By Ramsey J. Choucair, M.D.
When it comes to facial injectable fillers, how do we know which areas are the best to fill?
It might be surprising to note that there are areas of the face where traditional facelifting and surgical options are minimally effective. As a result, injectable fillers now serve as an excellent option to address those areas. Plus, the most common sites for the injection of facial fillers have been well-established.
The most optimal facial rejuvenation result is always based on individualized evaluation and treatment by an experienced board-certified plastic surgeon. As we say, it’s not often “how” the treatment is performed as much as determining “what” treatment to perform.
What are the Best Injection Sites and Why?
A. The Cheeks or Cheek Area
Volume loss in the cheek contributes to aging and often deepens the nasolabial fold (crease from the corner of the nose down to the corner of the mouth) and this aging characteristic is minimally improved with surgery. Well placed filler in the cheek can provide significant benefit and is undetectable when expertly performed.
B. The Perioral Area
The area around the mouth, including the lips, is an area that exhibits volume loss with aging. The deep crease at the corner of the mouth that typically extends down to the chin, often referred to as the marionette line, depicts a frowning or dour appearance. Surgical techniques will only minimally improve these folds. Additionally, a youthful face has full lips, but not overfilled lips! Precise and conservative filler treatments to the perioral area and lips often yield wonderful benefits.
C. The Temples
The hollowness of the temples or temple region may be overlooked in the aging face. Looking back at youthful photographs of oneself, there is a subtle, yet significant temple fullness seen in a more youthful face. Filling the temples recreates this youthful convexity or shape to the upper face.
D. The Periorbital Area
The areas around the eyes (periorbital area) loses volume with aging and the orbital bones become more exposed. Fillers injected around the orbital bones are valuable in softening the skeletonized, aging appearance of the orbital region.
The injection of fillers has become a mainstay in our armamentarium for treating the aging face. Oftentimes surgical intervention is the best option, however, volume loss requires restoration with injectable fillers. So how do you know what to do?
Consult an expert. The expert recommendations of an experienced board-certified plastic surgeon can assist you in determining the optimal treatment choice or choices as well as the correct timing of when these procedures would need to be performed.
For more information on Dallas Plastic Surgeon, Ramsey J. Choucair, M.D., please feel free to visit his website at http://www.drchoucair.com