Secrets of face correction with different morphotypes from Anastasia Saibel

When a patient comes to us and expresses his/her wishes regarding facial correction, we try to bring his appearance as close as possible to the desired result, but the patient's expectations are not always justified. To satisfy them, we must clearly understand what we can do in relation to the correction of appearance. To do this, it is worth recalling the possibilities of cosmetology for each of the aging morphotypes.

When modeling a face, it is important to understand what maximum result we can achieve, how many procedures we need for this, and whether it is worth starting correction with cosmetology at all. In order to clearly define these boundaries for ourselves, estet-poral.com, in collaboration with PhD, international expert Merz aesthetic Anastasia Saibel, prepared a brief overview for you.

Aging morphotypes and taking into account their features in face correction according to I.I. Kolgunenko (1974) 

With a muscular morphotype, due to high mimic activity, rather rapid formation of static wrinkles and violation of facial contours in mimicry occurs. In this case, you should first carry out botulinum therapy (BTA) and eliminate static wrinkles with a filler based on hyaluronic acid using the technology of a cohesive polycompacted matrix, and filler based on  calcium hydroxyapatite Radiesse should be used for accurate and  delicate restoration  volumes in the mid-buccal medial department, and in the technique of reinforcement, to eliminate skin laxity and prevent or eliminate static wrinkles by stimulating neocollagenesis.

The next morphotype of aging, which we often meet and manifests at a fairly young age, – this is an edematous morphotype, or a tired face, when edema in patients manifests itself at all levels: deep and superficial fat pads. This leads to an early  contouring of the ligamentous apparatus of the face, as well as the furrows of the face. With this type of changes, Radiesse is the first drug of choice for volumetric correction, and for vector lifting, and in terms of reinforcement. Since the drug based on calcium hydroxyapatite, unlike fillers based on stabilized hyaluronic acid, does not give delayed puffiness and allows you to smooth out the main signs of aging of this type that is difficult to correct.

There is also a deformation morphotype. It differs from edematous in that initially the contours of the face and neck are violated in the patient, and only then other changes in appearance are added to them. It is important to clearly understand: where is the edematous morphotype – there we work with you, and where is the deformation type – a plastic surgeon is primarily needed to eliminate deformity changes, and we correct the face very carefully, as we may encounter inflated patient expectations and not justify them.

If a patient of the older age group wants to look good, then, of course, sooner or later he will be in the hands of a plastic surgeon. You and I can simply delay the time of the operation.

When the patient has a deformation type of aging, we can apply it with the severity of gravitational changes up to the 3rd degree according to the Merz Aesthetics scale:

• BTA - botulinum therapy (because platysma always emphasizes contour violations when turning the face and neck),
• Radiesse,
• Ulthera (by SMAS lifting, with focused eliminatable divorces).

Surgical correction is required in patients with deformation type of aging with the severity of gravitational changes of 3-4 degrees according to the Merz Aesthetics scale. If it is impossible to carry out it using the methods of aesthetic minimally invasive correction, it is only possible to smooth out the signs of age. The expectations of the patient are very important, which are often too high. Therefore, during the consultation, the specialist needs to explain the expected result to the patient as accurately as possible and thus form the correct attitude towards this result.

Finely wrinkled morphotype — in these patients, the main symptom — wrinkles. Therefore, the combination of botulinum therapy (BTA) and reinforcement with the lifting filler Radiesse in the parts of the face allowed for its use is relevant; if the wrinkles are already static — dynamic, they can be instantly eliminated with Belotero smart hyaluronic acid fillers (based on KPM technology) using the "blanching" technique.

Initially, in patients with a classic finely wrinkled face type, the skin is very thin, and the subcutaneous fat is poorly expressed. Such patients are categorically afraid of the introduction of any volumes, since they have never had them. 

Combined morphotype — correction begins with the most pronounced sign of aging.