In our esthetics-obsessed culture, patients are becoming more aware and demanding of dermal filler treatments. Yet all too often we hear news stories of botched procedures or anesthesia gone wrong. This book walks you through how to incorporate dermal fillers into your clinical armamentarium, starting with the basic characteristics of the materials and advancing to the injection techniques and clinical indications for their use. The author includes such fine detail as whether to use a needle versus a cannula and why you must understand the precise tissue layers of the face in order to effectively deliver this nuanced treatment. In step with its sister volume, Botulinum Toxin for Facial Harmony, the book focuses on facial analysis as a crucial step in determining appropriate treatment, a philosophy that is carried through the entire book. An entire chapter is devoted to clinical cases illustrating the various facial regions and their appropriate filler applications, clearly demonstrating how to use the techniques presented to optimize esthetics and facial harmony. Supplemental material and videos are available via QR code for additional learning.
Author(s): Altamiro Flávio
Edition: 1st
Publisher: Quintessence Publishing Co, Inc
Year: 2019
Language: English
Pages: 177
Tags: Esthetic Dentistry
Dermal Fillers for Facial Harmony......Page 1
Flavio Frontmatter......Page 2
Dedication......Page 3
Contents......Page 5
Foreword......Page 7
Preface......Page 8
Chapter 1: Facial Anatomy......Page 10
Facial Aging......Page 11
Superficial Muscular Aponeurotic System......Page 13
Blood Supply to the Face......Page 16
References......Page 18
Chapter 2: History, Classification, and Characteristics of Fillers......Page 20
History of Fillers......Page 21
Classification of Fillers......Page 23
Hyaluronic Acid......Page 27
References......Page 29
Chapter 3: Injection Planes and Techniques......Page 32
Planes of Injection for Fillers......Page 33
Injection Techniques......Page 36
References......Page 39
Chapter 4: Complications......Page 42
Vascular Obstruction and Skin Necrosis......Page 44
Undesired Volume......Page 46
Hyaluronidases......Page 47
Case Report: Ischemia......Page 49
Case Report: Lumps......Page 56
Case Report: Dissolution of Excessive Volume......Page 59
References......Page 60
Chapter 5: Facial Analysis for Dermal Filler Injections......Page 62
Presenting the Esthetic Diagnosis and Treatment......Page 63
Facial Measurements......Page 65
Frontal Facial Diagram......Page 69
Profile Proportions and Diagram......Page 74
Average Horizontal Dimensions in Frontal View......Page 79
Average Vertical Dimensions in Frontal View......Page 86
Average Horizontal Dimensions in Profile......Page 89
Important Facial Proportions for Filling Procedures......Page 93
Important Facial Ratios for Filling Procedures......Page 99
References......Page 101
Chapter 6: Facial Anesthesia for Filling Procedures......Page 104
Innervation of the Face......Page 105
Important Considerations for Anesthesia Administered in the Lip Area......Page 112
Innervation of the Neck......Page 114
Filling Procedures and Target Nerves......Page 117
Vasoconstrictors......Page 119
References......Page 120
Chapter 7: Facial Regions and Possible Filler Therapies......Page 122
Injection Location......Page 123
Perception of Facial Anatomy......Page 128
Diagram for Treatment with Fillers......Page 129
Restructuring the Orbit......Page 131
Nasion......Page 133
Zygomatic Arch Restructuring......Page 136
Infraorbital Hollowness......Page 139
Malar Depression......Page 142
Chin Augmentation......Page 145
Nasolabial Fold......Page 147
Subnasale Point......Page 151
Supratip......Page 154
Prejowl Sulcus......Page 156
Submental Lengthening......Page 158
Gonial Angle......Page 161
Lip Vermilion......Page 163
References......Page 168
Index......Page 170
