How to make forehead wrinkle correction as effective and painless as possible − This question is asked by almost every specialist in aesthetic medicine. Understanding the anatomy of this zone, the correct choice of correction technique and dermal filler − these are the main components of the success of a specialist in the field of plastic, aesthetic and reconstructive surgery, Dr. Patrick Trevidic.
At estet-portal.com you have the opportunity to get acquainted with the detailed protocol for the correction of forehead wrinkles, which is used by the doctor.
Stepwise approach – secret of successful correction
Dr. Patrick Trevidick's Core Philosophy − it is a step-by-step approach to correction. First of all, you need to choose the zone you are going to work on, understand its 3D anatomy, choose a correction technique, test this technique, and only then choose a product to work with. The doctor believes that the correction of wrinkles in the forehead − this is a purely feminine procedure.
Why? This is due to the different anatomical structure of the male and female forehead. And if the introduction of filler into the woman's forehead area − will make her more beautiful, then this procedure, performed on a man, only feminizes him.
Forehead wrinkle correction algorithm
Stage I
To work in the forehead area, it is necessary to understand exactly how the vessels are located in this area. If they are located deep in the glabella region, then above 2 cm above the level of the eyebrow − vessels pass superficially. Therefore, we call this line the safety zone, above it, injections must be carried out deep above the periosteum, and below the − extremely superficial.
At the second stage we choose the technique of correction. In the lab, we tested two − bolus technique with a needle, and with a cannula. Working with a needle, we touch the bone and inject the drug, and with the help of cannula
− slide along the periosteum gradually introducing the filler.
Problem − the needle bolus technique was found to be insufficiently safe. Since with the perpendicular introduction of the needle, its sufficiently wide cut is immediately in several layers. Therefore, the drug is injected simultaneously into more superficial layers.
Solution 1 − when working with a needle, before the injection, it is necessary to form a skin fold and slightly lift the tissues, then the needle cut will be on the bone
Solution 2 − work with a cannula, because you can control exactly how deep you inject the drug.
Stage III
The third stage involves the selection of a product for correction. In the forehead area, I prefer to work with Teosyal RHA4, which is represented in Ukraine by Academy of Scientific Beauty
, because I need a drug that will have a lifting effect, but will not create seals and protrusions. This is a filler for beginners − because even if you enter something wrong, you can distribute this product by hand. I don't use Teosyal Ultra Deep here because it's highly cohesive for that zone.
Forehead wrinkle correction technique
For the forehead you need at least one syringe of the drug, because the forehead is a fairly wide area. I introduce dermal filler not through two points on both sides, but through one in the middle of the forehead — because it guarantees less pain and less swelling.
Don't forget about anesthesia, no pain − this is a marketing ploy.
1) First of all, I administer lidocaine + epinephrine anesthesia, and I do this not only to relieve the patient of pain. The lidocaine allows me to lift the tissue, which makes inserting the cannula easier.
2) I then insert the cannula into the entry point. Remember that the entry point determines the depth and direction of the injection. Therefore, if you make a slight puncture with a — You will it’s hard to get through the cannula into the very depths, plus it will be painful. Thus, it is best to immediately make a deep puncture with a needle, and insert a cannula through the formed channel.
3) I inject the filler antegrade, not retrograde. This provides pain relief throughout the administration of the drug.
Another secret: if the patient does not admit that he is in pain − You can see it in his eyes, the person will start blinking rapidly, or their eyes will watery.
4) I complete the treatment with an intense massage. Take advantage of pain relief. A good massage − this is a guarantee that there will be no bulges and unevenness after correction.
How do you know if you have entered enough filler?
There is a simple secret. I always ask the patient to see me two weeks after the correction. Firstly, it gives me an understanding of what I am doing right and what I might be wrong about, and secondly, I have the opportunity to evaluate the result. During the consultation, I ask the patient which result she likes best − the one that is now, or the one that was immediately after the procedure.
If she likes the effect today − I am calm, and do not spend additional correction. But, if she liked the result immediately after the procedure, which was accompanied by swelling − I also add a filler. In this case, I'm not the one who tells the patient − You need more correction. She herself says − I need more. And this applies to any area in which I work.
Let us remind you that Teosyal RHA4, which is used to correct the forehead area, is represented in Ukraine by the company
«Academy of Scientific Beauty»
.