Lower face and lifting treatments

2021 ◽  
Vol 10 (8) ◽  
pp. 336-343
Author(s):  
Jemma Gewargis ◽  
Vikram Swaminathan
Keyword(s):  
Treatment Plan ◽  
Facial Rejuvenation ◽  
Dermal Filler ◽  
Comprehensive Treatment ◽  
Age Changes ◽  
Lower Face ◽  
The Face ◽  
Facial Anatomy

Lower face age changes are hugely impactful on the overall ageing concerns presented by patients, and lower face-lifting treatments form an integral part of the rejuvenation and beautification of the face, as part of a comprehensive treatment plan. It is essential that the clinician possesses a deeper understanding of facial anatomy in this region, to allow a more holistic, rather than isolated, approach to rejuvenation and reduce complication risks and downtime. A combination of dermal filler and neuromodulators can be used in the lower face to produce effective, long-lasting and natural facial rejuvenation results.

Adjuncts to Facial Rejuvenation

2020 ◽  
Author(s):  
Heather R. Faulkner
Keyword(s):  
Soft Tissue ◽  
Facial Rejuvenation ◽  
Dermal Filler ◽  
Nasolabial Fold ◽  
High Quality ◽  
The Past ◽  
Appropriate Treatment ◽  
Soft Tissue Filler ◽  
Facial Anatomy ◽  
Filler Complications

The preferred methods for facial rejuvenation have been changing over the past decade, with operative procedures on the decline and minimally invasive, office-based procedures on the rise. As a result, it is critical for plastic surgery practitioners to understand the intricacies of the use of neuromodulators and soft tissue fillers in this milieu. While these procedures are usually performed in an office, without general anesthesia, the risk of significant complications still exists. The knowledge of facial anatomy, techniques, and pitfalls is essential for achieving high quality, predictable, and reproducible results. Likewise, when a complication arises, prompt recognition and appropriate treatment is paramount. In this chapter, the history, purpose, technical guidelines, and complications of adjunctive techniques for facial rejuvenation are reviewed in detail. This review contains 2 tables, and 52 references. Keywords: facial rejuvenation, neuromodulator, soft tissue filler, botulinum toxin, dermal filler, aging face, facial rhytids, filler complications, glabellar lines, nasolabial fold 

scholarly journals The Usefulness of Magnetic Resonance Angiography to Analyse the Variable Arterial Facial Anatomy in an Effort to Reduce Filler-Associated Blindness: Anatomical Study and Visualisation Through an Augmented Reality Application

2021 ◽  
Author(s):  
Marc Mespreuve ◽  
Karl Waked ◽  
Barbara Collard ◽  
Joris De Ranter ◽  
Francis Vanneste ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Augmented Reality ◽  
Minimally Invasive ◽  
Vascular Anatomy ◽  
Facial Rejuvenation ◽  
Dermal Filler ◽  
Facial Anatomy ◽  
The Individual ◽  
Arterial Anatomy

Abstract Background The use of soft tissue fillers for facial rejuvenation is increasing rapidly and the complications, unfortunately, follow the same path. Blindness caused by intravascular filler injections is a rare but devastating complication. Knowledge of the individual arterial anatomy may aid the injector in avoiding injecting into an artery. Increasing the awareness about and illustration of the extreme variations in the individual vascular anatomy and subsequently procuring information for the accurate planning of those, so called, minimally invasive procedures may help to prevent blindness. Objectives To evaluate if the use of Magnetic Resonance Angiography (MRA) may visualise the arterial facial anatomy in a contrast- and radiation-free way and study the individual arterial variations using an augmented reality (AR) image. Methods The individual arterial anatomy of the three terminal branches of the Ophthalmic Artery (Supraorbital (SO); Supratrochlear (STr); and Dorsal Nasal (DN) arteries) of 20 volunteers was studied by a 3 Tesla MRI, adapting a recently published imaging technique, combining infrared (IR) facial warming and 3D-TOF MOTSA MRA. The resulting visualisation of the facial arteries was shown on the patient’s face through AR technology. Results The MRA was able to visualise the SO in 90.0%, STr in 92.5%, and DN arteries in 75% of the examined patients, as well as numerous variations in both vessel localization and path. Furthermore, a proof-of-concept of the AR-visualisation of the individual arterial anatomy was successfully implemented. Conclusions Dermal filler injectors should be aware of the risk of filler-induced blindness and familiarise themselves with the visualisation of the variable facial vascular anatomy around the eye. The implementation of a one-time MRA and subsequent AR-visualisation may be useful in the accurate planning of minimally invasive facial rejuvenation procedures.

