Basically, 100% of lip filler injection is performed in caucasian women between the ages of 30 and 75 years. Considerations in facial filler injections and preventing vision loss. The guide goes into detail on how the injection technique must be tailored to both the specific injection location and to the patients specific goals. Just before the actual treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. The basics of injection techniques guide from center for advanced facial plastic surgery covers the techniques used for all fillers, including juvederm and restylane. If you would benefit from more volume in your red lip then filler would be placed in that area as well. Who best practices for injections and related procedures. Its concise descriptions of these techniques, along with excellent videos and highquality original artwork, make this one of the best cosmetic. Skilled injectors will know which lip injection will best suit the individual characteristics of your lips and face. Injection of dermal fillers is one of the most commonly performed procedures in the cosmetic dermatology practice. However, the most important factor in obtaining beautifully plump lips is the technique and expertise of the injector.
After injection, ultrasound imaging was performed to confirm the depth of injection figure 4. This is a useful introduction for physicians beginning to use neurotoxins and fillers. Hyaluronic acid fillers tend to be the most temporary option, and therefore are often recommended for firsttime filler patients. Photographic documentation of the treated area was recorded prior to and after injection.
Studying dermal filler injection techniques for bovine collagen gel suspended polymethylmethacrylate microspheres or bellafill art and a hyaluronic acid filler, restylane lyft per l, using both microcannulas and a dilution of lidocaine with epinephrine and bicarbonate. Learn about the science that makes full lips so attractive, and the best lip fillers for giving you an attractive, voluminous pout. Revolumization of facial structures in this region with hyaluronic acid dermal fillers can significantly reduce signs of aging. Dermal fillers procedure steps american society of. See injection techniques for dermal fillers woodbury clinic. Jan 17, 2017 the particle size and rheological properties of these gels are wellsuited to the con straints of fine gauge needles, and the superficial injection techniques required for lip enhancement. Recite adverse events for filler injections and establish a clinicwide plan to handle adverse events decide on the best plla reconstitution methods for your clinic identify the best plla candidates for the injection sites demonstrated integrate into practice injecting plla in the arm, chest, and buttocks learning objectives. Different types of filler can be used according to the plane and filler rheology to obtain an aesthetically pleasing result.
Lip augmentation with hyaluronic acid dermal fillers is a mini mally invasive procedure that has become increasingly popular in recent years 1. The glabellar region is at particular risk, given its unpredictable vascular anatomy. This book outlines the fundamental principles of the use of different fillers and injection techniques. The aesthetic evaluation was performed at 3, 6, 9, and 12 months after injection. To obtain a rotation of the lip, the hydrogel has to be injected over the muscle. There are now over 35 major filler product companies worldwide. Use retrograde injection technique with thin parallel lines of aquamid. Injection techniques injection treatments bring with them a risk of bruising and swelling. Various techniques exist for fat harvest and injection. Youll learn which filler he uses, see how he injects, and see theres zero pain. Understand basic filler injection techniques with dr. Describe the uniqueness of plla compared with other dermal fillers recite adverse events for filler injections and establish a clinicwide plan to handle adverse events decide on the best plla reconstitution methods for your clinic identify the best plla candidates for the injection. Dermal filler injection techniques filler training emastr.
Proper injection technique, choice of injection site, and choice of filler can limit the risk of vascular compromise. Multiple injection techniques are currently available for treating lip contour and volume, but a validation in the cadaveric model under the aspects of safety has. As its usage is expanding, the possibility of complications will likely increase. Complications of hyaluronic acid fillers and their. As to the injection technique the filler has been implanted withdrawing the needle while injecting along the lips.
Botulinum toxin injection for treatment of facial wrinkles is the most frequently performed cosmetic procedure in the united states, and it is one of the most common entry procedures for. An anatomical analysis of the supratrochlear artery. Several soft tissue fillers serve as lip injections. Soft tissue filler injection has been a very common procedure worldwide since filler injection was first introduced for soft tissue augmentation. Lumen diameter of the needle or cannula used to inject the filler. As a doubleboard specialist with training in neuromuscular medicine and deep knowledge of the anatomy of face and neck, dr. However, depending on the medical practitioners preferred injection technique. Here are a few of the common issues dermal fillers can help address. I have discussed why it is vital to consider the relevant anatomy for lip augmentation and how careful considerations must be made when selecting patients. Injections in aesthetic medicine atlas of fullface and. Introduction dermal fillers are substances used in soft tissue augmentation to enhance or replace volume that is lost in any part of the skin or subcutaneous fat.
