Young patients are increasingly turning to aesthetic medicine specialists with a request to make their face more expressive and attractive, focusing on certain features. When working with such patients, it is important to use an integrated approach to assessing and correcting the face so as not to disturb its natural balance. Equally important is the correct preparation for the procedure. In this estet-portal.com article, Drs. Raul Cetto, Beatriz Molina, Sofie Shotter and Charlotte Woodward share their criteria for selecting fillers for correcting upper thirds of the face in young patients.
- Selecting a filler for correction of the forehead area
- Selecting a filler for correction of the temporal regionty
Selecting a filler for correction of the forehead area
According to Dr. Chetto, in case of insufficient forehead convexity, it is advisable to opt for a rather dense filler that can create a projection of the overlying tissues. In his practice, the doctor prefers to use Teosyal RHA 4 for these purposes, which injects deep into the bone structures with a cannula. Teosyal fillers, according to the practitioner, mimic tissue behavior and provide a natural correction result.
Dr. Shotter, who prefers to work with the Juvéderm line, believes that young patients in most cases do not require significant tissue volumization, and therefore, the doctor chooses Volbella or Volift to create a soft projection and contouring in the forehead.
Fast and effective: forehead correction procedure with Juvéderm fillers
For the correction of the upper third of the face, Dr. Molina uses soft, but elastic fillers. Such preparations allow you to create attractive contours without the formation of tubercles and irregularities. As a rule, Molina stops her choice on the Aliaxin SR filler and injects it with a 25 gauge TSK cannula in the superficial plane. The doctor uses the same product to correct the temporal zone using the fan technique.
Young patients do not require significant tissue volumization in most cases.
Dr. Molina notes that for Dr. Arthur Swift's temporal area correction, it is better to choose a higher G’ filler such as Aliaxin EV or Restylane Volyme. In this case, the drug is injected into the bone with a needle.
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Selecting a filler for correction of the temporal region
Dr. Chetto prefers to work in safe planes when correcting the temporal region. First, the doctor periosteally injects a filler that creates a good projection (Ultra Deep or RHA 4), directly under the temporal line and behind the lateral part of the orbital ridge, and then proceeds to work with the surface layer of fat located directly under the skin.
Temporal zone: features of aging and correction with fillers
For temporal augmentation, Dr. Woodward chooses a firm and stable product (Ultra deep, Perfectha Subskin, or Ellansé) that is injected with a needle into the bone to volumize the target area.
When working with such patients, it is important to use a comprehensive approach to assessing and correcting the face so as not to disturb its natural balance.
If the patient has a deterioration in skin texture, the doctor uses the Ellansé in areas where its administration is not contraindicated (lips, nasolacrimal sulcus, between the eyebrows), since this product, in addition to tissue augmentation, improves skin texture. It is important to note that Ellansé – a filler based on polycaprolactone, respectively, it is subject only to natural biodegradation, unlike hyaluronic acid, the results of which are reversible with the help of hyaluronylase. But at the same time, the specified filler provides a longer effect.
Rejuvalift Protocol: Injectable Techniques for Comprehensive Facial Rejuvenation
Dr. Shotter uses a high G’ filler for temple contouring, which is stable and provides a good lifting effect. The practitioner prefers to work with the needle, injecting the product deeply to obtain a pronounced lift of the lateral brow. To do this, the doctor uses the product Juvéderm Voluma, sometimes – a softer filler that is injected superficially with a cannula.
Adapted from Aesthetics.
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