The middle third of the face is rightfully considered a very difficult area, because it is here that the most important structures of the face, as well as numerous vessels and nerves, are located. That is why the aesthetic correction of the middle third requires deep theoretical knowledge and important practical skills from the specialist, which will help not only achieve a pronounced result, but also avoid possible complications.
Candidate of Medical Sciences, dermatocosmetologist, member of the expert council for botulinum therapy in the CIS countries, certified trainer in botulinum therapy in the countries of the Middle and Central Asia Sergey Shelekhov.
What structures does the aesthetic correction of the middle third of the face imply
S. Sh.:Highlight the concepts of "middle", "lower" and "upper third of the face" very difficult, because the task of aesthetic medicine – it is work with the patient, and not with some separate parts of his face, and this is the oldest rule of medicine. It is impossible to treat a disease outside the whole body, just like in aesthetic medicine. Nevertheless, there are some guidelines that dermatocosmetologists have come up with in order to more accurately talk about local problems and take some universal steps in solving them, in one place or another on the face. Therefore, there was a division into the upper, middle and lower thirds of the face.
In the middle third of the face, we correct the nasolabial sulcus, nose, cheekbones and the upper third of the nasolabial fold.
These are the main guidelines and problems that stand out in terms of work in the middle third of the face.
What are the main challenges of working with an average third party
In the middle third of the face, the upper third of the nasolabial fold and the nose are the most difficult, because these are the most dangerous zones, where the vascular pool is significantly represented. This is both the approach to the alar of the nose (facial artery) and the branched network of vessels in the nose area. In addition to the vascular basin, the infraorbital nerve also passes in this area, which also presents certain difficulties in correcting certain problems that arise in this area.
Peculiarities of skin renewal in the delicate area of the eyes and lips An additional difficulty is also represented by deformation changes, which are different for all patients in this zone. And how we will adjust this zone will also depend on how the lower third of the face will tighten. These points need to be discussed and evaluated every time we work in this very difficult area of aesthetic correction.
What preparations do you use for aesthetic correction of the middle third
As part of my service, I deal mainly with serious aesthetic problems. In our clinic, there are certain divisions into complex and less complex issues of the use of fillers and botulinum toxins. I do mostly so-called big contouring, which includes reshaping the nose, cheekbones, facial contours and nasolabial folds.
Biorevitalization of the skin with a peeling effect: rejuvenation without injections In addition, I also perform botulinum therapy procedures, which additionally help in solving certain problems, deformations and changes in the shape of the middle third of the face.
What properties should medicines have for correcting the middle third
S. Sh.:If we are talking about fillers – these drugs should have a high density, lifting effect, they should have a high viscosity and be suitable for setting in the deep layers of the face. In addition, it is important that these preparations allow you to keep the shape, for example, when correcting the nose area. In our practice, we have been using drugs from the Aliaxin®. line for a long time. These are really good and amazingly reliable preparations, presented by one of the leading European companies IBSA, which itself produces hyaluronic acid and makes fillers.
REFERENCE: The official distributor of Aliaxin
®in Ukraine is Cosmetic Group. There are 4 main filler forms in the line, but I work mainly with Aliaxin® FL, which is optimal for lip correction, and Aliaxin® EV volumizer, which is the most preferred for work in the middle third of the face, i.e. for volumizing the cheekbones, reshaping the nose, filling the nasolabial fold and nasolacrimal trough, and correcting all these problems that I have already mentioned earlier. What are the main benefits of Aliaxin fillers
®S. Sh.:
This is a very difficult question, because I can’t say that these are the best drugs, it doesn’t happen in the world of medicine. There are well-established, proven, highly effective, safe and high-quality drugs, which also include the Aliaxin® line of fillers, presented in Ukraine by the Cosmetic Group. There are different fillers from different companies, and there is no point in belittling their dignity, but the Aliaxin
®line is really worthy and, most importantly for a doctor, effective and safe drugs, tested and proven by high standards European quality. This is what distinguishes Aliaxin® products, and also the fact that they are really new technologies for stabilization, reducing side effects and increasing the duration of effect, specializing in the tasks that doctors pose when correcting difficult areas on the face. Is it possible to achieve a pronounced effect of rejuvenation by eliminating the shortcomings of the middle zone of the face
S. W.:Correction full face – this is a very popular expression. I always say that when it was invented, we had been working with the whole face for a long time, we just called it simply - personality harmonization. Moreover, in ancient medicine, which our teachers taught us, it was precisely an integrated approach not only to the whole face, but to the whole organism as a whole. But f
ull face correctionhas now taken root as a term, and I must say that this is not just a fashionable term, but the correct term, which allows you to better assess what happens on the face with age. If we change the shape of the nose – our patient is unlikely to become younger, happier and more beautiful. But if we harmoniously, very little by little, we will put fillers in different zones – at the top, on the temple, a little bit into the nasolacrimal groove, slightly change the shape of the nose, tighten the nasolabial folds, change the lower half – this will really give a result, and the patient will be more satisfied, and the efficiency will increase significantly.
Full face correction – this is not a fashionable term, but a certain conscious necessity of this stage in the development of aesthetic medicine.
We can now place the filler wherever necessary, we know anatomically dangerous areas, we can correctly distinguish age-related deformation changes in fat pads, and we can already correctly predict changes in the face after we place the filler in certain areas. This gives us the opportunity to work with the whole face, and this is not a fashion, but a recognized necessity.
Learn more about Aliaxin and see with your own eyes the work with IBSA and BioRePeel you can on November 20 at a large-scale event for aesthetic medicine specialists
ANTI-AGE IN THE BIG CITY.
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