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Facial rejuvenation with fillers over the last twenty years, leading to the coming of a new era with hyaluronic acid. The first book in the Master Collection addressed indications and technique for the injection of botulinum toxin. This new work extends our work on facial rejuvenation to the field of volumising injections. The topic is of great importance given that the fight against aging is not just a trivial question of fashion but is essential to an individual’s well-being and social relationships. Major progress in the techniques of facial rejuvenation in the last decade This is an opportune moment for such a review insofar as there has been major progress in the techniques of facial rejuvenation in the last decade. The broad range of different resources available to us today means that we now often have extensive choice when making our therapeutic decisions. However, none of us would want to cross the ill-defined line between pleasing, natural, balanced rejuvenation and a radical change in facial equilibrium. Medicine and aesthetic surgery are complementary disciplines, both developing quickly but not in competition. The indications for one or the other must always be followed with utmost rigour. The road to excellent outcomes passes by combining the various different methods available to us and by acting together with other experts. All experts agree on the efficacy of hyaluronic acid From the first timid filling in of wrinkles barely twenty years ago, through focused filling treatments and ultimately global injection of the whole face, the journey has been long and sometimes difficult but always full of lessons. Many different products have been used. Some turned out of have a short lifetime and others had adverse effects, serious ones in some cases. Finally, one compound emerged from the pack and now all experts agree on its efficacy; that compound is hyaluronic acid. Philippe Garcia, MD Forewords FOREWORDS TO ANATOMY AND VOLUMISING INJECTIONS Presentation of our approach necessary to determine the relationships between various anatomical planes into which we inject fillers. The authors of this book have chosen to review the basic anatomy By performing serial dissections plane by plane, we have identified safe areas as well as potential hazards. This approach seemed necessary to determine the relationships between the various anatomical planes into which inject fillers. An essential part of this approach is detailed analysis of the different fat compartments which play such an important part in age-related changes to the face. Our work was completed by the dissection of muscles and septa, as well as the identification of their relationship with the fat compartments. These structures are particularly important when it comes to treatment of the infraorbital region and the mandibular line. Therefore, facial aging can no longer be exclusively attributed to the consequences of slippage of the various planes under the influence of gravity, as used to be believed. Process of facial aging is far more complex It is now obvious that the process of facial aging is far more complex. It is even generally accepted now that downward displacements of the fat compartments in the face are controlled by a series of different septa and other ligaments (both false and true) to which they are attached. Moreover, it is also likely that these fat compartments change with time by shrinking and expanding. In the same spirit, what used to be seen as distension of the tissue associated with the muscles of the face and neck could sometimes be a muscular contracture. Probing the exact mechanisms underlying facial aging brings us into a world rich in surprises. And experts from all fields have not finished surprising us with their imagination and enthusiasm. Philippe Garcia,
How to inject According New Anatomical Evidences. Opening this book the reader will dive into the new anatomy world of the fat compartments of the face. He will discover, trough the analysis of more than 400 images of focused fresh cadaver dissections, the clinical anatomy useful to perform safe and effective modern injection procedures in the upper and middle third of the face. According the newest anatomical evidences, the modern concept of “Fat Compartment Anatomy Related Injections” developed in the last 10 years by Dr. Ingallina is described and illustrated in depth. Inside the Reader will find: More than 400 images of fresh cadaver dissection with multi colour stained compartments and injected vessels. More than 100 images over- drawn to facilitate the comprehension of the anatomy of septa and ligaments. Several images of the different pathways of the arteries and veins of the face and focused chapters on related dangers. Several images of the author’s face showing how to read the deep anatomy only through the recognition of specific cutaneous landmarks.
Injections of dermal fillers have shown tremendous year–on- year growth since their introduction. Although dermal necrosis has been reported with HA fillers, this adverse event is typically far less severe with HA fillers than with non –HA fillers (with prompt diagnosis and treatment). Anatomy and Filler Complications emphasizes on the importance in training and educatingphysicians. Prevention is the only recourse, as it will be discussed extensively in this book Injections of dermal fillers have shown tremendous year–on- year growth since their introduction. Although dermal necrosis has been reported with HA fillers, this adverse event is typically far less severe with HA fillers than with non –HA fillers (with prompt diagnosis and treatment). Anatomy and Filler Complications emphasizes on the importance in training and educating physicians. Prevention is the only recourse, as it will be discussed extensively in this book
With the ever-increasing popularity of injectable toxins and fillers, all clinical practitioners in minimally invasive aesthetic procedures need to be experts in the anatomy of the face. This is a detailed and informative guide from international experts to all aspects of the facial anatomy of the presenting clinical patient - how it changes with age, how it differs in different patients, how it is layered, and what danger zones it may contain. An integral ebook contains videos demonstrating how injection can best be accomplished in each of the anatomical areas considered.
