Search Our Scientific Publications & Authors

Infect Drug Resist 2019 20;12:469-480. Epub 2019 Feb 20.

Department of Microbiology, Medical University of Warsaw, Warsaw, Poland,

Purpose: Late bacterial infections (LBIs) after esthetic facial augmentation using hyaluronic acid (HA) fillers are relatively rare yet severe complications that are difficult to treat. No adequate treatment standards have hitherto been formulated. We have bridged this gap by formulating a treatment scheme based on the principles of treating foreign-body implantation-related infections and treating bacterial growth in the form of biofilm. Read More

J Cosmet Dermatol 2019 Feb 26. Epub 2019 Feb 26.

Faculty of Medicine, Tanta University, Tanta, Egypt.

Background: The popularity of dermal fillers has grown rapidly in the last few years for facial rejuvenation. Plasma gel is an autologous gelatinous material that is prepared from the patient's own platelet poor plasma.

Objective: To evaluate the clinical efficacy and safety of plasma gel injection as a dermal filler for facial rejuvenation. Read More

Int J Womens Dermatol 2019 Feb 13;5(1):52-67. Epub 2018 Dec 13.

Department of Oculoplastics, University of California San Diego, San Diego, California.

Newer understanding of volume loss as a critical component of facial aging and the integration of volume replacement into the surgical and nonsurgical therapeutic algorithm is arguably the most significant recent development in the field of facial rejuvenation. As all structural tissues play a role in the aging face, restoring youthful characteristics (or establishing them where they are congenitally absent) starts from the skeletal framework and builds progressively to the canvas of the face. The purpose of this article is to provide an introduction and brief summary of some of the current concepts concerning facial anatomy and the anatomy of facial aging, which serve as the basis for predictable and reproducible results with the use of injectable fillers. Read More

Clin Exp Dermatol 2019 Feb 21. Epub 2019 Feb 21.

Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Background And Objectives: Treatment options for atrophic acne scars include the use of various energy-based devices (EBDs) and dermal fillers.

Aim: To evaluate the level of improvement and safety of four treatment modalities for atrophic acne scars employed in our center.

Methods: We reviewed the medical records of all acne scar patients treated between 2013-2016 with one of four treatment modalities: ablative fractional CO2 laser (FACL), the radiofrequency (RF) bipolar device, the 1540 nm non-ablative fractional laser (NAFL), and the injection of diluted calcium hydroxylapatite (CaHA). Read More

Aesthet Surg J 2019 Feb 19. Epub 2019 Feb 19.

Private practice in Seoul, Korea.

Background: During aging, facial skin thins, atrophies, and loses elasticity. Subdermal filler injections can volumize and treat wrinkles but cannot directly change dermal thickness. Polycaprolactone (PCL)-fillers can improve skin texture and quality through dermal thickening and inducing neocollagenesis. Read More

J Drugs Dermatol 2019 01;18(1):86-91

Background: Calcium hydroxylapatite (CaHA, Radiesse®) with integral 0.3% lidocaine (CaHA(+)) has recently been approved for use in aesthetic medicine. This study assessed the performance of CaHA(+) in subjects undergoing treatment for facial volume loss and evaluated subject and physician satisfaction. Read More

J Drugs Dermatol 2019 01;18(1):67-74

Objective: To study the safety, efficacy, optimal volume, and longevity of an injectable hyaluronic acid (HA) gel dermal filler to treat facial temporal fossa fat loss. Methods and materials: This open-label, single-site, 12-month study used 20 mg/mL HA gel to correct volume loss in both temples in 30 subjects. Touch-ups were allowed at week 2. Read More

Aesthet Surg J 2019 Jan 14. Epub 2019 Jan 14.

Department of Maxillofacial Plastic Surgery, Division of Dental and Maxillofacial Surgery and the Department of Public Health and Community Medicine, Unit of Epidemiology and Medical Statistics, G.B. Rossi Hospital and Medical University of Verona, Verona, Italy.

Background: The bad outcomes of a facial trauma could have a strongly negative psychological impact and compromise patient's quality of life. Unfortunately, surgery cannot always solve this problem or give an acceptable result.

Objectives: Aesthetic medicine treatments with injectables may provide a solution that is minimally invasive and more accepted by the patients in improving bad outcomes after facial trauma. Read More

Ned Tijdschr Geneeskd 2019 Jan 3;163. Epub 2019 Jan 3.

Erasmus MC, afd. Dermatologie, Rotterdam.

