Today, 82% of Americans who choose a cosmetic surgery procedure are avoiding invasive surgeries in favor of nonsurgical solutions for cosmetic enhancement. Dermal fillers are one of the most popular procedures in the country among patients who want to “turn back the clock,” but treatment of a problem line or crease with a dermal filler should be considered in the context of other changes in the patient’s face. The best approach to provide a natural and youthful appearance takes into account the patient’s particular fat-loss and wrinkling pattern in all three facial “zones,” with treatment targeted to provide a harmonious and symmetric result.
Volume loss and development of facial folds and creases sometimes proceeds more rapidly on one side of the face or in one zone. An observant cosmetic physician will able to identify areas of volume loss you may have overlooked, in order to provide the best possible result from your procedure. A symmetric appearance is harmonious and appealing, so your treatment should aim to restore symmetry to achieve the most attractive result.
Volume loss and wrinkling also occurs differently in each zone of the face, from top to bottom. The regions of the face are each vulnerable to specific well-characterized changes associated with aging. The zones of the face can be divided into three parts, each with unique structures, tissue distribution, and mechanical stressors over time. Although change in one area may be more apparent to you initially, your doctor may suggest injection in multiple areas simultaneously to produce a more natural and aesthetically pleasing appearance. Improvement in one area can highlight changes associated with aging in areas left untreated.
The upper third of the face includes the forehead, eyebrows, eyelids, and glabella, the area between your eyes. This zone is often marked by wrinkles that are the result of facial expressions over time, particularly squinting and frowning. Tissue under the eyes is delicate and may develop wrinkling from loss of elasticity. Volume loss, textural changes and pigment discoloration also occur in the upper zone of the face. The eyebrows can droop with aging and tear troughs may appear accentuated from volume loss under the eye. Lids on both upper and lower eye often become baggy and wrinkled.
The middle zone of the face includes the mid-cheek, low-lateral cheek, and nose, and the nasojugal groove. The cheeks are particularly subject to volume loss, representing a potential area of great improvement. The mid face in youth has a rounded appearance, but as we age, it deflates like a beach ball. Structural changes can also occur in the nose with age, including a nasal droop in some patients. Volume enhancement in the mid face is a high-yield procedure for most people seeking rejuvenation of their appearance.
An area where deep folds often develop, the lower third of the face includes the lips, chin, and the perioral region. Marionette lines, from the mouth to the jaw, and deep lines between the nose and corners of the lips are typical changes seen in the lower face as we age. The border of the jaw can become irregular and fat loss can also accentuate the appearance of jowls. The lips often loose volume, shape, and definition and people develop wrinkling around the lips.
The best results are achieved only after careful consideration of the severity and distribution of age-related volume loss. The volume of filler should be adequate to produce balanced and attractive results, although patients should be aware that sometimes combination treatments are required for optimal facial enhancement. Your doctor may recommend additional procedures like resurfacing or radiofrequency skin tightening, which can sometimes be done in conjunction with injection of dermal fillers.
When considering the choice of dermal filler, doctor and patient discuss should factors that include the desired length of affect, cost, and potential side effects. Each filler is associated with both benefits and disadvantages. There are a variety of techniques employed by experienced cosmetic physicians to produce the best results. Techniques used to achieve harmonious enhancement results include layering of fillers, variation in injection pathways, and use of multiple injections in some facial areas.
When choosing a cosmetic dermatologist, be certain that a variety of options are available for your treatment. Each patient has unique needs, so there is no “one-size-fits-all” solution. If you are considering rejuvenation and facial enhancement, call us today to schedule your appointment for a consultation at one of our convenient locations in Beverly Hills, Glendale, or Encino.