Персонализированный подход к коррекции средней и нижней трети лица

Lower third of the face – the concept is rather not anatomical, but visual. The division of the face into thirds is based on the idea of ​​the proportional ratio of parts, the so-called "golden section" rule.

According to this rule, the lower third of the – this is the area between the horizontal lines drawn at the base of the nose and at the very bottom of the chin. However, in practice, as a rule, techniques that improve this area also affect adjacent areas: the middle part of the face and neck. Therefore, in modern aesthetic medicine, this approach is more common, with division into thirds.

We invite you to find out in the article estet-portal.com about new standards of contour correction from the world experts of Galderma Juan Sopano and Christophe Marchin and learn the secrets of the masters!

Dermatologist, Galderma international consultant: Christoph Marchin (Sweden)

Correction of which areas of the face is the most relevant and in-demand procedure today?

K. M: Lately, we have seen a growing demand for requests for correction of the lower third of the face. This trend is gaining particular popularity among young women who watch similar procedures on social networks, on Instagram and want to be like popular stars.  Based on this, patients request a similar correction in the clinic.

How do you determine the need for correction of the lower third of the patient's face? Surely not everyone is shown such a procedure.

K.M: The most important task for me – make an individual assessment and make sure that each area I treat is in balance with other areas of the face. This means that if someone, for example, has good cheekbones but a flat chin, then chin injections can really bring back & nbsp; face the right proportions and provide optimal beauty for this client.

My default image

The same is true for the lips. For example, the lips should be balanced with respect to the Ricketts line (the line connecting the nose and chin). It is obvious that the location of the Ricketts line directly depends on the degree of projection of the chin. In the case of, for example, insufficient projection of the chin, the determination of the necessary projection of the lips is possible only after the restoration of the chin and this can visually enlarge the lips.

Do you have any specific facial evaluation algorithms

K.M: We use the Galderma scale in the clinic, which is called the "five facets of beauty". According to this scale, first of all, we evaluate the impression that the patient's photograph makes on us during the initial cursory glance at it. As a rule, we fix with our eyes the emotional state that the patient's face conveys. We can note the tired look of the face, determine when the patient's face expresses anger or sadness. And already at this stage, analyze what procedures we can perform to erase signs of negative emotions from the face. & nbsp; The second stage of evaluation or the second facet is the shape of the face.

An oval or heart-shaped face is considered optimal for women, and a square face for men. Third face – proportions reflecting the ratio of the third person, as well as the geometric structure, the gonial angle, the position of the Ricketts line. The fourth feature .minus; symmetry of the left and right sides of the face. And the last thing, of course, is very important − skin quality that 4 out of 5 patients in my clinic complain about.

Improving the quality of the skin is no less a topical issue in aesthetic medicine.

Read also: Juan Sopano: The middle third of the face – key zone of aesthetic correction

PhD, IMCAS speaker, leading trainer of Galderma: Juan Sopano

What are the features of the correction of the lower third in patients  with thin skin, increased laxity?

X.S: For any patient with any skin type, in particular for thin skin patients, it is very important to know that when we want to improve the lower third of the face, we must first evaluate state of the middle third of the face. Correction of the middle third of the face – it is always a start to the correction of the lower third, especially when it comes to improving the line of the lower jaw.

Quality drug – the basis of an effective anti-aging procedure

Directly when working in the area of ​​the lower third, to recreate clear, even lines when working with thin skin, the choice of the drug is very important.  In this case, we need to use technologies that ensure the integration of the drug into the skin, which will help thinned skin to be denser, while minimizing the risks of contouring the drug and providing a natural result. 

That's why we have Optimum Balance Technology (OBT) and fantastic products based on it from Galderma.  Unique Restylane OBT preparations with different density and elasticity, designed both for volumetric correction and filling wrinkles, especially in mimic active areas of the face – always a high-quality and predictable result.

What are the nuances of correcting the middle third of the face in order to improve the line of the lower jaw and improve the condition of the lower third?

Х.С:

Regarding the middle third of the face, we have 3 variants of the clinical picture. First – patients in need of a facelift.  In this case, you need to work in the projection of the lateral part of the cheekbone. This does not mean at all that in the process of correction we will add volume to this zone. Working with NASHA Restylane products, we have a tool for lifting and holding tissue without adding volume. At the same time, in the second clinical variant of aesthetic & nbsp; defects – a pronounced lack of volume, a preparation from the

Restylane OBT line is used, for example Restylane Volyme, which allows maximum volume correction. In the third option, when both lifting and volume are needed – possible combined use of drugs produced by various technologies to achieve optimal natural & nbsp; results. This approach, based on a personalized selection of drugs depending on the clinical picture and skin quality, allows you to achieve incredible results in the aesthetic correction of the middle and lower third face.

Thus, there are three different types of mid-projection aesthetic problems that we can improve with Restylane products.