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Biomechanische Zusammenhänge in Bezug auf Alterungsprozesse des Gesichts

Biomechanical concepts of the aging face

  • Leitthema
  • Published:
Journal für Ästhetische Chirurgie Aims and scope

Zusammenfassung

Hintergrund

Das Verständnis über altersbedingte anatomische Veränderungen und biomechanische Konzepte der verschiedenen einzelnen Bestandteile des Gesichts ist entscheidend, um ein natürliches und ästhetisch ansprechendes Ergebnis mit Soft-Tissue-Filler-Injektionen zu erzielen und gleichzeitig das Risiko von Nebenwirkungen zu mindern.

Zielsetzung

Es werden altersbedingte Veränderungen des Gesichts zusammengefasst sowie die Bedeutung ihrer jeweiligen biomechanischen Charakteristika erläutert. Dadurch sollen Grundprinzipien für sichere, effektive und ästhetisch ansprechende Soft-Tissue-Filler-Injektionen unter Einbeziehung neuester wissenschaftlicher Erkenntnisse erstellt werden.

Methoden

Diese narrative Übersicht fasst das aktuelle wissenschaftliche Verständnis der Gesichtsalterung und deren Auswirkungen auf die Gesichtsbiomechanik zusammen. Die daraus abgeleiteten Grundprinzipien für ästhetische Behandlungen im Gesicht wurden durch die Erfahrungen und Forschungsergebnisse der Autoren gesammelt.

Ergebnisse

Ärztinnen und Ärzte, die Soft-Tissue-Filler-Injektionstherapien im Gesicht anwenden, können sich auf Grundlage der aktuellen wissenschaftlichen Forschung an 3 Grundprinzipien orientieren: „obere Gesichtsregionen zuerst“, „laterales Gesicht zuerst“ und „tiefe Injektionen zuerst“. Diese 3 Prinzipien können miteinander kombiniert werden, um im Gesicht optimale Ergebnisse mit Soft-Tissue-Filler-Injektionstherapien zu erzielen.

Schlussfolgerung

Diese Übersichtsarbeit fasst den aktuellen Forschungsstand über Gesichtsalterung sowie der Behandlung dieser damit einhergehenden Veränderungen mit Soft-Tissue-Filler-Injektionen in 3 grundlegenden Prinzipien zusammen. Diese Prinzipien sollen Ärztinnen und Ärzten in der ästhetischen Medizin helfen, sichere und effektive Ergebnisse in der Behandlung von Alterserscheinungen des Gesichts zu erzielen.

Abstract

Background

Understanding age-related anatomical changes and biomechanical concepts of the individual components of the face is crucial in order to achieve a natural and aesthetically pleasing result with soft tissue filler injections, while simultaneously reducing the risk of adverse events.

Objective

This typical age-related changes in the face are summarized and the importance of the respective biomechanical characteristics is explained. Through this, basic principles for safe, effective and aesthetically pleasing soft tissue filler injections, including the latest scientific findings can be generated.

Methods

This narrative overview summarizes the current scientific understanding of facial aging and its effects on facial biomechanics. The basic treatment principles for aesthetic treatments of the face derived from this were collected through the research results and experience of the authors.

Results

Doctors who apply soft tissue filler injection treatment in the face can orientate themselves to three basic principles based on current scientific research: “upper facial regions first”, “lateral face first” and “deep injections first”. These three principles can be combined together in order to achieve optimum results with soft tissue filler injection treatment.

Conclusion

This review article summarizes the current state of research on facial aging and the treatment of these associated changes with soft tissue filler injections in three fundamental principles. These principles are intended to help doctors in aesthetic medicine achieve safe and effective results in the treatment of facial signs of aging.

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Funding

Die Autoren erhielten keine finanzielle Unterstützung für die Erstellung dieses Artikels.

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Authors and Affiliations

  1. Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science, Mayo Clinic, Stabile Building 9–38, 200 First Street, 55905, Rochester, MN, USA

    Sebastian Cotofana MD PhD PhD

  2. Abteilung für Hand‑, Plastische und Ästhetische Chirurgie, Ludwig-Maximilians-Universität München, München, Deutschland

    Nicholas Moellhoff, Konstantin Frank & Michael G. Alfertshofer

  3. Abteilung für Plastische Chirurgie, Gemeinschaftsklinikum Havelhöhe, Berlin, Deutschland

    Lysander Freytag

Authors
  1. Sebastian Cotofana MD PhD PhD
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  2. Nicholas Moellhoff
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  3. Konstantin Frank
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  4. Lysander Freytag
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  5. Michael G. Alfertshofer
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Correspondence to Sebastian Cotofana MD PhD PhD.

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Interessenkonflikt

S. Cotofana, N. Moellhoff, K. Frank, L. Freytag und M.G. Alfertshofer geben an, dass kein Interessenkonflikt besteht.

Alle beschriebenen Untersuchungen am Menschen oder an menschlichem Gewebe wurden mit Zustimmung der zuständigen Ethikkommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patienten liegt eine Einverständniserklärung vor. Für Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, über die Patienten zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.

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Sebastian Cotofana, Rochester, USA

Konstantin Frank, München

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Cotofana, S., Moellhoff, N., Frank, K. et al. Biomechanische Zusammenhänge in Bezug auf Alterungsprozesse des Gesichts. J Ästhet Chir 15, 3–13 (2022). https://doi.org/10.1007/s12631-021-00282-w

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  • DOI: https://doi.org/10.1007/s12631-021-00282-w

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