Secrets of successful anti-age correction with fillers of the infraorbital region and hands

Successful anti-age correction depends on a number of factors: anatomical features, proper selection of patients, selection of appropriate equipment and drugs, etc. About the main differences in the approaches of anti-age correction by a surgeon and a cosmetologist, as well as about the features and the most common mistakes with the introduction of fillers in the infraorbital region and hands, said plastic reconstructive aesthetic surgeon Sergey Prokudin.

Sergey Prokudin – Plastic Reconstructive Aesthetic Surgeon, Chairman of the Southern Society of Plastic Aesthetic Reconstructive Surgeons and Cosmetologists, Honorary Member of SIDE (Italian Society of Aesthetic Surgeons), Member of ASSECE (European Association of Aesthetic Surgery), Member of BAAPS (British Association of Aesthetic Plastic Surgeons), Member of EAFPS ( European Association of Facial Plastic Surgeons), editor-in-chief for aesthetic surgery of the scientific and practical journal "Aesthetic Medicine", member of the international editorial board of the journal "Approaches to Aging Control".

What, in your opinion, are the differences between the approaches of anti-age correction by a cosmetologist and a plastic surgeon?

Speaking about the difference between the approaches of  surgeons and cosmetologists in age therapy,  first of all, you need to remember that anti-age medicine – the same industry as others. That is, here, as elsewhere, there are diagnoses, pathogenesis, etiology, treatment. That is why it is impossible to oppose the surgeon to the beautician. Each specialist works in his field. If the patient has wrinkles that can be corrected with botulinum toxin or filler – why should he go to the surgeon?  On the other hand, a patient with excess skin or pronounced tissue ptosis may only receive an adequate result as a result of surgical intervention. It is impossible to replace objective  concepts with subjective ones. Of course, there is  and a third party – interaction of  professions and techniques.

What are the criteria for selecting patients for the correction of the infraorbital area with fillers?

What is the infraorbital zone? This is a relief of soft and bone tissue caudal to the lower eyelid. The anatomy of this zone is quite complex and interesting. First of all, you need to take into account the bone relief: "negative", "positive" or "neutral" vector. The next important structures are superficial and deep fat compartments, the relationship of which with the ligamentous and septal apparatus of this zone gives congenital and acquired problems that patients come to us with. We must not forget about mimic and non-mimic muscles, the age structure of which also gives a change in relief. A filler is a volume replenishing agent. Accordingly, the main criterion for selecting patients is the insufficiency of volume-forming substances (bone, fat compartments, etc.), leading to a change in the relief of the infraorbital zone.  

The main criterion for selecting patients for the correction of the infraorbital region with fillers is the insufficiency of volume-forming substances, leading to a change in the relief of the infraorbital zone.

What should a doctor who performs hand corrections know and remember about?

First of all, you need to remember that the – a dynamic zone with many "septate" components: ligaments, tendons, blood vessels, nerves. You also need to understand that the brush has a number of interconnected spaces, filling which with fillers or fat makes them move and levels out the whole result. The brush is quite complex in terms of neurovascular bundles, so working with a needle is quite risky. Here I can only recommend the cannula. Age-related changes in the hand are manifested precisely in the rear and at the depth of the subcutaneous tissue, this layer is quite enough to obtain good and excellent results. Correction of age-related skin changes can also lead to a number of problems, but this is more the prerogative of dermatocosmetologists. 

The hand is quite complex in terms of neurovascular bundles, so working with a needle is quite risky.

Tell us about the most common mistakes in correcting this area

The essence of all errors lies in complete or partial ignorance of the normal and age anatomy of the hand. Well, in the excessive arrogance of doctors. In the first place in the ranking of errors is iatrogenic damage to blood vessels and nerves. On the second – the introduction of fillers or fat into deeper cellular & nbsp; spaces. Fillers are not always used correctly, namely denser fillers. Again, I want to repeat about the obligatory use of a cannula, not a needle. 

You can learn about the anatomical features that must be taken into account when correcting the face, neck, décolleté, hands and external genital organs, as well as get acquainted with the possibilities of using and combining various anti-age methods to correct age-related changes in these areas, you can at the event

"Portrait of a difficult patient. Cycle IV. Socially Significant Zones», which will be held on February 9, 2017 in Kyiv. As part of the event, you will find a lot of informative reports and live demonstrations. The best speakers will share their experience and demonstrate the technique of working with a "difficult patient". Hurry up to register!