Brand photoshoot for an Esthetician and Nurse Injector. Brand photo inspiration for your next photoshoot here.

Brand photoshoot for an Esthetician and Nurse Injector. Brand photo inspiration for your next photoshoot here.

In this week's newsletter, we would be touching on the topic regarding dermal fillers which is an injectable fillers into the skin to help in smoothening the aged skin to restore one's youthful appearance. There consist of natural and synthetic fillers, in which natural fillers usually contain hyaluronic acid which can last between 6-12months. Whereas synthetic fillers include poly-L-lactic acid (helps to stimulate collagen production) and calcium hydroxyapatite that last up to 1-2years. Areas d

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J Clin Aesthet Dermatol. 2018;11(8):35–40 by Niamh Corduff, MBBS, FRACS Dr. Corduff is with the Cosmetic Refinement Clinic in Geelong, Australia. Funding: This article was funded by Merz Asia Pacific. Disclosures: Niamh Corduff is a consultant for MERZ Asia Pacific and Australia. Abstract: Soft tissue filler augmentation for beautification is a common aesthetic request from women who wish to enhance facial features. These interventions are performed in both younger and older women and can result in exaggerated or over-augmented lips and cheeks. This unsatisfactory outcome in older women might be due to the inappropriate application of filler enhancement principles that are based the characteristics of a young face. These existing principles do not necessarily translate well to an older face due to underlying facial skeletal changes associated with aging. Mature women might prefer subtler corrections that do not significantly alter their faces, but rather refresh and revitalize their current appearance. Here, the author presents a 12-point revitalization guide, based on personal experience, as an approach for the pan-facial application of calcium hydroxylapatite and hyaluronic acid fillers specific to the aging female face that can result in an understated and age-appropriate appearance. Three illustrative cases are also presented. Keywords: Revitalization, 3D, soft tissue fillers, facial augmentation, aging female face Contemporary aesthetic medicine has undergone paradigm shifts over the last few years in terms of patient requests and social trends. Beauty standards are now based on individuals in their twenties.2–4 These standards of beauty include full lips, high cheeks, and softer, more oval facial shapes, which are often glamorized or sexualized.5 Specific aesthetic interventions applied to aging women according to these standards of beauty can produce outcomes that are incongruous with the aging face and body. Exaggerated cheek and lip enhancements that look pleasing on a young face can create conspicuous discrepancies in the older patient when the underlying aging skeletal framework and facial soft tissue changes are not addressed. While these cosmetic results might be fashionable in some circles and in the media, most older female patients will likely want to avoid the potential social stigma associated with undergoing obvious cosmetic procedures, and thus might seek more subtle improvements in their appearance that focus on health, vitality, and well-being, not youth. To achieve a more satisfactory outcome for this group of patients, a different approach is needed when applying injectable facial fillers—one that is harmonious with, beneficial to, and respectful of a patient’s age and lifestyle. As a consequence of aging, the soft, oval facial shape associated with feminimity can become boxy, stern, or tired looking, and/or more masculine in appearance. This is due to bone loss primarily within the mandible and maxilla, associated ligament laxity, and loss of fat.6,7 This article, based on the author’s personal experience, describes a 12-point revitalization guide to filler use that addresses these underlying three-dimensional (3D) structural facial changes in older women. This guide can be used to restore an understated softness to the aging female face that is simultaneously age-appropriate and in harmony with the rest of the face, neck, and body. These recommendations can be individualized according to patient needs. Three illustrative cases are presented. Methods The guide presented in this article is viewable online in a video (https://merz.wistia.com/medias/zh5j6h2802). Cases. Treatment of the following three female patients (Patient 1, age 54 years; Patient 2, age 42 years; Patient 3, age 36 years) with aging-related facial characteristics are presented. The two younger patients exhibited early signs of facial aging. None of the patients had received fillers in the prior 12 months or botulinum toxin A in the prior six months. The patients had no contraindications to filler injections and consented to needlestick protocols and injections of hyaluronic acid (HA; Belotero®; Merz Aesthetics GmbH, Frankfurt, Germany) and calcium hydroxylapatite (CaHA; Radiesse®; Merz Aesthetics GmbH, Frankfurt, Germany). Full informed consent of injection procedure, including potential complications, and photoconsent were received from all three patients. Preparation. Faces were cleaned with Cetaphil® (Galderma Laboratories, USA) and 0.5%-chlorhexidine. Lignocaine 1% was injected at cannula entry points. Emla™ cream (AstraZeneca, Australia) was applied to the areas in which multiple injections were planned (Figures 1A and 2A), such as the lips, nasolabial folds (NLF), and marionette lines. Standardized photos were taken pre- and post-injection at baseline, two weeks, and four months post-procedure. Procedure. Patients sat upright for injections into all gravity-dependent areas and were supine for injections to gravity-independent areas (e.g., lips and temples). For CaHA injections, 1.5mL was reconstituted with 0.3mL of lignocaine 1% per site. For HA injections, products with different rheological characteristics were used. One HA product had high elasticity, viscosity, and cohesivity (Belotero® Intense, abbreviated to HA-EVC), another had high G-prime and plasticity (Belotero® Volume, abbreviated to HA-GP), and a third had low viscosity and high cohesivity (Belotero® Balance; abbreviated to HA-VC). The first six injection points addressed the three-dimensional framework of the face (Figure 1A). Jawline. A jowl entry-point was created using a 21G needle (Figure 1B), and a 22G cannula was advanced subdermally, inserted just below the lower mandible border toward the mandibular angle. Starting behind the mandibular angle, 0.05 to 0.1mL CaHA deposits (’threads’) were then delivered by retrograde injections and placed underneath the mandible border. This ensured that the width of the lower face mandibular was not increased (Figure 1C and D). The thread of filler was tapered off in a teardrop shape before reaching the jowl. Up to six CaHA threads (total 0.7–1mL) were then delivered here. To treat the anterior mandible, the cannula was advanced anteriorly through the superficial subdermal plane toward the submentum, the anterior limit being in line with the alar base. Three teardrop-shaped CaHA threads (0.3mL–0.5mL) were deposited in a retrograde manner beneath the mandibular ramus, with more being deposited at the pre-jowl sulcus. Following mental nerve blocking, a submental midline entry point was created (Figure 1D). A 22G cannula was advanced from deep to superficial beyond the mental crease up to the vermillion border in the plane between the orbicularis oris muscle and dermis. Four to

