de Maio Maurício, Wu Woffles T L, Goodman Greg J, Monheit Gary
São Paulo, Brazil; Singapore; South Yarra, Melbourne, Victoria, Australia; and Birmingham, Ala.
From the Clinica Dr. Maurício de Maio; the Woffles Wu Aesthetic Surgery and Laser Centre; the Dermatology Institute of Victoria; and the Total Skin and Beauty Dermatology Center.
Plast Reconstr Surg. 2017 Sep;140(3):393e-404e. doi: 10.1097/PRS.0000000000003646.
This third article of a three-part series addresses techniques and recommendations for aesthetic treatment of the lower face. The lower face is considered an advanced area for facial aesthetic treatment. In this region, soft-tissue fillers play a more important role than neuromodulators and should be used first to provide structure and support before neuromodulators are considered for treatment of dynamic lines. Treatment of the lip, perioral region, and chin, in addition to maintaining balance of the lower face with the face overall, is challenging. Procedures on the lip should avoid overcorrection while respecting the projection of the lips on the profile view and the ratio of lip size to chin. The chin is often neglected, but reshaping the jawline can provide dramatic improvement in facial aesthetics. Both profile and anterior views are critical in assessment and treatment of the lower face. Finally, rejuvenation of the neck region requires fillers for structural support of the chin and jawline and neuromodulators for treatment of the masseter and platysma.
这是一个由三篇文章组成的系列中的第三篇，探讨了下脸部美学治疗的技术和建议。下脸部被认为是面部美学治疗的一个进阶区域。在该区域，软组织填充剂比神经调节剂发挥着更重要的作用，在考虑使用神经调节剂治疗动态纹之前，应首先使用软组织填充剂来提供结构和支撑。除了要保持下脸部与整个面部的平衡外，唇部、口周区域和下巴的治疗也具有挑战性。唇部手术应避免过度矫正，同时要考虑到唇部在侧视图中的突出度以及唇大小与下巴的比例。下巴常常被忽视，但重塑下颌轮廓可以显著改善面部美观。侧视图和正视图对于下脸部的评估和治疗都至关重要。最后，颈部区域的年轻化需要填充剂来支撑下巴和下颌轮廓，以及使用神经调节剂来治疗咬肌和颈阔肌。