The use of fillers for cosmetic improvement is increasing. As a result, the number of complications is rising too. Being confronted with facial nodules of unknown origin, many doctors who are not involved in cosmetic medicine are not inclined to consider filler complication as part of a differential diagnosis. Read More

Plast Reconstr Surg 2019 01;143(1):53-63

Albany and New York, N.Y.; Sacramento, Calif.; Munich, Germany; Zurich, Switzerland; and Salzburg, Austria From the Department of Medical Education, Albany Medical College; private practice; Facial Plastic and Reconstructive Surgery, University of California, Davis Medical Center; the Department for Hand, Plastic and Aesthetic Surgery, Ludwig Maximilian University; the Division of Thoracic Surgery, University Hospital Zurich; and the Department of Radiology, Paracelsus Medical University Salzburg & Nuremberg.

Background: Injection of soft-tissue fillers into the facial fat compartments is frequently performed to ameliorate the signs of facial aging. This study was designed to investigate the functional anatomy of the deep facial fat compartments and to provide information on the effects of injected material in relation to age and gender differences.

Methods: Forty fresh frozen cephalic specimens of 17 male and 23 female Caucasian body donors (mean age, 76. Read More

Vestn Oftalmol 2018 ;134(5):61-71

Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021.

Purpose: To evaluate the effectiveness of injectable implants made of hyaluronic acid gel (HAG) in ophthalmoplastics.

Material And Methods: The study included 57 patients (37 patients with lagophthalmos related to acute or chronic facial nerve palsy, endocrine ophthalmopathy; 20 patients with enophthalmos, anophthalmic syndrome). Depending on filler particle size, the patients received either intrapalpebral or intraorbital HAG injection. Read More

Prim Care 2018 Dec;45(4):705-717

Department of Family Medicine, University of Kansas School of Medicine, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA. Electronic address:

Plastic surgery is a broad field, including maxillofacial surgery, reconstruction after injuries, hand surgery, and skin flaps and grafts, but the most common procedures for women are liposuction and body contouring, breast surgery, and facial cosmetic procedures. Techniques of face and brow lifts, blepharoplasty, and rhinoplasty are discussed as well as botulinum toxin and filler injections, and laser and pulsed light techniques that may delay or eliminate the need for surgery. Comparison of the surgeries for breast reconstruction, reduction, augmentation, and mastopexy is discussed. Read More

J Cosmet Dermatol 2018 Dec 25;17(6):1025-1030. Epub 2018 Oct 25.

Aesthetic Medicine Centre, Amsterdam, The Netherlands.

Calcium hydroxylapatite (CaHA) is a commonly used soft tissue filler for aesthetic facial improvement, in particular for the lower and mid-face. The golden standard for upper facial filler indications is hyaluronic acid (HA) injection. In this report we investigate the safety, efficacy and complication rates after injections of CaHA to the upper third of the face using a variety of different techniques. Read More

Dermatol Surg 2018 11;44 Suppl 1:S32-S41

Department of Plastic Surgery, Lenox Hill Hospital, New York, New York.

Background: Calcium hydroxylapatite (CaHA) is approved to correct moderate-to-severe wrinkles and folds and soft-tissue volume loss in the face and hands. More recently, subdermal injection using diluted CaHA has been used to improve skin laxity.

Objective: To review evidence for the safe and effective use of diluted CaHA in the face and body and provide best practice recommendations. Read More

Dermatol Surg 2018 11;44 Suppl 1:S10-S18

Galderma Aesthetics, Uppsala, Sweden.

Background: Acne scarring affects most patients with acne and have a negative impact on quality of life. New effective treatment options offering minimal downtime are therefore needed.

Objective: To evaluate improvement in overall facial appearance after hyaluronic acid (HA) treatment of atrophic acne scars. Read More

Dermatol Surg 2018 11;44 Suppl 1:S2-S4

Department of Dermatology, Carruthers Dermatology Centre, Vancouver, British Columbia, Canada.

Background: Worldwide, the brow is the most common facial site to receive aesthetic treatment. However, the forehead above the brows has been comparatively less well studied with respect to both neuromodulators and fillers. Age-related remodeling of the forehead with loss of facial bone has been demonstrated on detailed radiographic studies. Read More

Clin Cosmet Investig Dermatol 2018 10;11:467-475. Epub 2018 Oct 10.

Victoria Park Medispa, Montreal, QC, Canada,

Background: Loss of the viscoelastic properties of the skin is a primary sign of aging and contributes to the appearance of wrinkles. Hyaluronic acid (HA) fillers are one of the most commonly used treatments for age-related soft-tissue reduction and volume loss. Evidence is also emerging that HA fillers rejuvenate the skin. Read More

Aesthet Surg J 2018 Oct 18. Epub 2018 Oct 18.