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Thinking of getting filler or Botox but not sure where to begin? We've compiled information on every injectable on the market, including their ingredients and which areas of the face they're for.

Background Patients often seek aesthetic correction of facial deficiencies (e.g., lines and folds) that are rarely the underlying cause of dissatisfaction with their appearance. Use of a more holistic approach focused on improving the emotional messages of the face (e.g., looking less sad) may improve patient satisfaction with treatment outcomes. The MD Codes™ system was developed to increase clinician success rates by reducing variability in the technical aspects of hyaluronic acid (HA) filler treatment and focusing on addressing unfavorable emotional attributes of the face. Methods The MD Codes, or medical codes, represent specific anatomical subunits for injection of HA fillers. Each MD Code includes information regarding the target depth of injection, the proper delivery tool (needle or cannula) and delivery technique (e.g., aliquot, bolus, fanning), and the minimum product volume recommended to achieve visible, reproducible results (active number). During treatment planning, the appropriate MD Codes are selected using algorithms focused on lessening unfavorable facial attributes (a saggy, tired, sad, or angry look) and enhancing positive attributes (an attractive, younger, more contoured, or feminine [soft] or masculine look). Results Three case studies are presented to illustrate how the MD Codes and their algorithms were used to address sagginess, tiredness, and sadness in two women and one man. Conclusions MD Codes provide a universal symbolic language for reducing variability in injection technique. The platform provides user-friendly algorithms to help clinicians increase patient satisfaction by going beyond treatment of lines and folds and to focus on reducing unfavorable facial attributes. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

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Introduction What are Platlet Rich Plasma Injections (PRP)? They are injections in which the natural factors that our blood posses for growth and renual are enjanced for reguvenation treatment. ‌Wh…

Hello Wellness Seeker! Embark on a journey to nourish your mind, body, and soul with the diverse and inspiring content found on Pinterest. Here are curated categories to guide you through a wellness...