de Maio Maurício, Swift Arthur, Signorini Massimo, Fagien Steven
São Paulo, Brazil; Montreal, Quebec, Canada; Milan, Italy; and Boca Raton, Fla.
From the Clinica Dr. Maurício de Maio; The Westmount Institute of Plastic Surgery; Istituto Dermatologico Europeo; and Aesthetic Eyelid Plastic Surgery.
Plast Reconstr Surg. 2017 Aug;140(2):265e-276e. doi: 10.1097/PRS.0000000000003544.
Techniques for the administration of injectable fillers and neuromodulators for facial aesthetic rejuvenation and enhancement continue to evolve. As the number of physicians with limited experience in providing aesthetic treatments expands, the need for guidance and training from more experienced injectors has become apparent. The use of a slow, careful, and methodical injection technique is imperative in all treatment settings and for all facial areas. Constant attention to local anatomy, particularly arteries, veins, and nerve bundles, is critical for minimizing complications. This first article of a three-part series addresses techniques and recommendations for aesthetic treatment of the upper face. Traditionally, the upper face has been considered a basic area for treatment with neuromodulators but an advanced area for treatment with fillers. Injectable fillers may be used for temple volumization, eyebrow shaping, and forehead contouring. Neuromodulators are well suited for diminishing the appearance of dynamic facial lines such as forehead, glabellar, and crow's feet lines, and eyebrow lifting and eye-aperture widening. These techniques may be used independently or together, sequentially or concurrently, to address rejuvenation of individual or multiple facial regions. Overall, this series provides a practical framework of techniques for physicians who desire to perform safe and effective aesthetic treatments using a multimodal approach.
用于面部美容年轻化和改善的可注射填充剂和神经调节剂的给药技术不断发展。随着在提供美容治疗方面经验有限的医生数量增加，向经验更丰富的注射医生寻求指导和培训的需求变得明显。在所有治疗环境和所有面部区域，采用缓慢、谨慎且有条不紊的注射技术至关重要。持续关注局部解剖结构，尤其是动脉、静脉和神经束，对于将并发症降至最低至关重要。这个系列文章的第一篇探讨了上半面部美容治疗的技术和建议。传统上，上半面部被认为是使用神经调节剂治疗的基础区域，但却是使用填充剂治疗的高级区域。可注射填充剂可用于颞部填充、眉形塑造和额头轮廓调整。神经调节剂非常适合减少动态面部皱纹的出现，如额头纹、眉间纹和鱼尾纹，以及提升眉毛和扩大眼裂。这些技术可以单独使用或联合使用，依次或同时使用，以解决单个或多个面部区域的年轻化问题。总体而言，本系列为希望使用多模式方法进行安全有效美容治疗的医生提供了一个实用的技术框架。
