Many patients of aesthetic clinics are not satisfied with the appearance of the lower third of the face. Both women and men equally face age-related changes in this zone, which include bone resorption, a decrease in tissue elasticity and a redistribution of volumes.
At the same time, quite young patients often turn to the doctor with a request to correct the profile and perform facial beautification. Hyaluronic acid fillers are suitable for both types of patients.
This article by estet-portal.com presents a case from the practice of Dr. Raul Cetto: correction of the lower third of a male face with HA fillers.
Consultation before correction of the middle third of the male face
A 37-year-old patient came to Dr. Chetto's clinic complaining of an insufficiently expressive chin and lower jaw line. Previously, the patient underwent correction of the middle third of the face and infraorbital zone with dermal fillers.
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During the consultation, the patient noted that he was always dissatisfied with the lower third of his face: in order to emphasize the jaw line and visually increase the projection of the chin, he specially wears a beard, which had to be shaved off before the examination.
Two weeks after the initial consultation, the patient returned to the clinic for correction. The patient was informed in advance about the potential risks and results of the procedure, after which he signed a written consent.
Criteria for selection of hyaluronic acid fillers
For the correction of the lower third of the face, the author used two HA-based dermal fillers:
1. At the level of the periosteum – Teosyal Ultra Deep. Purpose – projection of overlying tissues and creation of deep volume. According to the author, this product is excellent for increasing the projection of the chin and lifting superficial tissues. In this case, using the Ultra Deep preparation, the doctor masculinized the lower third of the face – increased the width and anterior projection of the chin.
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2. In the surface plane – Teosyal RHA 4. This filler has a volumizing ability, however, due to its viscoelastic properties, it is quite dense and at the same time plastic. This preparation is well suited for the formation of a straight line of the lower jaw and chin. Equally important is that during movements (for example, eating or talking), the face looks natural.
Technique for working with lower third face fillers based on HA
First step: 0.2ml Ultra Deep bolus injection at three points on the chin. Injection of the product into a deep plane (on the bone) with a needle provided an increase in the width and anterior projection of the chin.
Second stage: bolus injection of Ultra Deep filler (0.1 ml) at points located in the premaxillary sulcus, medial to the mandibular ligament. Thanks to this, it was possible to increase the width of the lower jaw and hide the jowls.
The correction of the lower third of the face was carried out with 1.2 ml of Teosyal Ultra Deep and 1.2 ml of Teosyal RHA 4.
Third stage: deep bolus insertion of Ultra Deep filler (on the bone) in the area of the mandibular angle. This provided a lateral projection and expression of the lower third of the face.
A total of one 1.2ml Ultra Deep syringe was injected.
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Fourth step: Using a 50 mm, 25 gauge cannula, the doctor injected 0.3 ml of RHA 4 filler into each side of the face. Insertion plane – superficial fat packs; location – angle of the mandible.
Fifth stage: injection of 0.3 ml of the drug at the level of superficial fat pads in order to fill marionette wrinkles, labiomental crease and correction of the chin line.
A total of one 1.2ml RHA 4 syringe was injected.
At the time of the follow-up visit, which took place two weeks after the correction, the patient was completely satisfied with the results.
Correction results, photos before and after the procedure
At the time of the follow-up visit, which took place two weeks after the correction, the patient was completely satisfied with the results. No side effects after the introduction of fillers based on hyaluronic acid were observed in the patient.
Previously, undesirable anatomical features such as a retrognathic chin or an underdeveloped lower jaw could only be corrected through surgery. The emergence of dermal fillers in the aesthetic medicine market has given practitioners the opportunity to correct such imperfections with minimal (or no) downtime. As a result, the number of satisfied patients has increased significantly, as has the popularity of injectable procedures.
Adapted from Aesthetics
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