Hong Gi-Woong, Yi Kyu-Ho
Samskin Plastic Surgery Clinic, Seoul, Korea.
Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.
Aesthetic Plast Surg. 2025 Jan 6. doi: 10.1007/s00266-024-04579-w.
Hollowness in the anteromedial, buccal, and lateral cheek regions is a common concern in aesthetic medicine, often resulting from age-related volume loss and structural changes. Advanced filler injection techniques that incorporate a thorough understanding of facial anatomy are critical for achieving optimal and safe outcomes.
To review and detail anatomically guided filler injection techniques for addressing hollowness in specific cheek regions, considering facial anatomy, ethnic variations, and patient-specific aesthetic goals.
A comprehensive analysis of the layered cheek structure-including skin, fat compartments, muscles, and neurovascular elements-was conducted to define effective injection techniques. Step-by-step procedures using cannula-based filler injections were described, focusing on targeting appropriate tissue planes while avoiding critical structures. Ethnic differences between Western and Asian populations were also considered to provide tailored approaches.
Targeted filler injections in the anteromedial, buccal, and lateral cheek regions were shown to effectively restore volume and contour by addressing hollow areas. Precision in selecting tissue planes and using cannulas minimized complications and optimized outcomes. Ethnic-specific anatomical variations and aesthetic preferences played a significant role in technique modification and treatment planning.
Anatomical-based filler injection techniques offer a precise and safe approach to nonsurgical facial rejuvenation of the cheek. A deep understanding of facial anatomy, combined with consideration of ethnic differences, enhances treatment efficacy. Future advancements, such as integrating imaging technologies and combination therapies, are expected to further refine facial rejuvenation practices.
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 .
面颊前内侧、颊部和外侧区域的凹陷是美容医学中常见的问题，通常由与年龄相关的容量减少和结构变化引起。深入了解面部解剖结构的先进填充剂注射技术对于实现最佳和安全的效果至关重要。
回顾并详细阐述针对特定面颊区域凹陷的解剖学引导填充剂注射技术，同时考虑面部解剖结构、种族差异和患者特定的美学目标。
对包括皮肤、脂肪隔、肌肉和神经血管成分在内的面颊分层结构进行全面分析，以确定有效的注射技术。描述了使用基于套管的填充剂注射的分步程序，重点是靶向合适的组织平面，同时避免关键结构。还考虑了西方和亚洲人群之间的种族差异，以提供量身定制的方法。
在面颊前内侧、颊部和外侧区域进行靶向填充剂注射可通过解决凹陷区域有效恢复容量和轮廓。在选择组织平面和使用套管时的精确操作可将并发症降至最低并优化效果。特定种族的解剖学差异和美学偏好在技术调整和治疗计划中发挥了重要作用。
基于解剖学的填充剂注射技术为面颊非手术面部年轻化提供了一种精确且安全的方法。对面部解剖结构的深入理解，结合对种族差异的考虑，可提高治疗效果。预计未来的进展，如整合成像技术和联合疗法，将进一步完善面部年轻化实践。
证据级别V：本杂志要求作者为每篇文章指定证据级别。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 。
