Recreating the Triangle of Youth
With new aesthetic products being introduced every year, new advanced techniques to deliver these products are also introduced. Tissue filler injection techniques have evolved from filling fine lines to liquid facelifts utilizing more volume, which in some cases resulted in the unwanted appearance of a "pillow face" appearance.
When a patient looks at her face in a mirror, she usual sees nasolabial folds, marionette lines or dark undereye circles from volume loss. Volume replacement in the mid- to lower face to address these folds can result in changing the face to a more aged rectangular shape. The aesthetic goal is to regain the so-called triangle of youth, with a narrow chin and jawline.
The introduction of Voluma and its associated techniques has allowed us to recreate the triangle of youth and renew the "Oggi" curve of the cheek. Voluma has more cohesiveness than other fillers and creates an anchor for the skin when injected over the zygomatic arch. By using this approach first, I have found that I can provide a better correction with less product. Anchoring the filler over the zygomatic arch allows for a lift of the nasolabial folds, jowls and also improvement of the marionette lines. I then proceed to treat these areas (if still needed) with fillers that are less cohesive. I end up using significantly less product.
Take the time to assess the patient using photographs at various angles and review the photos together as you discuss your plan for treatment. This helps the patient understand your approach. Limitations to this technique include restricted patient budget; you may be able to provide only one syringe of product and end up focused on the nasolabial folds. Patient education about the need for progressive treatment to achieve their desired results is extremely helpful to achieving patient understanding and satisfaction.