Doctor tom van eijk teaches cosmetic injections botox, azzalure, restylane, juvederm showing advanced techniques like the fern pattern technique and the lip tenting technique. Cosmetic injection techniques pdf free pdf epub medical books. Common injection techniques include serial puncture, linear threading, crosshatching, fanning, and depot placement fillers are layered to correct areas where fine superficial lines overlie deeper volume loss filler injection remains more art than science, elevating aesthetic improvement above the erasure of specific lines and depressions. Filler injection technique for in the anterior cheek, voluma may be. The preperiostal bolus technique is most often used for injection into the deeper midface fat compartments. Cosmetic injection techniques and the videos that accompany it provide all medical professionals in the field from beginners to experienced injectors with practical information on how to properly administer neurotoxin and filler injections for conditions such as lower eyelid roll, nasal flare, platysmal banding, marionette lines, glabellar. Ideally, these treatments should be done at least 12 weeks before a special event to allow the product to settle and any bruising to fade. Lip injections with filler bow and arrow technique. Treatment algorithm of complications after filler injection. The best technique needs to be determined following a consultation and evaluation of your lips. The choice of one technique over another or a combination of techniques may be influenced by aesthetic goals and patient factors. The dual plane technique is an injection technique based on the anatomical base. Polyllactic acid sculptraaesthetic advanced injection.
It is the aesthetic providers professional judgment to determine which technique. Lip enhancement is a common injection treatment that may involve several different injection techniques based on the patients goals, expectations, and facial anatomy. Cosmetic injection techniques and the videos that accompany it provide all medical professionals in the field from beginners to experienced injectors with practical information on how to properly administer neurotoxin and filler injections for conditions such as lower eyelid roll nasal flare platysmal banding marionette lines glabellar frown. Although the most common request for fillers is in the lips, fillers. The days of treating a nasolabial fold with single skin filler injection. A typical injection pattern for this area consists of five strategically placed points across the forehead. These are apparent in the form of differences in the size and number of pores, water content and elasticity. Injection usually takes only a few moments per site. Anatomic strategy of filler injection dual plane technique since bone and fat aging progress in a rather predictable fashion, the goal of restoring volumes in the face should follow a quite standardized sequence, useful in targeting the different areas of evolving atrophy, in order to achieve a full face volumetric rejuvenation in multiple. Our advanced dermal filler training bootcamp course requires you to have at least six months of filler injection experience. Insert the needle transcutaneously on the border of the vermilion until reaching the subcutaneous level where aquamid is to be implanted, without penetrating the muscular level. In addition, dermal fillers can be successfully used for body remodeling, for example in patients with bow legs and those requiring breast remodeling. In the treatment demonstration videos you will hear a lot of reference to certain techniques, both with needle and with cannula. Certain individuals may develop swelling due to inflammation after the procedure, while in some cases, the filler.
In most cases, a small amount of filler is placed in the vermillion to add definition to the lip line. Cosmetic injection techniques and the videos that accompany it provide all medical professionals in the field from beginners to experienced injectors with practical information on how to properly administer neurotoxin and filler injections. Moreover, achieving aesthetic goals with minimal risk for adverse events requires knowledge of lip anatomy and function, clinical experience in the use of various injection techniques, and an. Fourpoint injection technique for lip augmentation semantic scholar. Etiology, prevention, and treatment of dermal filler complications. Anatomic strategy of filler injection dual plane technique since bone and fat aging progress in a rather predictable fashion, the goal of restoring volumes in the face should follow a quite standardized. As detailed in my previous article, the clinical outcomes for lip augmentation are defined by the patients unique anatomy, injection technique and the type and amount of filler used.
Sculptra aesthetic injectable polyllactic acid caution. For your next filler injection, make sure to ask your doctor about using flexible microcannula. Fat has been used as an injectable filler for the past 100 years. The techniques for injection of ha for lip augmentation have included serial puncture and linear threading, which may be antegrade or retrograde. The iapam botoxfiller training bootcamp is open to medical professionals with some experience injecting botox cosmetic and dermal fillers, and who want more training. Complications of filler in the temporal fossa include bruising, tenderness, swelling, tyndall effect, overcorrection, and chewing. Multiple injection techniques are currently available for treating lip contour and volume, but a validation in the cadaveric model under the. Galderma laboratories, fort worth, texas is the first fda approved. Full text a 10point plan for avoiding hyaluronic acid. While americans were enjoying the benefits of bovine collagen fillers i. This activity is intended for plastic surgeons and dermatologists.
