| INJECTABLES | PEER-REVIEW
introduction of alternative injection techniques (either with needle or with cannula) has made the therapeutic strategic choice increasingly more complicated. The variables to consider are numerous and a logical approach is required in order to manage them effectively. During the evaluation of patients who require
midface treatments, the physician has to answer four questions: What are the anatomical causes for the aging in the patient? In what type of patient should we perform specific treatments and are there any alternatives? Where should the filler be injected to obtain the best possible result? Which injection technique should be used?
Once these questions have been answered the therapeutic project can begin. In this way, the most suitable treatment for each patient can be defined through a logical evaluation process.
MIDFACE T
TREATMENT OF THE WITH FILLERS
Salvatore Fundarò describes the benefits of planning filler treatments based on a deeper understanding of the facial anatomy and the changes that occur through ageing
ABSTRACT
The anatomic complexity of the midface has made the therapeutic choice for this region increasingly more complicated. Knowledge of the anatomy and the aging fat compartments is fundamental in avoiding mediocre treatments and to plan specific solutions based on the characteristics of every single patient.
The different aging processes of superficial and deep fat has to be known to treat the right compartment with the adequate injection technique. A wide review of the scientific literature and eighteen hemifacial cadaver dissections were performed. The author describes the anatomy and the anatomical modifications related to the aging
HE REJUVENATION OF THE MIDFACE with volumizing fillers has marked a turning point in the treatment of the region. The anatomic complexity of the area, the significant difficulties in evaluating the patient’s aging, and the
process of fat compartments of the face. These anatomical considerations are the pillars for the treatment planning and for injection of the midface fat compartments with fillers. The Aging Type Classification for the Midface and the Anatonologic™ approach are presented and their implication in midface filler treatments is illustrated
A therapeutic program defined on specific characteristics guarantees a high level of aesthetic correction. Iforrection. practitioners avoid standardised treatments the success rate increases, because injections will first correct the specific causes of aging and then the minor defects. Anatomologic™ is the name of the author’s approa for facial treatments described in this article. The pillar of architecture for the Anatomologic™ approa h ar knowledge of facial anatomy and the anal sis of thalysis of the anatomical modifications that occur during facial aging. These two aspects give an answer to the earlier qu stion referring to the anatomical causes for the aging in the patient. On these pillars leans the architrave made of the treatment planning for each patient. This gives an answers an answer to the second and third questions. Finally, the choice of the most effective injection technique is the top of this imaginary building (Figure 1).
If the success d
or’s approach e. The pillars oach are the
g facial aging. lier que
aging in th of th
h
he cho e of p of this
You do not have to be an expert anatomist to use the use th Anatomologic™ approach. The anatomic knowledg required is very basic and focusses on the final aim: good aesthetic correction. The aging analysis and this and the treatment planning are purposefully synthetic, and the injection techniques are as minimally traumatic as possible. The philosophy of the Anatomologic is: Think logical. Think simple.
ist t knowledge nal aim: good etic rauma c™ approach ach
The anatomy of midface fat compartments The anatomical description of fat compartments presented in this article are the result of a wide review
KEYWORDS Filler treatments, aging, Anatologic approach
prime-journal.com | October 2015
MD, Plastic Surgeon, Medical Director of Multimed Day Surgery,,y Bologn
Sur
SA VATORE FUNDARÒARÒ, D, Plastic Surgeon, Medical tor of Multimed D Bologna, Italylo a, Italy
SALVATO st
email: dr.funda email: .fundaro@liber .it
aro@libero.it
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