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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

Orbital filling, before treatment and on 5 years follow-up
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Figure 11: Orbital filling, before treatment and on 5 years follow-up

Mentions: Most of the volume is obtained from injecting the deep plane and particularly the bony layer where trauma and deposition of the gel on the periosteum are able to activate the periosteal stem cells[14] with new tissue formation and almost a permanent effect [Figure 11]. Reaching the bony layer is faster and easier with a needle, a very precise tool that gives the physiscian perfect control of the release of the gel: With an accurate anatomical study of the patient and a preoperative marking, needle injections target only the bony layer of the deep fat compartments avoiding all the septa where the vessels lie, allowing injections without bleeding. In the deep periocular areas at the risk of cannulating vessels, the use of microcannula is safer and is recommended, particularly at the inner canthus of the eye where the angular artery and vein are quite superficial.


Facial Rejuvenation with Fillers: The Dual Plane Technique.

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

Orbital filling, before treatment and on 5 years follow-up
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 11: Orbital filling, before treatment and on 5 years follow-up
Mentions: Most of the volume is obtained from injecting the deep plane and particularly the bony layer where trauma and deposition of the gel on the periosteum are able to activate the periosteal stem cells[14] with new tissue formation and almost a permanent effect [Figure 11]. Reaching the bony layer is faster and easier with a needle, a very precise tool that gives the physiscian perfect control of the release of the gel: With an accurate anatomical study of the patient and a preoperative marking, needle injections target only the bony layer of the deep fat compartments avoiding all the septa where the vessels lie, allowing injections without bleeding. In the deep periocular areas at the risk of cannulating vessels, the use of microcannula is safer and is recommended, particularly at the inner canthus of the eye where the angular artery and vein are quite superficial.

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