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Hyaluronic Acid Fillers: Codifying the Face for Foundation, Reconstruction, and Refinement

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Book cover Botulinum Toxins, Fillers and Related Substances

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Abstract

Techniques for facial aesthetic rejuvenation and enhancement are continuously evolving. The use of hyaluronic acid injectable fillers for rejuvenation is the second leading facial aesthetic procedure, after the use of injectable neuromodulator. The first step to achieve an optimal outcome in facial aesthetics is to understand the whole process of aging, such as bone reabsorption, atrophy of the fat compartments, muscle contraction, dental loss, and thinning of the skin. Hyaluronic acid filler is an important tool to achieve a global treatment of the face, since it is capable to restructure, to contour smoothly and to treat delicate areas as well. In this chapter we are going to describe facial assessment, indications, treatment planning, and procedures according to the anatomic area. Authors will explain the best technique and preferable hyaluronic acid to treat the forehead, temples, eyebrows, zygomatic and malar area, periocular region, chin, mandible, and perioral region.

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References

  • Andre P. Hyaluronic acid and its use as a rejuvenation agent in cosmetic dermatology. Semin Cutan Med Surg. 2004;23(4):218–22.

    Article  PubMed  Google Scholar 

  • Bertucci V, Lynde CB. Current concepts in the use of small-particle hyaluronic acid. Plast Reconstr Surg. 2015;136(5 Suppl):132S–8S.

    Article  CAS  PubMed  Google Scholar 

  • Borrell M, Leslie DB, Tezel A. Lift capabilities of hyaluronic acid fillers. J Cosmet Laser Ther. 2011;13(1):21–7.

    Article  PubMed  Google Scholar 

  • Bosset S, Barre P, Chalon A, et al. Skin ageing clinical and histopathologic study of permanent and reducible wrinkles. Eur J Dermatol. 2002;23:247–52.

    Google Scholar 

  • Braz AV, Aquino BO. Preenchimento do sulco nasojugal e da depressao infraorbital lateral com microcanula 30G. Surg Cosmet Dermatol. 2012;4(2):178–81.

    Google Scholar 

  • Braz AV, Mukamal LV. Preenchimento labial com microcanula. Surg Cosmet Dermatol. 2011;3(3):257–60.

    Google Scholar 

  • Braz AV, Sakuma TH. Midface rejuvenation an innovative technique to restore cheek volume. Dermatol Surg. 2012;38(1):118–20.

    Article  CAS  PubMed  Google Scholar 

  • Braz AV, Mukamal LV, Costa DLM. Manejo cosmetico del tercio medio e inferior de la cara. In: Atamoros FP, Merino JE, editors. Dermatologia cosmetica. Cidade do Mexico: Elsevier Masson Doyma; 2011.

    Google Scholar 

  • Braz AV, Louvain D, Mukamal LV. Combined treatment with botulinum toxin and hyaluronic acid to correct unsightly lateral chin depression. An Bras Dermatol. 2013;88(1):138–40.

    Article  PubMed  PubMed Central  Google Scholar 

  • Callan P, Goodman GJ, Liew S, et al. Efficacy and safety of a hyaluronic acid filler in subjects treated for correction of midface volume deficiency a 24 month study. Clin Cosmet Investig Dermatol. 2013;6:81–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Carruthers A, Carruthers J, Hardas B, et al. A validated lip fullness grading scale. Dermatol Surg. 2008;34(Suppl2):161–6.

    Google Scholar 

  • Coleman SR. Structural fat grafting. St. Louis: Quality Medical Publishing; 2004.

    Google Scholar 

  • Coleman SR, Grover R. The anatomy of the aging face volume loss and changes in 3-dimensional topography. Aesthet Surg J. 2006;26(S):S4–9.

    Article  CAS  PubMed  Google Scholar 

  • de Maio M, Swift A, Signorini M, et al. Facial assessment and injection guide for botulinum toxin and injectable hyaluronic acid fillers focus on the upper face. Plast Reconstr Surg. 2017;140(2):265–76.

    Article  Google Scholar 

  • Donofrio LM. Fat distribution a morphologic study of the aging face. Dermatol Surg. 2000;26:1107–12.

