de Maio Maurício, DeBoulle Koen, Braz André, Rohrich Rod J
São Paulo, Brazil; Aalst, Belgium; Rio de Janeiro, Brazil; and Dallas, Texas.
From the Clinica Dr. Maurício de Maio; the Aalst Dermatology Clinic, private practice; and the University of Texas Southwestern Medical Center.
Plast Reconstr Surg. 2017 Oct;140(4):540e-550e. doi: 10.1097/PRS.0000000000003716.
This second article of a three-part series addresses techniques and recommendations for aesthetic treatment of the midface. Injectable fillers are important for rejuvenation of the midface by replacing lost volume and providing structural support; neuromodulators play a smaller role in this facial region. Fillers are used for volumization and contouring of the midface regions, including the upper cheek and lid-cheek junction and the submalar and preauricular areas. Also, treatment of the frontonasal angle, the dorsum, the nasolabial angle, and the columella may be used to shape and contour the nose. Neuromodulators may be used to treat bunny lines and for elevation of the nasal tip. The midface is considered an advanced area for treatment, and injectors are advised to obtain specific training, particularly when injecting fillers near the nose, because of the risk of serious complications, including blindness and necrosis. Injections made in the midcheek must be performed with caution to avoid the infraorbital artery.
这是一个系列文章的第二篇,共三篇,主题是中面部美学治疗的技术与建议。可注射填充剂对于中面部年轻化十分重要,它能够补充流失的容积并提供结构支撑;而神经调节剂在该面部区域所起的作用较小。填充剂用于增加中面部区域的容积并塑造轮廓,这些区域包括上脸颊、睑颊交界处、颧下和耳前区域。此外,对鼻额角、鼻背、鼻唇角和鼻小柱进行治疗,可用于塑造鼻子的形状和轮廓。神经调节剂可用于治疗鼻侧纹和抬高鼻尖。中面部被视为一个高级治疗区域,建议注射者接受专门培训,尤其是在鼻子附近注射填充剂时,因为存在包括失明和坏死在内的严重并发症风险。在脸颊中部进行注射时必须谨慎操作,以避开眶下动脉。