"Volume4Volume"
Handchir Mikrochir Plast Chir 2013; 45: 1-9
XIII Spring Academy of the Association of German Aesthetic Plastic Surgeons
Between classic and modern: methods in aesthetic plastic surgery
Signs of ageing of the face can be characterised by the reversal of vectors. The initially youthful face (V-shape) changes into so-called negative vectors due to structural changes in tissue and bone, combined with loss of volume and ptosis. A variety of degradable and non-degradable products are now available for simple wrinkle treatment, which can be used to fill superficial and medium-deep wrinkles. However, these substances often reach their limits with larger volume deficits. Calcium hydroxylapatite, as a degradable filler substance, is characterised by a good lifting capacity. Furthermore, the product is excellent for modelling in order to restore or recreate specific facial contours. This not only provides a good alternative to the treatment of deep wrinkles (nasolabial, marionette, mentolabial). Targeted volume augmentation can technically achieve both a lateral and vertical lift as well as an anterior projection and thus a corresponding facial rejuvenation. Contour defects in the facial area (e.g. bridge of the nose, lower jaw or chin) can also be treated well by targeted application of the preparation. The treatment combination of volume fillers with botulinum, hyaluronic acid fillers and natural hyaluronic acids enables a facial design and therefore represents a good concept for the treatment and harmonisation of facial changes. The corresponding facial modelling can be an alternative to a surgical face lift for selected patients.
Source: Montanari, M., Handchir Mikrochir Plast Chir 2013; 45: 1-9