Figure 1 Restoring lost facial volume and skin hydration using Viscoderm® MAXX. (A) Before and (B) after treatment
For further information visit
www.viscoderm.com
Periocular region A 27 G blunt cannula, 4 cm long, was used to minimise ecchymosis and guide the injection to the correct plane. In recreating the salience and the fullness of the brow area, the implant is placed in the
submuscular plane, in linear extraction. In the superficial skin layers, we prefer a microbolus technique, to reduce implant visibility. The amount injected is 1–1.5 cc per side on the brow and upper orbital arch; 0.5 cc in the inferior orbital arch.
Cheek In this area there is less need to recreate volume and salience, and more need to restore skin tone. HA is injected using a blunt cannula 27 G in the subdermal plane, aiming to create a ‘carpet’ of HA. The amount injected is 1 cc per side.
Malar/zygomatic zone We use a 27 G needle, injecting 1.5–2 cc per side, with a combined technique: a bolus technique, with multiple injection sites, placing the HA in the deep layer, creating ‘pillars’ of HA. Boluses provide enough structural support to superficial tissues and, at the same time, expose less surface of HA to the hyaluronidases. A linear technique is used to inject HA into the deep dermis, maximising HA deposit into the skin, taking advantage of its fibroblast-stimulating capabilities.
Marionette lines Using a 27 G needle and a linear extraction technique, we inject the HA into the deep dermis in order to enhance skin hydration, tone and collagen deposition. The amount injected is 0.5–1 cc per side.
Chin Restoring chin volume is important in order to improve the definition of the cervical angle. We use a 27 G needle to perform bolus injections in the midpoint of the chin, increasing projection and defining the angle.
prime-journal.com | March 2012 ❚ 73
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76 |
Page 77 |
Page 78 |
Page 79 |
Page 80 |
Page 81 |
Page 82 |
Page 83 |
Page 84 |
Page 85 |
Page 86 |
Page 87 |
Page 88 |
Page 89 |
Page 90 |
Page 91 |
Page 92 |
Page 93 |
Page 94 |
Page 95 |
Page 96 |
Page 97 |
Page 98 |
Page 99 |
Page 100 |
Page 101 |
Page 102 |
Page 103 |
Page 104 |
Page 105 |
Page 106 |
Page 107 |
Page 108 |
Page 109 |
Page 110 |
Page 111 |
Page 112