carotid artery, crosses the inferior border of the mandible, anterior to the insertion of the masseter, 5 6 16 together with the facial vein ( Fig. 5 ).…”

Section: Anatomymentioning

confidence: 99%

Reshaping the Lower Face Using Injectable Fillers

Braz¹,

Eduardo²

2020

Indian J Plast Surg

Self Cite

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The lower third is very important for the pleasant appearance of the face. A well-contoured jawline is desirable in men and women, giving a perception of beauty and youth. It is also key to sexual dimorphism, defining masculine and feminine characteristics. The nonsurgical rejuvenation and beautification of the lower third of the face is becoming more frequent. Injectable fillers can reshape the jawline, lift soft tissues, and improve facial proportions, effectively improving the appearance of the area.It is paramount to understand the facial anatomy and perform a good facial assessment in order to propose a proper aesthetic treatment plan. The aesthetic goal of the rejuvenation approach is to redefine the mandibular angle and line. In young patients, beautification can be achieved through correction of constitutional deficit or enhancement of the contour of the face, improving the facial shape. It is very important to possess knowledge of facial anatomy and of the aging process in order to deliver effective and safe results.In this article, we discuss the anatomy of the lower third of the face, facial assessment, aging process, and treatments of the chin, prejowls and mandibular line and angle with injectable fillers. The authors’ experience in the approach of this area is discussed.

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“…The Vermilion has a unique anatomic structure with proper texture, colour, movement and function. This anatomical region also works as an important structure in interpersonal relationship and as strong sphincter [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Lip Repair after Mohs Surgery for Squamous Cell Carcinoma by Bilateral Tissue Expanding Vermillion Myocutaneous Flap (Goldstein Technique Modified by Sawada)

Goldman¹,

Wollina²,

França³

et al. 2018

Open Access Maced J Med Sci

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Squamous cell carcinoma is the most common malignancy of the lower lip. Environmental factors such as ultraviolet light exposure, arsenic and smoking are contributing factors to the increasing incidence. Mohs surgery is the treatment of choice ensuring the lowest recurrence rates. The closure of the surgical defects, however, can be a challenge. Multiple and versatile methods of reconstructing vermilion defects have been described. Among these options, Goldstein developed the adjacent ipsilateral vermilion flap based on an arterialized myocutaneous flap. The original technique was modified by Sawada based on bilateral adjacent vermilion advancement flap for closure of central vermilion defects. We report the use of bilateral flaps - Sawada’s technique (instead of unilateral as suggested by Goldstein) in medium (2 cm of extension) to large defects (> 2 cm) to achieve an effective and functional reconstruction of vermillion defects after Mohs surgery for lip cancer.

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Lower Face

Cited by 65 publications

References 19 publications

Consensus Recommendations for Treatment Strategies in Indians Using Botulinum Toxin and Hyaluronic Acid Fillers

Consensus Recommendations for Treatment Strategies in Indians Using Botulinum Toxin and Hyaluronic Acid Fillers

Reshaping the Lower Face Using Injectable Fillers

Lip Repair after Mohs Surgery for Squamous Cell Carcinoma by Bilateral Tissue Expanding Vermillion Myocutaneous Flap (Goldstein Technique Modified by Sawada)

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