PEER-REVIEW | FACIAL AESTHETICS | any risks of complication, such as haematoma,
ischaemia, or without danger of hypercorrection. This technique demands a good knowledge of facial anatomy and a deep understanding of where the product must be injected. The product should be inserted very carefully and superperiosteally into the deep fat compartment, in the appropriate quantity. Additionally, for a more natural effect, two insertion points should be used (the cheekbone point and universal point) to achieve the best result.
Optimal programme for male patients The optimal programme is designed to treat the full face by lifting and volumising the cheeks and lower face (i.e. chin and mandibular line). These are the areas that make the face more muscular and strong. It is possible to suggest a different strategy for the correction of the male face in comparison with the female face, particularly from the lower face to the mid-face. Furthermore, this correction will not feminise the male face. It is also necessary to take into account the facial asymmetry of the male. In this instance, the best solution is to use a greater
quantity of product in comparison with women, with preference given to a hyaluronic acid of high viscosity and cohesivity, and a combination of different techniques. Beginning with the mandibular line, inserting the product deeply and supraperiosteally, using a combination of bolus, dot, and line techniques. The preference of the author is to use cannulae because the correction is neither aggressive nor painful. The correction of the mid-face is possible using the dot or bolus technique into the deep fat compartment.
Conclusions There are many differences between the genders: aesthetic, anatomical, and psychological. Therefore, the strategy for volumetric correction of male and female patients will be also different in their specifics, such as goals, areas for correction, products, quantities, and correction techniques. Volume restoration of the male face is a rewarding procedure for both the doctor and for the patient. In spite of the increasing number of male patients in the aesthetic field, the priority of female patients is beyond all question.
Declaration of interest None Figures 2, 4–6 © Dr Ekaterina
Gutop, 3 © Primal Pictures, www.
primalpictures.com
42 ❚ There are
many differences between the genders. Therefore, the strategy for volumetric correction of male and female patients will be also different in their specifics, such as goals, areas for correction, products, quantities, and correction techniques.
References
1. Statistics 2011. American Society for Aesthetic Plastic Surgery. California: ASAPS, 2012.
www.surgery.org/media/statistics [accessed 15 March 2013]
2. Rahimullina O. Gender peculiarities of cosmetological correction. Using of the BTA injections in male patients. Aesthetic Medicine 2012; 10(1): 69–75
3. Janssen I, Hemsfield S, Wang Z, Ross R. Skeletal muscle mass and distribution in 468 men and women aged 18–88 years. J Appl Physiol 2000; 89: 81–88
4. Marquardt Beauty Analysis. California: MBA, 2013. www.
beautyanalysis.com [accessed 15 March 2013]
5. Trushkin I, Kruglov I. PADAM-syndrome, or how man is ageing. J LNE 2012; 5: 16–118
6. De Maio M, Rzany B. The male patient in aesthetic medicine. Heidelberg: Springer, 2009
7. Jones D. Injectable fillers: Principles and Practice. London: Wiley-Blackwell, 2010: 140–58
8. Turkevych A. Dot technology of the face volume rejuvenation. 10th AMWC Congress: Monaco, 2012
9. Turkevych A. The Lift concept: a new trendin full-facial 3D rejuvenation. PRIME 2012; 2(7): 32–40
10. Mendelson BC, Muzaffar AR, Adams WP. Surgical anatomy of the midcheek And malar mounds J Plast Reconstr Surg 2002; 110(3): 885–96
11. Andre P, Azib N, Berros P, Braccini F, Trevidick P. Anatomy and volumizing injections. Paris: E2E Medical Publishing, 2011
12. Raspaldo H. Temporal rejuvenation with fillers: global face sculpture approach J Dermatol Surg 2012; 38: 261–65
13. Raspaldo H. Volumizing effect of a new hyaluronic acid sub-dermal facial filler: a retrospectiveanalysis based on 102 cases J Cosmet Laser Ther 2008; 10(3): 134–42
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