Anand Chytra
J Drugs Dermatol. 2016 Dec 1;15(12):1536-1542.
The desire for and use of nonsurgical injectable esthetic facial treatments is on a rise in Asia. Recent advances, including more versatile facial fillers, refined injection techniques, and adoption of a global facial approach, have in turn contributed to improved patient outcomes and increased patient satisfaction. The sought after nonsurgical treatments include the use of botulinum toxin, con- touring of the face with soft tissue fillers, and thinning of the face with injection lipolysis.
To achieve a leaner, oval face shape with smooth contours.
A combination technique was applied, whereby narrowing of face was achieved with use of botulinum toxin, contouring with soft tissue llers, and thinning the face with injection lipolysis. Treatments were applied on 15 women aged between 25 and 40 years and observed with follow up for 12 weeks. Hyaluronic acid (HA)-based dermal fillers (Perlane, Voluma, and Juvederm), botulinum toxin type A (Botox), and a lipolytic solution of phosphatidylcholine with deoxycholate (Dermastabilion, Aesthetic Dermal, Spain) were used to achieve a natural look in these patients with a fuller appearance of the face. The procedure was performed to reduce the facial width using botulinum toxin type A and the reduction of submental and cheek fat by injecting lipolysis injection.
All the women (n = 15) had edema for up to 2 weeks after undergoing lipolysis; however, two patients had edema for 3 weeks. After injecting the patient with botulinum toxin type A, no adverse event was observed; however, after using HA-based filler, one patient was observed to have bruising on the chin.
Use of HA-based fillers, neuromodulators (botulinum toxin), and injectable lipolytics are well-tolerated and are effective nonsurgical modalities to achieve facial recontouring for slimming of the face. J Drugs Dermatol. 2016;15(12):1536-1542.
在亚洲，对面部非手术注射美容治疗的需求和使用正在增加。包括更多功能多样的面部填充剂、精细的注射技术以及采用整体面部治疗方法等最新进展，反过来又有助于改善患者治疗效果并提高患者满意度。备受追捧的非手术治疗包括肉毒杆菌毒素的使用、用软组织填充剂对面部进行塑形以及用注射溶脂术瘦脸。
实现轮廓光滑的更瘦鹅蛋脸形状。
应用了一种联合技术，即通过使用肉毒杆菌毒素瘦脸、用软组织填充剂塑形以及用注射溶脂术瘦脸。对15名年龄在25至40岁之间的女性进行了治疗，并随访观察12周。使用基于透明质酸（HA）的真皮填充剂（Perlane、Voluma和乔雅登）、A型肉毒杆菌毒素（保妥适）以及一种含有磷脂酰胆碱和脱氧胆酸盐的溶脂溶液（Dermastabilion，西班牙美学皮肤药），以使这些面部外观较为丰满的患者呈现自然外观。该手术通过使用A型肉毒杆菌毒素来减小面部宽度，并通过注射溶脂针来减少颏下和脸颊脂肪。
所有15名女性在接受溶脂术后均出现了长达2周的水肿；然而，有两名患者水肿持续了3周。在给患者注射A型肉毒杆菌毒素后，未观察到不良事件；然而，在使用基于HA的填充剂后，观察到一名患者下巴出现瘀伤。
使用基于HA的填充剂、神经调节剂（肉毒杆菌毒素）和可注射溶脂剂耐受性良好，是实现面部重塑以瘦脸的有效的非手术方式。《药物皮肤病学杂志》。2016年；15(12):1536 - 1542。