For safe aesthetic and regenerative medicine The knowledge of anatomy simplifies the injection of fillers, fat and threads. By the 5 layers anatomy-based protocol, it is easier to do medical treatments preserving the nerves and the vessels. The step by step approach is the best prevention of disastrous complications such as necrosis or blindness. The specific proportions and indications for treatment in Asian patients are discussed. Contents: Proportions 1 Introduction 32 Cutis 38 Hypodermis 46 Smas and muscles 66 Deep compartments 130 Bone 152 Danger zones, nerves and vessels 158 Materials 188 The 9 suggestions 223
Our 360 degrees approach to lip enhancement Due to their complexity, the structure and function of the orbicularis oris muscle particularly caught our attention. This unusual circular muscle around the buccal opening, which is not attached to any bone, consists of intertwined fibres that simultaneously act as a dilator and a sphincter. Moreover, the peripheral fibres of this muscle are interlaced with the peribuccal muscles enabling the infinite variations of facial expressiveness. It is essential to understand all of these elements so that they are rigorously safeguarded when undergoing the various type of treatment we can offer. The second common thread in our book is based on highly practical aspects of the various procedures being proposed. From working environment and preparation of the equipment through well whether anaesthesia is indicated and what operating technique is recommended, the contributors have described their personal technical preferences in a context of consistency in this collective effort. Thus we have addressed lip rejuvenation and augmentation with the same balance. Although most of the authors routinely use hyaluronic acid in the course of treatment, it seems to us indispensable to pay special attention to techniques based on the grafting of adipose tissue. The use of adipose tissue, which demands mastery of surgical techniques, has shown itself to be efficient and holds yet more potential in many applications because of the way in which this type of tissue develops in situ after fat grafting. Physicians and surgeons involved in the lip enhancement are working to the same end. We should know all about the sites where we make our injections and to need to analyse with rigour the objective established together with the patient. We all have to take into account the natural balance of the various volumes when remodelling lips to ensure a pretty smile that brings pleasure all around. In this, as in other areas, modesty and caution are the watchwords. In writing and publishing this work Expert 2 Expert attempts to build a bridge between the anatomical knowledge essential to our praxis and the routine practice of lip enhancement procedures. Philippe Garcia, MD
The quintessential visual guide to facial aesthetic enhancement and dermal filler injection techniques from top experts In-depth and detailed knowledge of anatomy, different facial shapes, and ethnic origins is essential to delivering safe, effective, natural, and harmonious aesthetic facial treatment results. Dermal Fillers: Facial Anatomy and Injection Techniques is the culmination of many years of expertise decrypting facial anatomy as it applies to aesthetic enhancement of the face. This visually rich atlas is authored by internationally renowned Brazilian dermatologists André Braz, an esteemed expert in the use of botulinum toxin, fillers, and lasers; and Thais Sakuma, a distinguished lecturer in the application of botulinum toxin and hyaluronic acid fillers. Nineteen highly practical, concise, and didactic chapters are organized consistently with structured text at the beginning of each chapter. The book encompasses the application of injection techniques for the full spectrum of indications, from softening wrinkles to facial contouring. Important topics include facial assessment, hyaluronic acid science, facial aging, and regional nerve blocks for pain management. Meticulous anatomic descriptions and images depict the relationships between superficial and deeper structures such as vasculature, thereby providing vital knowledge to help clinicians avoid potentially serious complications. Key Features: Systematic organization based on aesthetic zones, from superficial to deep Richly illustrated, with 1664 outstanding drawings, remarkable cadaver dissection images, and patient photos Seventeen concise video sequences elucidate key injection techniques Comprehensive coverage of potential complications, such as unintended injection of filler into vasculature Expert discussion of safety issues, potential pitfalls, and the naturalness of expected outcomes This is the ultimate resource for all dermatologists, plastic surgeons, and non–core practitioners who wish to expand their practices to offer complex facial cosmetic injection techniques and achieve optimal patient outcomes.
The injection of cosmetic neurotoxins and fillers is a multi-billion dollar industry in which facial plastic surgeons, plastic surgeons, dermatologists, oculoplastic surgeons, and paraprofessionals in the U.S. perform more than seven million injections annually. Cosmetic Injection Techniques and the videos that accompany it provide all medical professionals in the field (from beginners to experienced injectors) with practical information on how to properly administer neurotoxin and filler injections for conditions such as lower eyelid roll, nasal flare, platysmal banding, marionette lines, glabellar frown lines, and much more. Key Features: Full color, detailed illustrations describe key anatomical landmarks and identify exact injection locations Online access to videos narrated by Dr. Kontis that demonstrate multiple injection techniques A unique rating system for each procedure, enabling injectors to perform techniques appropriate to their skill level Every commonly performed cosmetic injection procedure is covered, giving readers a comprehensive guide on how to safely and effectively perform injections This easy-to-use manual gives facial plastic surgeons, plastic surgeons, dermatologists, oculoplastic surgeons and other medical professionals authoritative, concise information on the anatomy, techniques, precautions, complications, and post-treatment care involved in the administration of injections of cosmetic neurotoxins and fillers.
An ideal "how-to" guide for those who perform musculoskeletal injections, this unique resource by Drs. Gina M. Allen and David John Wilson demonstrates how to make the most out of the clear visualization provided by ultrasound-guided techniques. High-quality line drawings, clinical photographs, and ultrasound images clearly depict patient presentation, relevant anatomy, and sonoanatomy. - Clear, concise text and numerous illustrations make this reference your go-to source on today's ultrasound-guided musculoskeletal injections. - Bulleted text follows a quick-reference template throughout: clinical/ultrasound findings, equipment, anatomy, technique, aftercare, and comments. - Each chapter covers the entire injection process with text on the left-hand page and corresponding images on the right. - Useful for clinicians in radiology, sports medicine, rheumatology, orthopaedics, pain medicine, and physical therapy – anyone who needs a clear, current guide to this minimally invasive treatment option for pain relief.
The knowledge of anatomy simplifies the injection of fillers, fat and threads. By the 5 layers anatomy-based protocol, it is easier to do medical treatments preserving the nerves and the vessels. The step by step approach is the best prevention of disastrous complications such as necrosis or blindness.