Objectives: Festoons and ultrasound guided injections / veneus compression

Dr. Olga Liplavk, Netherlands


Abstract

Recently, there had been wide interest in ultrasound techniques in cosmetic medicine.
Facial ultrasound provides a valuable information about the anatomical structures of the injected area and can detect and identify the most common types of cosmetic fillers. Moreover, it is considered the first-line image technique for diagnostic and management of filler complications. We are treating regularly filler complications such as festoons and malar oedema in the clinic. Due to ultrasound imag

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Objectives: An updated exploration of Malar filler enhancement and the role this region plays in neighbouring orbital rejuvenation.

Introduction: Effective malar aesthetics contribute greatly to the overall facial visage and pertinently to peri-orbital framing and support.
A person's endowed contours and proportions can be subtly enhanced to form an elegant shift to an ideal while preserving uniqueness. The radiant fall and refection of light is predicated by such enhancements.

Materials / method: The importance of malar anatomical filler placement and technique remains the cornerstone of achieving pleasing inter-regional aesthetic success and indeed avoiding complications.

Results: A selection of pertinent patient outcomes will be presented.

Conclusion: The triad of pleasing orbital, malar and lip contours-proportions signal beauty and attractiveness. The relationship between the malar region and the orbit contributes fundamentally to facial signaling and aesthetic ideal.

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Objectives: Given the success of the "battle" between Dr Kestemont and Dr Beut over Tear Through, and given that it is fervently topical,

Introduction: The treatment of Tear Trough continues to be "the workhorse" of "non-surgical facial" treatments. Therefore, the concept of area ,will be demonstrated versus the concept of filling s

Materials / method: patient demonstration, cadaver lab and 3 D images will help to understand this difficult area

Conclusion: The face needs to analyze before any treatment. To fill holes " it's not in fashion anymore". Tear Trough need to be understand as anatomic area not just "as single hole"

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Objectives: A technique to inject filler below the orbicularis oculi muscle over the entire contour of the inferior orbital margin is described in detail.

Introduction: Treatment of the tear trough deformity and, by extension, hollowing over the entire inferior orbital margin, is technically challenging and not devoid of risk. Injection as close to bone as possible has been proposed as helpful to achieve an even result. However, tissue septae may guide the filler inferiorly and be an impediment. A gliding plane for a cannula has been described under the orbicularis oculi muscle, with the exception of its insertion on the bone. We propose to inject with a 25 cannula, just under the orbicularis oculi muscle rather than as close to bone as possible.

Materials / method: Relevant publications on clinical anatomy were compared to before and after clinical photography. Representative film fragments were selected to demonstrate the advocated injection technique. Cadaver dissections after the injection of dyed filler with a 25G cannula were performed during three injection courses.

Results: Both in the treatment of the orbital part of the tear trough and of the entire inferior orbital margin contour, a 25G cannula can glide under the orbicularis oculi muscle and filler can be injected in a linear retrograde manner. Due to the muscle insertion medially, it is frequently necessary to inject superior and inferior to this line to fully correct the deformity. In three dissection courses, the participants were able to replicate the treatment with dyed filler in cadavers and to verify the position of the filler in the correct plane.

Conclusion: The use of a 25 G cannula for linear retrograde injection of filler just below the orbicularis oculi muscle is a reliable and reproducible method to fill a depression over the inferior orbital margin and to obtain a smooth result.

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这项工作的完成感谢以下机构的支持： SIME by victor

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