О препаратах и новых техниках инъекций для коррекции лица: итоги IMCAS World Congress 2018

At the recently held international congress IMCAS World Congress 2018, many new products were presented from various companies that offer their products to practitioners of aesthetic medicine. Irina Kapshuchenko – dermatologist-cosmetologist, member of the European Association of Dermatologists, honorary member of the Association of Injectionists of Ukraine, certified trainer Merz-Aesthetics.

Tell us about Belotero Volume. What is better to correct with this drug and in what areas should it be used?

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Belotero Volume already from its name implies that it is a volumetric. This is a drug that has unique properties of plasticity and elasticity. And its uniqueness lies in the fact that it recreates the lost volumes and keeps the shape for a long time and naturally. This drug can be used in different areas. In both older and younger patients, it is used to model the contours of the face, to restore and improve the shape itself.
This drug is used in the zygomatic zone, in the middle third of the face. This drug works great in modeling the chin. We can even inject it into the forehead.

Can this preparation be used to correct the contour and volume of the lips? What features should be taken into account?

This is the peculiarity of the drug. In order to provolumize the lips, we must select the right patients. They should have their anatomically good lip shape. What does anatomical form mean? This is the width of the mouth, which should correspond to the pupillary line. This is almost a perfect Ricketts line. And also must be saved its own outline. That is, for patients with hyperactive circular muscle of the mouth, where there are already purse-string wrinkles, we will not recommend this drug. This drug is for young patients with a fairly good volume of their lips, with good parameters, who want big, beautiful and at the same time natural lips.

Tell me about the 3 Triangle Technique. with Belotero Volume

Rejuvenation of the middle third of the face with the help of volumetric fillers has become one of the most popular contour plastic procedures. The purpose of this procedure is to restore the lost volumes of the soft tissue structures of the face and obtain the desired lifting. And one of the very important aspects for successful correction of the middle third is the analysis of the anatomical structures of the facial part of the skull, in particular, the aging of fat pads. This is one of the very important points that doctors should understand and know.

Why is this important? Because there are both superficial and deep fat pads. Each of their layers changes in different ways: there is atrophy, hypertrophy of subcutaneous fat, migration. And it is very important to choose the method of introducing hyaluronic fillers into deep subcutaneous fat pads.

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In the Merz-Aesthetics laboratory, Dr. F. Belfkira has proposed a new technique for introducing Belotero Volume into the middle third. This technique is based on 3 triangles that correspond to the cheek-zygomatic region, its medial and lateral parts, as well as the temporal region. The uniqueness of the technique is that the introduction of a small volume – I emphasize, a small one - in the center of 3 triangles makes it possible to restore the lost volume and get a pronounced lifting.

At the same time, it is possible to achieve a natural look with a small amount of this drug. The natural look is very important for our patients now, they don’t want to lose their individuality, they don’t want to look artificial.
Belotero Volume is ideal for the 3-triangle technique, because it has a high level of elasticity, is able to resist gravity, increased muscle activity. When the drug is injected into the middle zone, it will ideally keep its shape, will not move, the duration of the results is about 12-18 months.

What's new from the Merz portfolio, and which of these do you use?

There was a very interesting session Merz, where Cellfina was introduced. This is a unique device. We know that almost no technique works with fibrous cellulite. Cellfina – this is the only device, the only technique that works with fibrous cellulite. The procedure is carried out once and immediately with a very pronounced good effect. The patient is then prescribed drainage and other additional procedures to improve the quality of the skin. But the very essence of the method is that there is a rupture of the fibrous fiber, which forms an orange peel.

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