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Facial Rejuvenation with Fillers: The Dual Plane Technique.

Salti G, Rauso R - J Cutan Aesthet Surg (2015 Jul-Sep)

Bottom Line: The average total amount of products used has been 12 ml per patient with an average amount per session of 3.75 ml.The dual plane technique is an injection technique based on anatomical logics.Different types of products can be used according to the plane of injection and their rheology in order to obtain a natural result and few side effects.

View Article: PubMed Central - PubMed

Affiliation: Istituto Medlight, Florence, Italy.

ABSTRACT

Background: Facial aging is characterized by skin changes, sagging and volume loss. Volume is frequently addressed with reabsorbable fillers like hyaluronic acid gels.

Materials and methods: From an anatomical point of view, the deep and superficial fat compartments evolve differently with aging in a rather predictable manner. Volume can therefore be restored following a technique based on restoring first the deep volumes and there after the superficial volumes. We called this strategy "dual plane". A series of 147 consecutive patients have been treated with fillers using the dual plane technique in the last five years.

Results: An average of 4.25 session per patient has been carried out for a total of 625 treatment sessions. The average total amount of products used has been 12 ml per patient with an average amount per session of 3.75 ml. We had few and limited adverse events with this technique.

Conclusion: The dual plane technique is an injection technique based on anatomical logics. Different types of products can be used according to the plane of injection and their rheology in order to obtain a natural result and few side effects.

No MeSH data available.


Related in: MedlinePlus

Anterior malar projection
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Figure 6: Anterior malar projection

Mentions: The deep malar plane is injected with hyaluronic acid gels with a high G* that are capable of an important lifting effect in order to get the maximum anterior projection with a limited amount of gel. The compartments injected are the lateral suborbicularis oculi fat, the medial suborbicularis oculi fat, and the deep medial cheek fat in this precise sequence. The area is marked [Figure 4] and each compartment is then injected with a 29 G or 27 G 25 mm long needle: Quite a long needle is needed in order to get to the bone where small boluses are deposited in each compartment. An average of 0.3/0.4 mL of gel is released in each compartment in 2/3 separate deposits. No more than 0.1-0.2 mL is released per bolus to avoid the risk of compression over lymphatic vessels. By this way of injecting, vertical pillars are created over the bone in order to support and lift the malar area [Figure 5]. The lateral to medial sequence of injection helps in achieving a tenting effect so that less material is needed in the more medial compartment. Augmentation of the deep medial cheek fat increases the anterior projection not completely addressed by lateral redraping, reduces the nasolabial fold, and recreates a youthful cheek within its natural boundaries [Figure 6].


Facial Rejuvenation with Fillers: The Dual Plane Technique.

Salti G, Rauso R - J Cutan Aesthet Surg (2015 Jul-Sep)

Anterior malar projection
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4645140&req=5

Figure 6: Anterior malar projection
Mentions: The deep malar plane is injected with hyaluronic acid gels with a high G* that are capable of an important lifting effect in order to get the maximum anterior projection with a limited amount of gel. The compartments injected are the lateral suborbicularis oculi fat, the medial suborbicularis oculi fat, and the deep medial cheek fat in this precise sequence. The area is marked [Figure 4] and each compartment is then injected with a 29 G or 27 G 25 mm long needle: Quite a long needle is needed in order to get to the bone where small boluses are deposited in each compartment. An average of 0.3/0.4 mL of gel is released in each compartment in 2/3 separate deposits. No more than 0.1-0.2 mL is released per bolus to avoid the risk of compression over lymphatic vessels. By this way of injecting, vertical pillars are created over the bone in order to support and lift the malar area [Figure 5]. The lateral to medial sequence of injection helps in achieving a tenting effect so that less material is needed in the more medial compartment. Augmentation of the deep medial cheek fat increases the anterior projection not completely addressed by lateral redraping, reduces the nasolabial fold, and recreates a youthful cheek within its natural boundaries [Figure 6].

Bottom Line: The average total amount of products used has been 12 ml per patient with an average amount per session of 3.75 ml.The dual plane technique is an injection technique based on anatomical logics.Different types of products can be used according to the plane of injection and their rheology in order to obtain a natural result and few side effects.

View Article: PubMed Central - PubMed

Affiliation: Istituto Medlight, Florence, Italy.

ABSTRACT

Background: Facial aging is characterized by skin changes, sagging and volume loss. Volume is frequently addressed with reabsorbable fillers like hyaluronic acid gels.

Materials and methods: From an anatomical point of view, the deep and superficial fat compartments evolve differently with aging in a rather predictable manner. Volume can therefore be restored following a technique based on restoring first the deep volumes and there after the superficial volumes. We called this strategy "dual plane". A series of 147 consecutive patients have been treated with fillers using the dual plane technique in the last five years.

Results: An average of 4.25 session per patient has been carried out for a total of 625 treatment sessions. The average total amount of products used has been 12 ml per patient with an average amount per session of 3.75 ml. We had few and limited adverse events with this technique.

Conclusion: The dual plane technique is an injection technique based on anatomical logics. Different types of products can be used according to the plane of injection and their rheology in order to obtain a natural result and few side effects.

No MeSH data available.


Related in: MedlinePlus