All authors are affiliated with the Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, Guangzhou City, China.
Address correspondence and reprint requests to: Sheng-Kang Luo, MD, PhD, Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, 466 Middle Xin Gang Road, Guangzhou City, Guangdong Province 510317, China, or e-mail:
Dermatol Surg. 2022 Oct 1;48(10):1059-1064. doi: 10.1097/DSS.0000000000003537. Epub 2022 Jul 12.
The malar augmentation injection has gained popularity in recent years, but the exact location of each injection site has not been clearly identified.
To discover ideal injection sites by comprehensively considering the distributions of ligaments, muscles, and vessels.
Eighteen cadaver heads were dissected to investigate the zygomatic ligamentous system and to measure the position of muscles. Sixty-six cadaver heads were subjected to computed tomographic scanning and three-dimensional vessel reconstruction. Radiological evaluation of the fillers was performed before and after experimental injection in one hemiface and dissected to confirm safe delivery. Five patients were enrolled in a prospective clinical study. 2D and 3D photographs were taken before and after the injections for comparison.
Site 1 was defined along the zygomatic arch, except the first 1/4 length and the midline of the arch. Site 2 was on the body of the zygoma, superior to the level of the infraorbital foramen and medial to the jugale. Site 3 was defined in the anteromedial midface approximately 30 mm below the lateral canthus.
Injections at these 3 sites can be performed within the range of the ligaments to achieve effective lifting effects and minimize potential complications.
近年来，颊部填充注射越来越受欢迎，但每个注射点的确切位置尚未明确。
通过综合考虑韧带、肌肉和血管的分布，来发现理想的注射部位。
对 18 个头颅骨进行解剖，以研究颧骨韧带系统，并测量肌肉的位置。对 66 个头颅骨进行计算机断层扫描和三维血管重建。在一侧面部进行实验性注射前和注射后进行填充物的放射学评估，并进行解剖以确认安全输送。5 名患者被纳入前瞻性临床研究。在注射前后拍摄 2D 和 3D 照片进行比较。
第 1 个部位定义为颧骨弓除了前 1/4 长度和弓的中线以外的部位。第 2 个部位位于颧骨体上，位于眶下孔上方，颧骨突下方。第 3 个部位定义为在外侧眼角下方约 30mm 的中面部前内侧。
在这些 3 个部位进行注射，可以在韧带范围内进行，以达到有效的提升效果，并最大限度地减少潜在的并发症。
