J Cosmet Dermatol. 2013 Jun;12(2):123-36. doi: 10.1111/jocd.12035.
There is a move toward a global, 3-dimensional approach to facial rejuvenation that has been prompted by advances in techniques and available products. However, little published literature exists on the procedures involved in this global approach, and currently, no validated recommendations exist.
To provide a detailed, practical guide to rejuvenation of the perioral area, nose, and ears based on expert consensus recommendations.
The aim of this approach was to take into account both volumetric and dynamic aspects of treatment, as well as the benefits of treatment combinations, for example, combining botulinum toxins with hyaluronic acid (HA) fillers and volumizers. Each set of recommendations was documented, comprising a clinical definition of the aging severity scale, together with recommendations of appropriate products, doses, site, depth, and injection techniques, as well as indication-specific rules to be respected.
HA fillers are ideal for replenishing volume loss in the lips, while rhytides around the lips can be treated with small doses of botulinum toxin. Botulinum toxin can also be used to raise the tip of the nose, to reshape nostrils, and to narrow nasal flare, with HA fillers also be used to correct small defects. HA fillers can also be used to rejuvenate sagging, atrophic or irregular ear lobes, repair torn earlobes, or erase vertical rhytides.
By providing practical guidance on rejuvenation of the perioral area, nose, and ears, esthetic facial physicians can achieve optimum patient outcomes.
由于技术和可用产品的进步，人们对全面的 3D 面部年轻化方法的需求不断增加。然而，目前关于这种全面方法所涉及的程序，发表的文献很少，并且目前尚无经过验证的推荐意见。
根据专家共识建议，提供有关口周区域、鼻子和耳朵年轻化的详细实用指南。
该方法的目的是既要考虑治疗的体积和动态方面，也要考虑治疗组合的益处，例如将肉毒毒素与透明质酸（HA）填充物和体积填充剂相结合。记录了每组建议，包括老化严重程度量表的临床定义，以及适当产品、剂量、部位、深度和注射技术的建议，以及要遵守的特定适应证规则。
HA 填充物是填充唇部体积损失的理想选择，而嘴唇周围的皱纹可以用小剂量的肉毒毒素治疗。肉毒毒素还可用于抬高鼻尖、重塑鼻孔和缩小鼻翼扩张，也可使用 HA 填充物来矫正小缺陷。HA 填充物还可用于使下垂、萎缩或不规则的耳垂年轻化，修复撕裂的耳垂或消除垂直皱纹。
通过对口周区域、鼻子和耳朵年轻化提供实用指导，美容面部医师可以为患者获得最佳效果。
