tissues from the periphery to the center, and the formation of ‘flews’ and ‘puppet’ wrinkles. The procedure of filling the volume of the bone tissue by means of hyaluronic acid based dermal fillers is used to correct the above- mentioned changes. Mandibular angle projection is the point for the formation of the entry channel. The product is to
be
administered subcutaneously in a linear, retrograde way by means of a cannula along the mandibular body from the beginning of the ‘flews’ to the entry channel. After that, one has to twist a cannula and bring it along the mandibular branch all the way to the earlobe. The product is to be administered when the cannula is about to leave the tissue. This allows one to mark the outline of the corner. To restore the apex point, the required amount of drug is to be administered into the projection of the top of mandibular angle through the injection point to the periosteum. Typically, the flow rate of the product for one side is 1.5 ml (0.7 ml along the mandibular body, 0.3 ml along the mandibular branch and 0.5 ml at the reference point). The mandibular line becomes balanced, labio-chin folds become smoother and the young contour is formed.
“A distinctive feature of APRILINE® products is the realization of the so-called lining effect.”
Liquid facelift A ‘liquid facelift’ is based on the administration of dermal fillers on the border of the dermis and hypodermis, which smooth the covering tissue by means of the uniform product distribution. The fillers used for this procedure have to be fluid, flexible and of low viscosity, but at the same time they have to have a long biodegradation period. A distinctive feature of APRILINE® products is
the realization of the so-called lining effect. This effect leads to the smoothening of the covering face tissue and restoration of the missing
Figure 1 (A) Skin marking according to Dr.Hinderer, (B) Skin marking according to Dr.Swift, (C) Liquid facelift vectoring
volume by means of the soft uniform distribution of injected gel within tissues. Subsequently, the gel is replaced by
tissue, which provides mechanical strengthening
of the dermis and hypodermis. It also reduces their displaceability relative to each other and allows the result to be maintained for 6 to 8 months. Therefore, using a cannula to administer the product subcutaneously ensures a long-lasting effect of lifting and firming soft tissues associated with the ‘tired’ aging morphotype. This includes wrinkle reduction and face relief balancing associated with the ‘finely wrinkled’ ageing type. This procedure is particularly relevant in the ‘sensitive’ areas such as the forehead, cheeks and décolleté. The result is visible immediately after the treatment and gradually becomes more evident during the following 13–20 days. APRILINE® NORMAL best corresponds to these characteristics. The product is evenly distributed within the surrounding tissues while filling the wrinkles. There are no unpleasant post-treatment effects (pain, swelling or hematoma). The effect lasts from 3 months to a year. One can also use APRILINE® HYDRO, a bio-revitalizer containing hyaluronic acid with glycerol, which prolongs the moisturizing effect of the product.
APRILINE® NORMAL/HYDRO is to connective
be
injected symmetrically on both sides with a 25 g cannula with the fan technique. The distance between each cannula passage should not exceed 1 cm. Not more than 0.05 ml of the product should be administered within a single linear retrograde cannula passage (Figure 1C). A ‘liquid facelift’ is recommended for patients with finely wrinkled, tired faces and in the case of combined types of ageing. This method can be used not only in the bucco-zygomatic area, but also in the forehead, neck and décolleté areas. Using APRILINE® NORMAL typically requires a single treatment. APRILINE® HYDRO can be used two to four times at intervals of 14 days. The maximum effect is attained 2 to 3 weeks after the treatment, or at completion of the entire course
Conclusion Injectable facial fillers offer excellent options in the treatment of facial ageing. They are a viable alternative to plastic surgery. The in- depth knowledge of all available products allows for the optimal combination of traditional and injectable techniques for the successful solution of patients’
specific
problems. For more information, visit:
www.suisselle.ch prime-journal.com | January/February 2016 57
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