Avoiding Aesthetic Errors In Facial Volumization
Posted: 6:00 a.m. Sunday, Aug. 6, 2017
By Anita Mandal, M.D.
Question: How do you know where to place the fillers to give a natural result and prevent a mistake? I would think it becomes especially important when doing fat injections or a long-term filler like Bellafill which lasts 5 years.
Answer: I just returned from Vancouver where I was speaking at an aesthetics plastics conference in which experts in our field spoke from all around the world. The title of my presentation was coincidentally “Avoiding Aesthetic Errors in Facial Volumization”.
In being invited to speak at several international plastic surgery conferences in the past year, I’ve chosen this topic for important reasons. First, facial volumization has become a mainstream trend in plastic surgery, particularly for facial rejuvenation. Second, facial volumization is not as simple as filling in a few facial lines with a little Restylane or Juvederm. A good result requires a much higher skill set, on the part of the injector, and a much more comprehensive understanding of aging facial anatomy. Also, over the past 22 years, I’ve developed some unique and effective injection techniques and pearls that are the foundation for creating natural results and minimizing volumization errors in my practice. Finally, I wanted to share and teach these special techniques to my colleagues to guide them in achieving more natural results and change the faulty perception that fillers give an unnatural look.
It was interesting how well received my facial volumization approach was at these conferences. One key aspect of my presentation covered the pivotal role that the lateral malar facial subunit plays in setting the mid-facial framework. There were many good questions in the audience and the number of questions asked in response to a presentation is always a strong indicator of how appealing a topic is. It was encouraging to see how many of my colleagues came to appreciate the importance of the different facial aesthetics zones I’ve developed as a key part of natural volume restoration to the aging face.
Of course, this has led to several other invitations around the globe to discuss my volumization approach and teach other plastic surgeons through live injection courses. What was especially notable was that while so many of my plastic surgery colleagues have traditionally been big believers in surgery as the best solution to facial rejuvenation, after my presentation, they were much more open to the possibility of giving effective results through alternative, non-surgical approaches.
It’s nice to see that at least some part of the plastic surgery community is open to these innovative approaches and technologies. This open mind is the key to providing not only satisfactory results to patients but also to achieving the ideal of a natural result which we all strive for and patient’s desire.