    Article  CAS  PubMed  Google Scholar 

  • El-Doyati M, Attia S, Saleh F, et al. Intrinsic aging vs. photoaging a comparative histopathological, immunohistochemical, and ultrastructural study of skin. Exp Dermatol. 2002;11:398–405.

    Article  Google Scholar 

  • Ellebogen R, Youn A, Yamini D, Svehlak S. The volumetric face lift. Aesthet Surg J. 2004;24:514–22.

    Article  Google Scholar 

  • Fenske NA, Lober CW. Structural and functional changes of normal aging skin. J Am Acad Dermatol. 1986;15:571–85.

    Article  CAS  PubMed  Google Scholar 

  • Fulton JE Jr, Rahimi AD, Helton P, et al. Lip rejuvenation. Dermatol Surg. 2000;26:470–4.

    Article  PubMed  Google Scholar 

  • Ghavami A, Pessa JE, Janis J, et al. The orbicularis retaining ligament of the medial orbit: closing the circle. Plast Reconstr Surg. 2008;121(3):994–1101.

    Article  CAS  PubMed  Google Scholar 

  • Guyuron B. The aging nose. Dermatol Clin. 1997;15:659–64.

    Article  CAS  PubMed  Google Scholar 

  • Hirmand H. Anatomy and nonsurgical correction of the tear through deformity. Plast Reconstr Surg. 2010;125(2):699–708.

    Article  CAS  PubMed  Google Scholar 

  • Hwang K, Nam YS, Kim DJ, et al. Surgical anatomy of retaining ligaments in the periorbital area. J Craniofac Surg. 2008;19(3):800–4.

    Article  PubMed  Google Scholar 

  • Jones D, Murphy DK. Volumizing hyaluronic acid filler for midface volume deficit 2-year results from a pivotal single-blind randomized controlled study. Dermatol Surg. 2013;39(11):1602–12.

    Article  CAS  PubMed  Google Scholar 

  • Klein AW. In search of the perfect lip. Dermatol Surg. 2005;31(11 Pt 2):1599–603.

    Article  CAS  PubMed  Google Scholar 

  • Landau M, Fagien S. Science of hyaluronic acid beyond filling fibroblasts and their response to the extracellular matrix. Plast Reconstr Surg. 2015;136(5 Suppl):188S–95S.

    Article  CAS  PubMed  Google Scholar 

  • Medelson BC, Muzaffar AR, Adams WP Jr. Surgical anatomy of the midcheek and malar mounds. Plast Reconstr Surg. 2002;110:885–911.

    Article  Google Scholar 

  • Moss CJ, Medelson BC, Taylor GI. Surgical anatomy of the ligamentous attachments in the temple and periorbital regions. Plast Reconstr Surg. 2000;105:1475–98.

    Article  CAS  PubMed  Google Scholar 

  • Ozdemir R, Kilinc H, Unlu E, et al. Anatomicohistologic study of the retaining ligaments of the face and use in face lift retaining ligament correction and SMAS placation. Plast Reconstr Surg. 2002;110:1134–47.

    Article  PubMed  Google Scholar 

  • Pessa JE. An algorithm of facial aging verification of Lambros’s theory by three-dimensional stereolithography, with reference to the pathogenesis of midfacial aging, scleral show, and the lateral suborbital through deformity. Plast Reconstr Surg. 2000;106:479–87.

    Article  CAS  PubMed  Google Scholar 

  • Pessa JE, Zadoo VP, Mutimer KL, et al. Relative maxillary retrusion as a natural consequence of aging: combining skeletal and soft tissue changes into an integrated model of midfacial aging. Plast Reconstr Surg. 1998;102:205–12.

    Article  CAS  PubMed  Google Scholar 

  • Pierre S, Liew S, Bernadin A. Basics of dermal filler rheology. Dermatol Surg. 2015;41(Suppl 1):S120–6.

    Article  PubMed  Google Scholar 

  • Price RD, Berry MG, Navsaria HA. Hyaluronic acid the scientific and clinical evidence. J Plast Reconstr Aesthet Surg. 2007;60(10):1110–9.

