PEER-REVIEW | COMBINATION THERAPIES |
Figure 3 Principles of treatment for upper and lower contours
■
3. Injections of non-stabilised hyaluronic acid
(10 patients) were administered, especially into the vermilion and perioral areas. Three or four treatments were performed at 3-week intervals, depending on dryness of the skin and mucosa. Platelet rich plasma (PRP) therapy was carried out (20 patients) on the skin of the face and especially the mucous of the mouth, lips, and perioral skin. Again, three or four treatments were administered at 3-week intervals. The decision as to which treatment the patients received was also made randomly
■ 4. Correction of the upper contour areas, including eyebrow and temporal areas. The authors used a dermal filler consisting of cross-linked hyaluronic acid, with optimum viscosity and cohesity, and with deep retrograde injections using a 25 or 27 G cannula. For the lower contour areas, such as marionettes lines and mandibular angles, the authors used multilayer retrograde and multi-bolus techniques, using either a 25 or 27 G cannula
■ 5. The tear trough was treated together with the mid-face, with mid-facial treatment giving excellent results for the tear trough
■ 6. The use of dermal fillers for the correction of the lips is carried out at the very end of the treatment course.
The patients in Group 2 were treated in the following way: ■ 1. Correction of the upper contours, including eyebrow and temporal areas. The authors used a dermal filler comprising cross-linked hyaluronic acid, with optimum viscosity and cohesity, with deep retrograde injections using a 25 or 27 G cannula. For
After an
adequate diagnosis was made and the recommended treatment complex was carried out, good results were achieved, with the quality of the tear trough and soft tissues greatly improving.
the lower contours, the authors used multilayer retrograde and multi-bolus techniques, using either a 25 or 27 G cannula
■ 2. The tear trough was treated together with the mid-face and as in Group 1, mid-face treatment reaped excellent results for the tear trough
■ 3. The correction of the lips with the use of dermal fillers for this special area.
Results After an adequate diagnosis was made and the recommended treatment complex was carried out, good results were achieved, with the quality of the tear trough and soft tissues greatly improving. In the majority of cases, tear trough deformity was connected with mid-facial depression. As a result of the performed therapy, all patients who
were treated according to the IMPACTç Concept felt that deepness of the temporal fossa, wrinkle expression, depression of eyebrow line, chin protrusion, and ptosis were considerably lessened. Following treatment, the authors are conducting a 12-month follow-up. With regard to mid-face ptosis, the authors used the
LIFTç (Less Invasive Facial Treatment) Concept for 3D rejuvenation1
. The LIFTç Concept is based on the ÔdotÕ
Figure 4 Treatment to the temporal area (A) before and (B) after treatment
technique and is useful for a number of reasons, including that there is no risk of ischaemia or hyper-volumisation. As a result, less product will ultimately be used with this technique, making it a more cost-effective procedure. Any professional who has a good knowledge of facial anatomy can use this technique, as well as an understanding that it is best used in those patients with thinner skin, without too much subdermal fat, and with only mild volume loss and fat migration
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March 2013 |
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