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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

Cheek tightening after filling the superficial lateral and medial compartments
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Figure 9: Cheek tightening after filling the superficial lateral and medial compartments

Mentions: The lateral compartment of the superficial cheek fat pad is hence, treated following a superficial pattern of injection similar to that used for the temple. The preauricular area is very often the superficial compartment where most of the volume loss takes place and needs to be addressed systematically to recreate the oval contour of the face. In this sector, a 25 g 40 mm or 50 mm long cannula is used and the point of entry is located anteriorly to the tragus just below the zygomatic arch. Through this access point, the filler material is deposited in the subcutaneous layer parallel to the plane of the skin with fan shape movements to reach inferiorly the mandibular angle and anteriorly the parotidocutaneous ligament that separates the lateral and the middle compartments of the superficial cheek fat pad. Sometimes, a second access point is needed anteriorly to the earlobe in order to completely crisscross this quite extensive anatomic region. In this area, both volumizing and tightening effects are desirable and the choice of material will be a cohesive gel with both high G’ and G” [Figure 9].


Facial Rejuvenation with Fillers: The Dual Plane Technique.

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

Cheek tightening after filling the superficial lateral and medial compartments
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 9: Cheek tightening after filling the superficial lateral and medial compartments
Mentions: The lateral compartment of the superficial cheek fat pad is hence, treated following a superficial pattern of injection similar to that used for the temple. The preauricular area is very often the superficial compartment where most of the volume loss takes place and needs to be addressed systematically to recreate the oval contour of the face. In this sector, a 25 g 40 mm or 50 mm long cannula is used and the point of entry is located anteriorly to the tragus just below the zygomatic arch. Through this access point, the filler material is deposited in the subcutaneous layer parallel to the plane of the skin with fan shape movements to reach inferiorly the mandibular angle and anteriorly the parotidocutaneous ligament that separates the lateral and the middle compartments of the superficial cheek fat pad. Sometimes, a second access point is needed anteriorly to the earlobe in order to completely crisscross this quite extensive anatomic region. In this area, both volumizing and tightening effects are desirable and the choice of material will be a cohesive gel with both high G’ and G” [Figure 9].

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