    Article  PubMed  Google Scholar 

  • Raspaldo H. Temporal rejuvenation with fillers global faceculpture approach. Dermatol Surg. 2012;38:261–5.

    Article  CAS  PubMed  Google Scholar 

  • Raspaldo H, Gassia V, Niforos FR, et al. Global, 3-dimensional approach to natural rejuvenation part 1. Recommendation for volume restoration and the periocular area. J Cosmet Dermatol. 2012;11:279–89.

    Article  PubMed  Google Scholar 

  • Reece EM, Pessa JE, Rohrich RJ. The mandibular septum anatomical observations of the jowls in aging-implications for facila rejuvenation. Plast Reconstr Surg. 2008;121(4):1414–20.

    Article  CAS  PubMed  Google Scholar 

  • Rohrich RJ, Pessa JE, Ristow B. The youthful cheek and the deep medial fat compartment. Plast Reconstr Surg. 2008;121:2107–12.

    Article  CAS  PubMed  Google Scholar 

  • Sarnoff DS, Saini R, Gotkin RH. Comparison of filling agents for for lip augmentation. Aesthet Surg J. 2008;28:556–63.

    Article  PubMed  Google Scholar 

  • Shaw RB Jr, Kahn DM. Aging of the midface bony elements a three dimensional CT study. Plast Reconstr Surg. 2007;119:675–81.

    Article  CAS  PubMed  Google Scholar 

  • Shaw RB, Katzel EB, Koltz PF, et al. Aging of the facial skeleton aesthetic implications and rejuvenation strategies. Plast Reconstr Surg. 2011;127:374–83.

    Article  CAS  PubMed  Google Scholar 

  • Sherris DA, Larrabee WF. Anatomic considerations in rhytidectomy. Facial Plast Surg. 1996;12:215–22.

    Article  CAS  PubMed  Google Scholar 

  • Swift A, Remington K. Beauthiphication a global approach to facial beauty. Clin Plast Surg. 2011;38:347–77.

    Article  PubMed  Google Scholar 

  • Wang F, Garza LA, Kang S, et al. In vivo stimulation of de novo collagen production caused by cross-linked hyaluronic acid dermal filler injections in photodamaged human skin. Arch Dermatol. 2007;143(2):155–63.

    Article  CAS  PubMed  Google Scholar 

  • Weinkle S. Injection techniques for revolumization of the perioral region with hyaluronic acid. J Drugs Dermatol. 2010;9(4):367071.

    Google Scholar 

  • Yang HM, Lee JG, Hu KS, et al. New anatomical insights on the course and branching patterns of the facial artery clinical implications of injectable treatments to the nasolabial fold and nasojugal groove. Plast Reconstr Surg. 2014;133(5):1077–82.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Dermatology Specialist by University of São Paulo, Titular Member of the Brazilian Dermatology Society, São Paulo, Brazil

    Silvia Zimbres

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  1. Silvia Zimbres
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Correspondence to Silvia Zimbres .

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Editors and Affiliations

  1. Universidade Federal Fluminense, Niterói, São Paulo, Brazil

    Maria Claudia Almeida Issa

  2. Lexbios Medica S/S, São Paulo, São Paulo, Brazil

    Bhertha Tamura

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Zimbres, S. (2019). Hyaluronic Acid Fillers: Codifying the Face for Foundation, Reconstruction, and Refinement. In: Issa, M., Tamura, B. (eds) Botulinum Toxins, Fillers and Related Substances. Clinical Approaches and Procedures in Cosmetic Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-319-20253-2_43-2

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  • DOI: https://doi.org/10.1007/978-3-319-20253-2_43-2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20253-2

  • Online ISBN: 978-3-319-20253-2

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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Chapter history

  1. Latest

    Hyaluronic Acid Fillers: Codifying the Face for Foundation, Reconstruction, and Refinement
    Published:
    03 January 2019

    DOI: https://doi.org/10.1007/978-3-319-20253-2_43-2

  2. Original

    Hyaluronic Acid Fillers: Codifying the Face for Foundation, Reconstruction, and Refinement
    Published:
    02 March 2018

    DOI: https://doi.org/10.1007/978-3-319-20253-2_43-1

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