Hong Gi-Woong, Kim Soo-Bin, Yoon Song Eun, Wan Jovian, Park Hyun Jin, Yi Kyu-Ho
Samskin Plastic Surgery Clinic, Seoul, Korea.
Department of Oral Anatomy, College of Dentistry, Wonkwang University, Iksan, Republic of Korea.
J Craniofac Surg. 2024 Dec 23. doi: 10.1097/SCS.0000000000011036.
Glabellar filler injections are a popular non-surgical approach to address depressions and wrinkles caused by aging, muscle activity, and soft tissue loss. An anatomy-based technique emphasizes understanding the complex structure of the glabellar region, including the corrugator supercilii and procerus muscles, and the superficial vascular pathways, such as the supratrochlear and supraorbital arteries. Effective treatment involves precise filler placement, often combined with botulinum toxin to address both volume loss and dynamic wrinkles. Injection techniques like the fern leaf and duck walk methods are preferred to minimize the risk of vascular complications and achieve a smooth, natural appearance. The choice of injection depth and technique is crucial to avoid damaging vital structures and to enhance aesthetic outcomes. Understanding individual anatomic variations and selecting appropriate treatment combinations can significantly improve the safety and effectiveness of glabellar filler injections, providing a rejuvenated and balanced facial appearance.
眉间填充注射是一种流行的非手术方法，用于解决由衰老、肌肉活动和软组织流失引起的凹陷和皱纹问题。基于解剖学的技术强调了解眉间区域的复杂结构，包括皱眉肌和降眉间肌以及浅表血管路径，如滑车上动脉和眶上动脉。有效的治疗需要精确地填充剂注射位置，通常结合肉毒杆菌毒素来解决容量损失和动态皱纹问题。像蕨叶法和鸭步法这样的注射技术更受青睐，以尽量减少血管并发症的风险并实现平滑、自然的外观。注射深度和技术的选择对于避免损伤重要结构和提高美学效果至关重要。了解个体解剖变异并选择合适的治疗组合可以显著提高眉间填充注射的安全性和有效性，从而使面部外观恢复活力并达到平衡。
