Effective Rejuvenation with Hyaluronic Acid Fillers: Current Advanced Concepts

Plast Reconstr Surg. 2019 Jun;143(6):1277e-1289e. doi: 10.1097/PRS.0000000000005607.

Abstract

Learning objectives: After studying this article, the participant should be able to: 1. Process several patient-specific factors before reaching an optimal treatment strategy with appreciation for facial balance. 2. Define the advantages and disadvantages of various hyaluronic acid preparations and delivery techniques, to achieve a specific goal. 3. Perform advanced facial rejuvenation techniques adapted to each facial zone, combining safety considerations. 4. Prevent and treat complications caused by inadvertent intraarterial injections of hyaluronic acid.

Summary: The growing sophistication and diversity of modern hyaluronic acid fillers combined with an increased understanding of various delivery techniques has allowed injectable filler rejuvenation to become a customizable instrument offering a variety of different ways to improve the face: volume restoration, contouring, balancing, and feature positioning/shaping-beyond simply fading skin creases. As more advanced applications for hyaluronic acid facial rejuvenation are incorporated into practice, an increased understanding of injection anatomy is important to optimize patient safety.

Publication types

  • Video-Audio Media

MeSH terms

  • Cosmetic Techniques
  • Dermal Fillers / administration & dosage*
  • Female
  • Humans
  • Hyaluronic Acid / administration & dosage*
  • Injections, Intradermal / adverse effects
  • Injections, Intradermal / methods
  • Lip / drug effects
  • Male
  • Middle Aged
  • Pain / prevention & control
  • Rejuvenation / physiology*
  • Risk Factors
  • Skin Aging / drug effects
  • Skin Pigmentation / physiology

Substances

  • Dermal Fillers
  • Hyaluronic Acid