Objectives: Volume repletion with volumetric (PLLA, PMMA, CaHa) and dermal (HA) fillers using a trivector bimodal methodology is critical in order to successfully replace loss of both deep and superficial fat pads, bone and muscle.
Introduction: Currently, age prophylaxis and skin health can be achieved with a plethora of non-invasive cosmetic procedure, including laser, ultrasound, radiofrequency energy-devices, toxins, fillers, topicals and internal biologics.
Materials / method: This methodology is called Volumetric Structural Rejuvenation (VSR).
Results: Replacing the deep fat pads requires supraperiosteal injections that can re-create a structural platform of the upper, middle and lower face. Following the reinforcement of the deep anatomical areas, deep dermal/subcutaneous injections are done to customize the treatment according to anatomic facial parameters and individual preferences.
Conclusion: This bimodal, trivector approach using new generation volumetric and dermal fillers, with intrinsic regenerating biological properties can serve as a prophylactic approach to aging and securing of skin health.
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