The aging face has never been so well understood, nor the treatment options so varied. Achieving optimal results – softer, smoother skin; a younger, more youthful appearance that is both harmonious and symmetrical – requires a change in the way aesthetic clinicians view the aging face and its treatment. Focusing on single lines and folds limits the range of possibilities in facial enhancement. The successful aesthetic clinician is one who examines the length, width, and depth of the folds and, most importantly, the amount of volume loss associated with each fold and crease to determine how much product is needed for adequate correction. Moreover, the concept of facial zones – and treating multiple zones with product layering in a single visit – leads to optimal results and a high rate of patient satisfaction.

FILLERS FOR FACIAL ENHANCEMENT

The face can be likened to a beach ball or partitioned rubber raft: over time, it deflates and descends unevenly. Thus each side of the aging face is a sister, rather than a twin, of the other side. Many patients are themselves unaware of volume loss in the face, particularly in the cheeks. To create great results, clinicians must have double vision: first, the ability to see the areas of volume loss (and demonstrate this loss to the patient); second, the ability to see the end result before beginning treatment.

Filling Agent

The clinician has a number of choices when considering filler material.