Correction of the perioral region: anatomical and physiological aspect

Коррекция периоральной области: анатомический и физиологический аспект

Every specialist in aesthetic medicine and cosmetology knows that the approach to rejuvenation should be comprehensive and individual. But be that as it may, there are areas of the face where wrinkles and folds form most often.

And if wrinkles on the forehead, between the eyebrows and even around the eyes are "permissible" and often suit our patients, then wrinkles around the lips excite everyone, forcing them to feel the signs of age-related changes again and again.

Find out in an exclusive interview on estet-portal.com how to achieve the most natural result with correction lip and perioral area shapes from Maxillofacial Surgeon, UK Specialist in Aesthetic Medicine, Dr Lee Walker.

The latest injectable techniques
What are your requirements for preparations for the correction of the perioral area
Technical features of drugs for the correction of the perioral region
Combined techniques for the correction of the perioral region
Complications of perioral correctionand

The most up-to-date injection techniques

Dr.W: I believe that at the moment the most popular correction methods in the field of aesthetic medicine – it is lips and perioral area because it is the number one request among patients.

Despite the prevalence of this procedure, it has its own difficulties, since there are certain features of the correction not only of the lips, but also of the perioral region.

In all patients with age, the upper lip lengthens and its height decreases.

Histological analysis of

tissues showed:

thinning of the dermis;

thickening of adipose tissue;
degeneration of elastic and collagen fibers.

The orbicular muscle of the mouth

also becomes thinner and its anterior curve decreases, which is responsible for the clarity of the vermillion border. As a result, we see a change in the ratio of the thickness of the lips towards their lengthening, thinning of the vermillion and its inversion inward, ptosis of the upper lip, smoothing of the lip contour, less pronounced filtrum columns.

Based on the foregoing, it must be understood very precisely that

volumetric correction techniques

of the perioral region, especially in the lip area, which are widely used, are not always suitable for older patients and can lead to to an unnatural result.

Beauty Boostering: Radiant Skin in an Instant What are your requirements for preparations for the correction of the perioral area

Dr.W:

It is very important for me that the drug has dynamic properties, as this area is actively involved in the patient's facial expressions. The physiological state of the tissues of the perioral region, as well as the most

natural result

can provide preparations for the correction of the lips and perioral region of the company TEOXANE. Preparations for correcting

Teosyal

Kiss and RHA® with different concentrations of hyaluronic acid and rheological properties allow:

correct lip contour;

increase their volume;
strengthen and lift the corners of the mouth, while providing the most natural result.

companies

TEOXANE — contain an innovative formula of elastic hyaluronic acid, which is specially designed to correct the dynamic areas of the face, including preparations Teosyal RHA® 2 and Teosyal RHA® 3, having special indications for the correction of the lips and perioral zoness.

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Technical features of preparations for the correction of the perioral region

Dr.W:

First of all, in order to work in the perioral zone, the drug must have certain rheological properties and be dynamic in tissues, minimizing the risk of scarring, which ensures low content of crosslinkers. Ease of injection

of the drug, its use when working with a needle or cannula is also important.

The different rheological properties of the correction preparations provide extremely fine and precise correction of the lips and corners of the mouth.

The lip correction product should provide the most

natural effect

and not cause any discomfort to patients

Beauty in harmony: natural facial correction

Combined techniques for the correction of the perioral region

Dr.W:

There are many lip and perioral correction techniques available today.

In my practice, I most often use a combination of lip correction with hyaluronic acid fillers

and the application of

botulinum toxin. When using fillers

TEOXANE, the important point is their complex application for the entire mouth area (lip mucosa, lip contour, wrinkles around the mouth). When working in the lower third of the face, threads can also be used that significantly stimulate collagen formation in the tissues.

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Photo 2. Purse-string wrinkle correction technique: blanching and linear retrograde filling

e Complications in perioral correction

Dr.W:

In the UK, up to 2,000

complications of aesthetic procedures can be reported during the course of a year. Therefore, every doctor, including in his own practice, meets with these patients. But this is a very rare occurrence in my practice, except in cases where the patient comes after an unsuccessful correction.

Complications are less than 1% in my own practice.

The most common complications in perioral correction are:

infectious complications;

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How to avoid complications in perioral correction

Dr.W:

First of all, young specialists must have a deep knowledge of anatomy, as well as practical skills and control the depth of drug injection.

In any case, the drug should be administered carefully and slowly after the aspiration test

It is also very important to find an approach to the patient.

It is necessary to

observe the patient

not only during the procedure, but also until the time when we can observe the final result of the correction, which in some cases can take from 2 to 4 weeks.

Injections for beautiful lips