PEER-REVIEW | FACIAL AESTHETICS |
The temporal area Lifting and volumisation of the temporal region is one of the basic stages of contour correction, which helps to achieve a significant visible rejuvenating effect—even when performed as a separate procedure 12
. The degree of
atrophy in the temporal region is, by and large, higher among men than women. Correction in this area alone produces an effect, which is not only one of rejuvenation of the upper face and lifting of the mid-face, but also a significant improvement in the condition of the periorbital area. It is always worth remembering that there is a risk of perforating the temporal artery when working at the sub-dermal level, and also of traumatising and compressing the deep temporal artery when inserting hyaluronic acid in this area supraperiosteally (Figure 3).
with mid-facial treatment and distribute the
appropriate volume of product in the nasolabial folds at various levels of tissue, and to maintain constant control of this area of injection during the procedure.
Marionettes This a defect that forms as a result of hyperactivity of the muscles and redistribution of the subcutaneous fat pad in the lateral and medial superficial fat compartments of the chin. Correction of the marionettes should be accompanied by the essential volume restoration of the chin, achieved by injecting the product in this area.
Figure 4 Optimal programme for the female patient (A) before and (B) after 3 months of the two stages treatment: 4 ml of hyaluronic acid filler of high cohesivity and viscosity, 0.8 ml medium cohesive filler, and 20 units of botulinum toxin A
Products and instruments for volumisation For volumisation of the face, the preferred choice is a hyaluronic acid gel with high durability and viscosity, which is characterised by its concentration and effectiveness for cross-linking. This allows the filler to produce a lifting effect and remain in the corrected area’s tissues for a long period, creating the effect of a natural volume restoration immediately after the procedure 7
. The author’s preference is 20 mg/ml of
smooth, cohesive, low molecular weight (short chain) hyaluronic acid volumising filler 13
the usual practice. The product of choice for volume restoration is
biostimulatory fillers based on poly-L-lactic (PLLA) acid and calcium hydroxylapatite (CaHA). However, the
Figure 3 Location of the temporal and deep temporal arteries
Anterior deep temporal artery
Posterior deep temporal artery
, in accordance with
Superficial temporal artery 40 ❚ May/June 2013 |
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