Injektionstechnik, individuelle Physiologie und Charakteristika des Fillers - das A und O ästhetischer Behandlungen

2018 ◽  
Vol 6 (2) ◽  
pp. 91-92
Author(s):  
Welf Prager
Keyword(s):  
Adverse Events ◽  
Clinical Judgment ◽  
Treatment Plan ◽  
Dermal Filler ◽  
Facial Aesthetics ◽  
Facial Aging ◽  
Injection Techniques ◽  
Good Technique ◽  
Facial Anatomy

Dermal filler and toxin injections have become the most frequently performed aesthetic procedures, offering patients rejuvenation and enhancement, with minimal downtime. The quality of the post-injection result and frequency of adverse events is related to the training, technical skill, and aesthetic and clinical judgment of the injector. Any provider performing injectable treatments should have a comprehensive understanding of facial aesthetics and facial anatomy, and how it is impacted by aging; as well as the available injectate capabilities and characteristics. They should be capable of skillfully employing injection techniques that minimize adverse events while maximizing success in achieving aesthetic goals. This chapter will review the anatomy and components of facial aging, the principles of facial aesthetics, the available injection techniques and their applications, as well as guidelines to avoid adverse events. Once an aesthetic practitioner has achieved a solid understanding of the available filler products, is able to accurately assess a patient and formulate a treatment plan, and then use a good technique to perform injections, patient satisfaction is assured.

scholarly journals Reshaping the Lower Face Using Injectable Fillers

2020 ◽  
Vol 53 (02) ◽  
pp. 207-218
Author(s):  
André Braz ◽  
Camila Cazerta de Paula Eduardo
Keyword(s):  
Aging Process ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Young Patients ◽  
Facial Shape ◽  
The Face ◽  
Facial Proportions ◽  
Facial Anatomy ◽  
The Aesthetic ◽  
Injectable Fillers

AbstractThe lower third is very important for the pleasant appearance of the face. A well-contoured jawline is desirable in men and women, giving a perception of beauty and youth. It is also key to sexual dimorphism, defining masculine and feminine characteristics. The nonsurgical rejuvenation and beautification of the lower third of the face is becoming more frequent. Injectable fillers can reshape the jawline, lift soft tissues, and improve facial proportions, effectively improving the appearance of the area.It is paramount to understand the facial anatomy and perform a good facial assessment in order to propose a proper aesthetic treatment plan. The aesthetic goal of the rejuvenation approach is to redefine the mandibular angle and line. In young patients, beautification can be achieved through correction of constitutional deficit or enhancement of the contour of the face, improving the facial shape. It is very important to possess knowledge of facial anatomy and of the aging process in order to deliver effective and safe results.In this article, we discuss the anatomy of the lower third of the face, facial assessment, aging process, and treatments of the chin, prejowls and mandibular line and angle with injectable fillers. The authors’ experience in the approach of this area is discussed.

scholarly journals Fat Augmentation as Adjunct to CORE Facelift Surgery

2021 ◽  
Author(s):  
Capi C. Wever
Keyword(s):  
Fat Grafting ◽  
Facial Rejuvenation ◽  
Golden Standard ◽  
The Face

AbstractRuling out cases with strong jawlines, well-developed mid-cheek regions, and good fat presence, if done artistically, fat augmentation strongly assists midface definition and can replenish hollowed regions of the face. This is particularly true for candidates with low bodyfat or smaller skull structures. Hence, fat grafting is a strong adjunct to conventional excisional techniques in facial rejuvenation surgery, regardless of experience, technique, or geographical embedding. While CORE facelift techniques remain the golden standard that define the top level of facelift surgery, fat augmentation has its unique place along the full stretch of an individual surgeon's learning scope, as it will potentially improve results regardless of where one stands.

