Способы оптимизации контурной коррекции нижней трети лица при выраженных возрастных изменениях

Contour correction using fillers based on hyaluronic acid (HA) – "gold standard" cosmetology, the most effective procedure to date for the non-surgical correction of aesthetic defects and age-related changes, in particular, in the lower third of the face.

Read about all the subtleties and methods of optimizing the procedure for correcting the lower third of the face in an exclusive interview on estet-portal.com from the candidate of medical sciences, associate professor, head of the department of plastic surgery and cosmetology of Mediland Medical Center, surgeon of the highest category, teacher of contouring at New Line Clinic – Valery Potia. 

Peculiarities of aging of the lower third of the face

V.P.: The fact is that the lower third of the face also suffers from age-related volume reduction, like the upper and middle thirds.

However, there is one general pattern: if the aging process in the middle third of the face, due to the decrease in volume with age, leads to the manifestation of areas of separation of the fixation ligaments, for example, the area below the orbital retention ligament, below the zygomatic retention ligament , then volume restoration with fillers in the middle third of the face often leads to a good result and looks harmonious.

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In the case of the lower third of the face, restoration of volume in this area does not solve the aesthetic problem that the patient has experienced.

This is due to the fact that everything that has been disturbed in the upper parts of the face, for example, lack of volume in the temporal region, lack of volume and subsequent ptosis of the buccal region, a mild zygomatic zone, intensify the age-related manifestations of the aging process of the lower third of the face, in the form of sagging and other depressive changes.

The lower third of the face cumulates, accumulates changes in the entire face vertically.

Therefore, when constructing a plan for correcting the lower third of the face, the doctor should always focus on the state of the overlying structures and should initially try to eliminate these changes.

Ways to optimize the correction of the lower third of the face

V.P.: Initially, when we plan to correct the lower third of the face, we have to start with the correction of the middle and upper thirds.

However, in the lower third of the face there are some very interesting anatomical moments that allow you to achieve a very good result in a point way, it would be more correct to say to achieve a more pronounced result, regardless of the correction middle third or without it.

One-stop solution for aesthetic facial correction

 

 

These are the so-called accentuation points or the most prominent, protrudingpoints in the lower third of the face:

  • chin;
  • mandibular angles;
  • bone and soft tissue structures from the corners of the lower jaw to the chin.

What I mean is, there are two very cool features at these points: on the one hand − these are the most prominent points, just like the nose, eyes, brow ridges, eyebrows, so these areas attract maximum attention.

 

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Only their accentuation, the creation of a sharper protrusion in these areas, if it is anatomically and physiologically acceptable, allows you to transfer attention from areas of the middle and lower thirds, where age-related changes can be quite pronounced.

Knowledge of the techniques of working with these areas allows the doctor to make a very good correction and maintain the attractiveness of the face.

It will be a procedure not of a true anti-age, but an aesthetic correction, because in this way we influence the overall perception of the face without eliminating age-related changes. By shifting the focus from the problem area, we change the overall impression.

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Second interesting point — it is that the chin and the angles of the lower jaw, like a framework, create conditions in which soft tissues are stretched.

And the wider the points are from the center of the chin to the corners of the lower jaw, the more the chin is pushed forward, the wider this triangle, the easier it is to get rid of various sagging and age-related changes in the lower third of the face, chin and upper neck.

Therefore, creating additional volume at these points will lead to the elimination of the problem in the form of various sagging and excess skin, which is a true corrective pathogenetic momentohm.

Approaches to the choice of products in the correction of the lower third of the face

V.P.: In my work, for the correction of these zones, I most often use preparation STYLAGE XL French company Vivacy, which are represented by the official distributor – by New Line Clinic.

 

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This is an excellent preparation for the correction of the lower third of the face. Of note is the very high concentration of hyaluronic acid – 26 mg/ml. For me, as a plastic surgeon, it is important to be able to evaluate the effect of the drug. With STYLAGE XL, the doctor can see the so-called "effect on the needle".

The technique of working with this drug provides for deep injection, the needle is as close to the bone as possible, the doctor injects the drug, and we can observe the push effect and the soft tissue lifting that we we achieve when working with the lower third of the person.

This is a very good property of the drug, when we can control the administration before our eyes and thereby protect ourselves from complications and overcorrection, which is so important for the patient.

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It must be understood that for such a correction of the lower third of the face, we need to use very dense, viscous and highly elastic preparations, for example, STYLAGE XL.

Why this is necessary: ​​because the entire heaviness of the face accumulates on the lower third of the face, the whole mass presses down and has a depressive effect. With age, these processes intensify and we need a good enough preparation so that in minimal amounts it repels excess tissues laterally from the bone, and we can see this visual effect.

It is also important that this remedy can repel the soft tissues in the chin area − like an implant, while it is necessary to insert it deep enough, closer to the bone, so that it is covered with a layer of its soft tissues, this adds the naturalness of the correction effect.

Recall that the official distributor of STYLAGE fillers is New Line Clinic.

The drug that can provide this effect must have maximum elasticity, for example, STYLAGE XL. And then, with the help of minimal volumes, we will achieve a good result.

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