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PEER-REVIEW | FACIAL VOLUMISATION | A MID-FACIAL Sabine Zenker discusses best practice issues


when using a 3-dimensional vector technique for rejuvenation of the mid-face


ABSTRACT The facial ageing process is accompanied by a profound loss of volume, especially in the mid-face. Therefore, it is particularly important for a cosmetic surgeon to understand the changes to the mid-face 3-dimensionally, and then to treat with advanced injection techniques in such a way that earlier youthful facial proportions are restored, or existing proportions optimised. In this article, the so-called ‘vector technique’ will be discussed as it is particularly suitable for volume augmentation of the mid face. With the help of a volumising filler material, positive cranio-laterally directed vectors — acting against gravity — are placed in the fanning technique. The dermal filler based on calcium hydroxylapatite (Radiesse®) is particularly suitable for this approach as it allows a very distinct, precise lifting effect and — in contrast with hyaluronic acid based fillers — has no hygroscopic effect. In addition, the filling effect lasts for a long time in the majority of cases.


M


SABINE ZENKER, MD, is Dermatologist, Dermatology Surgery Clinic, Munich, Germany


email: Kontakt@dr-zenker.de


KEYWORDS mid-face, calcium hydroxylapatite, vector, loss of volume, volume augmentation, 3-dimensional lifting


40 ❚ ANY EXOGENOUS AND


endogenous factors, such as exposure to UV rays, smoking or exposure to cigarette smoke, and changes in body mass index (BMI) for example, have an influence on


the loss of skin elasticity and reduction in fatty tissue, which is often most noticeable in the face. Over the last few years, dermatologists and aesthetic practitioners have become more aware that facial ageing processes are complex and often happen in a 3-dimensional way, involving all anatomical structures from the individual skin layers to retaining ligaments, the facial fat pads and finally, the bony structures. Although the ageing process is unique to the individual,


we all grow old in a rather similar manner. A typical central European face is usually more pronounced in


Many exogenous and endogenous


factors have an influence on the loss of skin elasticity and reduction in fatty


tissue, which is often most noticeable in the face.


January/February 2013 | prime-journal.com


UGMENTATION WITH A VOLUME FILLER


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