The Psychiatric Interview and Mental Status Examination

2017 ◽  
Author(s):  
Donald W. Black
Keyword(s):  
Differential Diagnosis ◽  
Social History ◽  
Mental Status ◽  
Treatment Plan ◽  
Essential Elements ◽  
Comprehensive Treatment ◽  
Psychiatric Interview ◽  
Psychomotor Activity ◽  
History Of ◽  
Mental Status Examination

The interview and mental status examination are integral to the comprehensive patient assessment and typically follow a standard approach that most medical students and residents learn. The psychiatrist should adjust his or her interview style and information-gathering approach to suit the patient and the situation. For example, inpatients are typically more symptomatic than outpatients, may be in the hospital on an involuntary basis, and may be too ill to participate in even the briefest interview. Note taking is an essential task but should not interfere with patient rapport. The interview should be organized in a systematic fashion that, although covering all essential elements, is relatively stereotyped so that it allows the psychiatrist to commit the format to memory that, once learned, can be varied. The psychiatrist should start by documenting the patient’s identifying characteristics (age, gender, marital status) and then proceed to the chief complaint, history of the present illness, past medical history, family and social history, use of drugs and alcohol, medications, and previous treatments. A formal mental status includes assessment of the patient’s appearance, attitude, and behavior; orientation and sensorium; mood and affect; psychomotor activity; thought process, speech, and thought content; memory and cognition (including attention and abstraction); and judgment and insight. With the data collected, the psychiatrist will construct an accurate history of the symptoms that will serve as the basis for developing a differential diagnosis, followed by the development of a comprehensive treatment plan. This review contains 1 figure, 3 tables, and 12 references. Key words: assessment, differential diagnosis, interviewing, mental status examination, treatment plan

Uso de fios faciais de tração como um meio para o rejuvenescimento facial – relato de caso

2021 ◽  
Vol 2 (6) ◽  
pp. 8-20
Author(s):  
Sidmarcio Ziroldo ◽  
Ana Paula Freitas Farias ◽  
Morgana Martins Setubal ◽  
Pedro Ivo Polak Junior ◽  
Talge Monteiro Celuppi Gonçalves
Keyword(s):  
Postoperative Complications ◽  
Polylactic Acid ◽  
Operating Time ◽  
Facial Rejuvenation ◽  
Thread Lift ◽  
The Face ◽  
Collagen Stimulation

Among the procedures for facial rejuvenation, thread lift are currently widespread among professionals and highly sought after by patients. This demand can be justified because they are procedures, without incisions, shorter inactivy time, low operating time, and for the risk of postoperative complications when compared to rhytidoplasty. These are procedures capable of promoting collagen stimulation, elevating ptosis tissues, and adding volume to the application areas contributing to the restructuring of the face. Thread lift have evolved considerably over the years and can be now meet on absorbable devices based on polydioxanone and polylactic acid. In this article is proposed the use of Fiobloc® thread lift for the purpose of assessing their affectiveness in the replacement of ptosis tissues.

Primary Repair of Soft Tissue Facial Trauma

2020 ◽  
Author(s):  
Michelle Seu ◽  
Amir H. Dorafshar ◽  
Fan Liang
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Primary Repair ◽  
Soft Tissue Injury ◽  
Facial Trauma ◽  
Facial Soft Tissue ◽  
The Face ◽  
Craniofacial Trauma ◽  
Facial Anatomy ◽  
Tissue Defects

Craniofacial trauma can result in a wide variety of injuries that cause soft tissue injury of face. However, despite the enormous diversity in presentation of these injuries, they tend to follow certain patterns. Most facial injuries are either contusions, abrasions, lacerations, or avulsions. The extent of injury and approach to repair can be further assessed by the size, depth, and number of facial subunits involved. A plastic surgeon in the setting of acute craniofacial trauma, armed with certain principles of facial anatomy and primary repair methods, can drastically restore function and cosmesis to the face, while also mitigating the chance of future deformity and functional deficit. This review contains 3 figures and 26 references Keywords: facial trauma, craniofacial surgery, primary repair, facial soft tissue defects, soft tissue, facial injury, plastic surgery, facial lacerations, facial avulsions

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