Objectives: Injection protocols for face augmentation with Hyaluronic Acid (HA) changed over the time since we began to treat patients with HA for aesthetics. This presentation gives an overwiew of the diferent techniques and tipps how to achieve results of excellence. Full Face Sculpting goes beyond the recommended protocols and recommends an additionally personal approach in treating patients with HA for augmentation of the face.

Introduction: Once upon a time dermatologists and plastic surgeons began to use HA to treat static wrinkles and volume loss of the face after BTX has been very successful used in treating mimic wrinkles. We began in treating particular wrinkles and/or folds and developped our techniques which led to a new understanding of treatment.

Materials / method: In the beginning of the millenium years treating the nasiolabial fold (NLF) was the golden standard indication for using HA augmentation. With the invention and introducing of the canula technique by Bernhard Hertzog the HA augmentation got into a new sphare of the whole face approach. It was then Maurizio de Maio with his revolutionary MD Codes which changed the world of fillers entirely.

Results: Without any doubts the MD Codes were and still are a milestone in treating patients with HA fillers. The aim of any professional intervention is to achieve natural results where you cannot see the changement at first sight ("You dont see it, but you do"). Full Face Sculpting goes beyond the MD Codes and recommends an personal approach individualised to each single patient.

Conclusion: Getting a natural and aethetic result in face treating with HA is challenging. We do know several excellent protocols to achieve good results. Full Face Sculpting teaches you how to get to the point of excellence. Too less is as wrong as too much. With individualisation and sculpting like an artist after having used the common protocols (i.e. MD Codes) allows you to find the individual result of excellence.

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Objectives: The aim of the study is to establish a maintenance protocol for the biorevitalizers treatment with high molecular weight hyaluronic acid (HMWHA)

Introduction: The treatment and/or prevention of skin aging is one of the main reasons for consultation in our offices. We have a new generation of skin biorevitalizer with a high molecular weight (2.7-3.7∙10^6 Da) non-cross-linked hyaluronic acid similar to that of the skin. The anti-aging effectiveness of injected hyaluronic acid is well known. Its injection deep into the dermis stimulates collagen production, increases skin hydration, firmness and elasticity, improves the morphology and function of fibroblasts, and reinforces the epidermal barrier.

Materials / method: 3.2 ml (HMWHA) distributed between the face and neck were injected with 30G/4 mm needles in 5 volunteers female. In total, 3 sessions spaced every 3 weeks, and a maintenance schedule of 1 session every 2 months was established.

Results: After the treatment, there was an improvement the elasticity by 3%, for hydration 5.7 %, with a decrease in erythema of 3.3% and melanin of 28.1% compared to baseline.
After 10 months of maintenance protocol, an improvement in the final results of the treatment was shown. Elasticity improved by 18.2%, for hydration the improvement was 10.4%, with a decrease in erythema of 5.2% and melanin of 24.5% compared to baseline. These results were objectively quantified by the Cutometer®, Mexameter® and Corneometer® probes.

Conclusion: The dermal injection of HMWHA with a molecular weight between 2.7-3.7∙10^6 Da has proven to be effective and safe in the treatment and prevention of skin aging. The maintenance protocol has not only maintained the results of the treatment, but also continues to improve the results obtained after each application.

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这项工作的完成感谢以下机构的支持： Toskanimed