Division of Plastic Surgery, Hospital Le Belvedere, Mont Saint Aignan, France.

Background: Although many facelift techniques incorporate fat grafting with tissue repositioning and removal, the intermediate and long-term changes in facial volume after these techniques is unknown. Whereas fillers for facial volume have predictable life spans, we know little about the facial volume changes following fat grafting with facelift surgery.

Objectives: To track the short-term and long-term effects on midfacial volume change. Read More

J Plast Reconstr Aesthet Surg 2019 Jan 27;72(1):131-136. Epub 2018 Sep 27.

Department of Plastic and Reconstructive Surgery, University Hospital Nice, Pasteur 2, 30, avenue de la Voie Romaine, 06000 Nice, France.

Background: Over the past decade, cosmetic injections of dermal fillers or fat have become a popular procedure in facial rejuvenation in an overconsuming society. However, complications such as arterial embolism and occlusion can occur even with experienced injectors, especially in high-risks zones namely the glabella, the nasal dorsum or the nasolabial fold. The aim of this study was to define the vascular danger zones of the infraorbital area in order to provide guidelines helping avoid them. Read More

Facial Plast Surg 2018 Oct 8;34(5):466-473. Epub 2018 Oct 8.

Division of Facial Plastic Surgery, Advanced Facial Plastic Surgery Center, Dallas, Texas.

The periorbital and forehead regions are among the most expressive parts of the face. A thorough understanding of the complex facial anatomy and aesthetic norms are essential when evaluating and treating a patient for facial brow rejuvenation. Not only will knowledge of the anatomy enhance facial injection and surgical outcomes, but will also diminish potential complications. Read More

Int J Biol Macromol 2018 Dec 1;120(Pt B):1682-1695. Epub 2018 Oct 1.

Department of Pharmaceutics, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Selangor, Puncak Alam Campus, 42300 Bandar Puncak Alam, Selangor, Malaysia. Electronic address:

Hyaluronic acid (HA) plays multifaceted role in regulating the various biological processes such as skin repairmen, diagnosis of cancer, wound healing, tissue regeneration, anti-inflammatory, and immunomodulation. Owing to its remarkable biomedical and tissue regeneration potential, HA has been numerously employed as one of the imperative components of the cosmetic and nutricosmetic products. The present review aims to summarize and critically appraise recent developments and clinical investigations on cosmetic and nutricosmetic efficacy of HA for skin rejuvenation. Read More

Dermatol Ther 2018 11 25;31(6):e12722. Epub 2018 Sep 25.

Clinica Médica Dr. Davi de Lacerda, São Paulo, São Paulo, Brazil.

Injectable fillers have become one of the most performed aesthetical treatments worldwide over the past two decades. They are frequently applied to the face, offering effective and safe alternatives to more invasive surgical procedures. Nevertheless, there are serious risks associated with filler-based treatment. Read More

Acta Dermatovenerol Alp Pannonica Adriat 2018 Sep;27(3):165-167

Department of Dermatology and Venereology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Among several skin fillers developed in recent decades, hyaluronic acid (HA) fillers have become the material of choice. They are safe, long-lasting, not immunogenic, and cost effective, and they can be removed with hyaluronidase. Unfortunately, early and delayed complications can also occur following HA filler injection. Read More

J Drugs Dermatol 2018 Sep;17(9):1015

When rejuvenating the face with soft tissue fillers, one must consider its structural framework, and patient specific goals/needs holistically to achieve natural results. Read More

Ophthalmic Plast Reconstr Surg 2018 Nov/Dec;34(6):e189-e192

Gavin Herbert Eye Institute, University of California, Irvine, Irvine, California, U.S.A.

A 51-year-old woman presented with no light perception vision of the right eye 12 hours after another provider injected calcium hydroxylapatite into the glabella and dorsum of the nose. Exam and fluorescein angiography demonstrated optic nerve edema and choroidal hypoperfusion consistent with ischemia of the posterior ciliary circulation. The central retinal circulation appeared intact. Read More

J Craniofac Surg 2018 Oct;29(7):e726-e727

Department of Auricular Reconstruction, Plastic Surgery Hospital, Peking Union Medical College, Beijing, China.

Skin necrosis is a rare but severe potential complication after injection of hyaluronic acid (HA). Based on the understanding of the causes and mechanisms of this complication, many precautions have been proposed. Still, this adverse reaction happened from time to time. Read More

J Cutan Aesthet Surg 2018 Apr-Jun;11(2):51-59

Renewderm Skin Hair Laser Aesthetics Centre, Mumbai, Maharashtra, India.

