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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

Periorbital filling
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Figure 7: Periorbital filling

Mentions: The deep orbital plane is equally injected with high G* gels, as deep as possible, directly on the periosteum or even infraperiosteally. In this case, a 25 G 40 mm long microcannula is used in order to prevent bleeding and as a tool to partially undermine the ligamentous areas of the orbital retaining ligaments. Two access points are chosen: The first one is located lateral to the lateral canthus of the eye in the area of the lateral orbital thickening and the cannula is moved inferomedially to target the area of the palpebromalar groove; the second one is located inferiorly to the zygomaticocutaneous ligament and the cannula is directed superomedially, cephalad to the tear trough ligament to target the tear trough. The average amount of gel released is 0.3/0.4 mL in the palpebromalar groove and 0.1/0.2 mL in the tear trough. In both areas, the gel is released in small aliquots and not in a continuous fashion in order to avoid the “sausage” effect of too much filling [Figure 7].


Facial Rejuvenation with Fillers: The Dual Plane Technique.

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

Periorbital filling
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 7: Periorbital filling
Mentions: The deep orbital plane is equally injected with high G* gels, as deep as possible, directly on the periosteum or even infraperiosteally. In this case, a 25 G 40 mm long microcannula is used in order to prevent bleeding and as a tool to partially undermine the ligamentous areas of the orbital retaining ligaments. Two access points are chosen: The first one is located lateral to the lateral canthus of the eye in the area of the lateral orbital thickening and the cannula is moved inferomedially to target the area of the palpebromalar groove; the second one is located inferiorly to the zygomaticocutaneous ligament and the cannula is directed superomedially, cephalad to the tear trough ligament to target the tear trough. The average amount of gel released is 0.3/0.4 mL in the palpebromalar groove and 0.1/0.2 mL in the tear trough. In both areas, the gel is released in small aliquots and not in a continuous fashion in order to avoid the “sausage” effect of too much filling [Figure 7].

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