All patients were followed up for at least 3 months, during which time there were no major complications and aesthetic satisfaction was high. Optimizing the aesthetic outcome of lip augmentation with dermal fillers, such as ha, requires skillful application of a suitable injection technique. At the level of the stratum granu losum, the alignment of the keratinocytes changes into the regular, colum nar structure of the horny layer through differentiation. A major advancement that has contributed to the current state of filler injection. In 2017, cosmetic doctors administered more than 2 million soft tissue fillers the gold standard for achieving fuller, more voluminous lips. Jafari uses microcannula for most filler injections when indicated. Restylane master class, injectable technique workshop. Feb 28, 2017 i use the crosshatching technique this is when filler is injected perpendicular to the direction of the fold. Filler injection techniques basic technique filler injection needle. It is the aesthetic providers professional judgment to determine which technique will provide the desired results. Proper filler injection and development of surgery techniques. In this video, i want to demonstrate the different needle techniques such as bolus, linear threading, serial. Ppt filler powerpoint presentation free to view id. As to the injection technique the filler has been implanted withdrawing the needle while injecting along the lips margins.
A text and video guide to neurotoxins and fillers is a comprehensive and detailed book that describes locations techniques for the injection of fillers and neurotoxins. A thorough understanding of the facial vascular anatomy and a good injection technique reduce the risk of vascular. Recite adverse events for filler injections and establish a clinicwide plan to handle adverse events decide on the best plla reconstitution methods for your clinic identify the best plla candidates for the injection sites demonstrated integrate into practice injecting plla into the most common areas in the face learning objectives. Lip injections are becoming one of the most popular cosmetic treatments in america. Usage of nonpermanent filler temporary fillers the development of medical appliances. Long term safety and effectiveness of sculptra aesthetic beyond 25 months after last injection. The bolus technique is ideal for the treatment of single compartments because it ensures anatomical precision of injection. Dec 28, 2016 youll learn which filler he uses, see how he injects, and see theres zero pain. Dr lee walker provides technique advice for treating the perioral area. Moreover, achieving aesthetic goals with minimal risk for adverse events requires knowledge of lip anatomy and function, clinical experience in the use of various injection techniques. The physicians coalition for injectable safety has developed a new program, safety with injectables to provide a framework for patient safety with injectables. The process of injecting, massaging, and evaluating the result is performed, and additional filler added as needed. Filler injection techniques comfort during the injection. The injection of cosmetic neurotoxins and fillers is a multibillion dollar industry in which facial plastic surgeons plastic surgeons dermatologists oculoplastic surgeons and paraprofessionals in the u.
Polyllactic acid sculptraaesthetic basic injection. Lines of filler can hold and support the tissue they are injected into, reducing the amount of unwanted movement in that tissue. Jan 23, 2010 doctor tom van eijk teaches cosmetic injections botox, azzalure, restylane, juvederm showing advanced techniques like the fern pattern technique and the lip tenting technique. Pdf facial assessment and injection guide irwan junawanto. For novice injectors, we recommend hyaluronic acid ha as the filler of choice. Injections to the lips will wear out a little faster than those to the nasolabial folds. Microcannula a new way less painful for filler injections. Long term safety and effectiveness of sculptra aesthetic beyond 25 months after last injection have not been investigated in clinical trials. Cosmetic facial assessment and injection guide for botulinum toxin and. The past decade has seen an evolution in the filler market for meaningful volume restoration in the aging face.
The authors have clearly indexed and organized cosmetic injection techniques such that the reader can focus on a specific clinical objective and then have an illustration of injection site anatomy. Assessments and analysis all of the patients underwent singlepoint deep ha filler injection at the midface region. Jul 16, 2015 many techniques have been described to inject filler into the fossa including a fanned pattern of injections, highly diluted filler injection, and the method we describe using a three. The physicians coalition for injectable safety has. They have to be knowledgeable about the anatomy at and around the site of injection. Examine dermal filler techniques and injection methods for the filler lip flip, keyhole pout, cupids bow liftvermillion border definition, lip body volumization and lip tenting evaluate correct patient selection criteria, the elements of a successful aesthetic patient consultation and when and how to tell your clients no. Pdf full lips have always been associated with youth and beauty.
Effect of injection techniques on the rate of local adverse events in patients implanted with nonanimal hyaluronic acid gel dermal fillers. Who best practices for injections and related procedures toolkit. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Lip enhancement into the vermilion border, or the red of the lip, is a commonly soughtafter injection procedure. After a filler rhinoplasty by the single layer technique, spreading of the filler in the glabellar region can sometimes create the appearance of a socalled avatar nose. However, in someone who has a larger forehead, you may need another row of lines. It is readily available in most patients, is a natural tissue, and has the feel of native tissue when injected. Can draw up injectables and prepare syringes for injection, according to office policy and procedures.
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