Nu Clinic, Carretera de Cerdanyola, 79-81, 2do 3era, 08172, Sant Cugat del Vallès, Barcelona, Spain.
Centro Médico Kineergomed, Linares, Chile.
Aesthetic Plast Surg. 2019 Jun;43(3):793-802. doi: 10.1007/s00266-019-01361-1. Epub 2019 Apr 5.
The perception of an attractive face is largely subjective. The purpose of this paper is to provide an insight and a practical approach to facial contouring management with hyaluronic acid (HA) implants and botulinum toxin A.
This study is presenting the clinical experience of the authors regarding facial contouring. After a careful medical history, patients underwent an exhaustive aesthetic assessment that includes photographs and videos. Realistic treatment goals were discussed and agreed with the patient. Comprehensive treatment strategies for facial contouring, including HA implants and/or botulinum toxin A injections, were selected according to the patient needs.
Based on the MD codes, developed by Mauricio de Maio, these treatment strategies have been adapted to six different basic categories of facial shapes, namely round, square, triangular, inverted triangle, rectangle, oval and oblong faces. The incidence of complications was low and, in all the cases, was mild (edema, erythema and local ecchymosis), of limited duration, and was resolved without sequela.
The current article presented the personal experiences of the authors on a specific subject, and this fact should be considered when interpreting data from this paper. As other aesthetic treatments, facial contouring should be focused on the patient needs and to select a specific aesthetic approach according to different facial shapes. Finally, it is essential to have a good understanding of the potential associated complications, because it will help the specialist to take the necessary precautions to prevent them, and if they ever arise, to be able to deal with them effectively.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
对有吸引力的面部的感知在很大程度上是主观的。本文的目的是提供一种深入了解，并提供一种使用透明质酸 (HA) 植入物和肉毒杆菌毒素 A 进行面部轮廓管理的实用方法。
本研究介绍了作者对面部轮廓修饰的临床经验。在仔细询问病史后，患者接受了详尽的美学评估，包括照片和视频。与患者讨论并达成了现实的治疗目标。根据患者的需求，选择了用于面部轮廓修饰的综合治疗策略，包括 HA 植入物和/或肉毒杆菌毒素 A 注射。
基于 Mauricio de Maio 开发的 MD 代码，这些治疗策略已适应六种不同的基本脸型，即圆形、方形、三角形、倒三角形、矩形、椭圆形和长圆形。并发症发生率低，且在所有病例中均为轻度（水肿、红斑和局部瘀斑），持续时间有限，且无后遗症。
本文介绍了作者在特定主题上的个人经验，在解释本文中的数据时应考虑到这一点。与其他美容治疗一样，面部轮廓修饰应侧重于患者的需求，并根据不同的脸型选择特定的美容方法。最后，必须充分了解潜在的相关并发症，因为这将有助于专家采取必要的预防措施来预防这些并发症，如果出现这些并发症，能够有效地处理这些并发症。
证据等级 IV：本刊要求作者为每篇文章分配一个证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南 www.springer.com/00266 。
