Contour correction from the standpoint of histology and architectonics of facial tissues

Контурная коррекция с позиции гистологии и архитектоники тканей лица

The development of injectable implants based on hyaluronic acid has made a real breakthrough in the field of contouring.

As you know, hyaluronic acid — polysaccharide, which is a component of connective tissue and forms an elastic matrix for dermal cells.

For more information about the use of combined techniques and hyaluronic acid preparations for contour correction, taking into account the architectonics of facial tissues, read in an exclusive interview on estet-portal .com from Plastic Reconstructive Surgeon, Teoxane Chief Scientific Officer, Dr. Patrick Trevidick.

Pathophysiology of skin aging as a basis for contouring
The role of facial expressions in contour correction
Combined approach to contouringand

Pathophysiology of skin aging as a basis for contouring

P.T.: The aging process is very complex.

We previously thought that the aging process − this is the result of tissue ptosis under the influence of gravity.

After that, we moved on to another theory − loss, this means that with age the volume in different parts of the face.

decreases

We also thought that muscles get thinner with age, but all these judgments are erroneous.

We must change our approach to the aging process.

Aging

– it is an illusion of loss of volume in some part of the face. This means that the – it is not just a homogeneous structure, but a complex puzzle, which is important for pony

mother.

Instagram! The role of facial expressions in contour correction

P.T.:

First of all, when performing contour correction, the doctor must understand: in which area it is possible to work with volumetric techniques, and where it is better to avoid it. With respect to the

middle third of the face

we certainly need volumization. But when using volumetric techniques and performing contour correction, the doctor must focus on the main indicator, and this indicator –

movement (facial)

Expectations and reality of volumizing face correction. Correction variance If the doctor increases the volume without taking this factor into account, he will make a big mistake for our patient: too protruding parts will create a

unnatural effect

and therefore this result will not be appreciated by the patient.

My default image

Whenever we use volumetric techniques for contouring, the clinician must use

multi-layer injection techniques

. This means that it is necessary to

evaluate each layer of facial tissues

that loses volume in order to fill it with certain fillers, a certain amount of product and create the most natural appearance. Aging is not limited to skin changes: it affects all tissues.

The soft tissues of the face

are the superficial mimic muscles, platysma, their fasciae and aponeuroses, which form a single superficial musculoaponeurotic system (SMAS). The lower layer of facial and masticatory muscles, covered with fascia, forms

deep musculoaponeurotic system (DMAS)

, under which the periosteum is located. All these layers of tissues are interconnected by transverse connective tissue ligaments that go from the periosteum to the skin and fix the soft tissues of the face.

Therefore, given these anatomical features and tissue division, we will get the most natural result when using

dynamic fillers

RHA company TEOXANE . Their rheological properties allow for complete biointegration of the product into tissues and provide natural facial expressions for patients

ta.

Puppet theater or subtleties of marionette wrinkle correction Combined approach to contouring

P.T.:

If a doctor performs complex contouring, he must understand the main goal of our patient and direct his attention to achieving it.

When a doctor performs many cosmetic procedures at the same time, we have a chance in the process of striving to get a wow effect, to change the face beyond recognition.

At the basis of

complex work on contour correction

, the main thing is to analyze together with the patient what is the first request, what is the first sign of age-related changes that we should correct.

My default image

With age, muscles, fascia and ligaments lose their elasticity and lengthen, while remaining firmly attached to the bones and skin.

In areas where the ligaments are weaker attached to the skin, they are pulled down under the influence of gravity with the formation of protrusions that are filled with adipose tissue, for example,

fatty hernias of the lower and upper eyelids

. Where the ligaments hold the skin and muscles more firmly, folds and furrows form − nasolacrimal, nasolabial, etc.

Therefore, this fact implies the use of a

combined approach when performing contouring

that provide tissue lifting, imitate bone structures, are injected deep/periosteally and also have volumizing properties; Dynamic Dermal Fillers − to replenish lost volume and work in dynamic areas where a more superficial injection of the drug is required, with its maximum distribution.
Therefore, company

TEOXANE

has 2 types of products in its arsenal: first type — it is the classic line of

, whose products have been on the market for more than 10 years. A large number of these products are still among the most requested by our patients.

drug Teosyal

Ultra

Deep, − it is one of the most effective products on the market that has both a volumizing and lifting effect.

second line of

products from TEOXANE My default image – these are

dynamic fillers

. What is the difference between them? This complex is able to repeat the physiological movements of facial tissues that exist in the body during mimic activity. Therefore, when using fillers from the RHA

Beauty in harmony: natural facial correction

Extremely

important parameters for contouring

are: condition of the soft subcutaneous tissues of the face;

assessment of the degree of their change by age processes;

layered injection;

correct drug choice.