Volumetric rejuvenation with fillers is a minimally invasive technique used for facial volume restoration. Volume restoration demands adequate knowledge of fat pads and vascularity of the face and the understanding of the depletion patterns. Volumetric restoration with injectable has witnessed a paradigm shift in the last decade with a global rejuvenation, acquiring a predominant emphasis over focal wrinkle filling to restore the depletion pattern of facial fat layers. Read More

Plast Surg (Oakv) 2018 Aug 19;26(3):154-159. Epub 2018 Apr 19.

Liverpool John Moores University, Merseyside, Liverpool, United Kingdom.

This study reports on an empirically underdocumented practice in contemporary aesthetic enhancement culture, the self-injection of unregulated DIY Botox and dermal filler kits purchased online. Data were collected from 4 online discussion forums containing disclosures in relation to use of DIY kits and analyzed using ethnographic content analysis. Motivation to source DIY Botox and dermal fillers online was grounded in desire to avoid financial cost of professional services and a lack of confidence in practitioners. Read More

J Am Acad Dermatol 2018 09;79(3):423-435

Division of Dermatology, Loyola University Medical Center, Maywood, Illinois.

Injectable fillers and neuromodulators are used for a range of indications pertaining to the correction of facial aging and disfigurement. Fillers can correct soft tissue loss, depressed scars, and atrophy or asymmetry induced by systemic or local disease. Neuromodulators correct muscle-mediated skin creases, reshape the face, and address right-left functional asymmetry. Read More

J Am Acad Dermatol 2018 09;79(3):407-419

Division of Dermatology, Loyola University Medical Center, Maywood, Illinois.

Cosmetic dermatologic surgery has evolved to be a minimally invasive field that addresses patient concerns with a multimodal approach while minimizing adverse events and downtime. Within the armamentarium of dermatologic surgery, injections of soft tissue augmentation materials and neuromodulators are key tools for recontouring the aging face. Treatment of the individual patient is preceded by a comprehensive consultation that elicits patient concerns and preferences. Read More

Plast Reconstr Surg 2018 11;142(5):653e-664e

Guangzhou, Guangdong, People's Republic of China From the Departments of Plastic and Reconstructive Radiology, Guangdong Second Provincial General Hospital.

Background: Vascular complications resulting from intravascular filler injection and embolism are major safety concerns for facial filler injection. It is essential to systematically screen full-face arterial variations and help design evidence-based safe filler injection protocols.

Methods: The carotid arteries of 22 cadaveric heads were infused with adequate lead oxide contrast. Read More

Dermatol Surg 2018 11;44 Suppl 1:S51-S53

Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada Pacific Derm, Vancouver, British Columbia, Canada Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Plast Reconstr Surg 2018 11;142(5):1153-1163

Bangkok and Nakhon Pathom, Thailand; and Liverpool, United Kingdom From the Department of Anatomy, Faculty of Medicine, and the Chula Soft Cadaver Surgical Training Center, Chulalongkorn University and King Chulalongkorn Memorial Hospital; the Department of Basic Medical Science, Faculty of Medicine Vajira Hospital, Navamindradhiraj University; the College of Health Sciences, Christian University; and the School of Life Sciences, Faculty of Health and Life Sciences, University of Liverpool.

Background: The tear trough is a significant sign of periorbital aging and has usually been corrected with filler injection. However, the arterial supply surrounding the tear trough could be inadvertently injured during injection; therefore, this study aimed to evaluate the nearest arterial locations related to the tear trough and investigate the possibility of severe complications following filler injection.

Methods: Thirty hemifaces of 15 Thai embalmed cadavers were used in this study. Read More

J Cosmet Dermatol 2018 Aug 9. Epub 2018 Aug 9.

Department of Medical Education, Albany Medical College, Albany, New York.

Background: To investigate the effectiveness of the posterior temporal supraSMAS minimally invasive lifting technique and compared it to experiments performed in fresh human body donors by applying skin vector displacement measurement technology.

Materials And Methods: A total of 15 patients (14 females/1 male) with a mean age of 37.1 ± 9. Read More

J Cosmet Laser Ther 2018 Aug 1:1-5. Epub 2018 Aug 1.

c Department of Medical Device Management and Research , SAIHST, Sungkyunkwan University , Seoul 06351 , Korea.

Background: Hyaluronic acid fillers have become popular soft tissue filler augmentation agents over the past several years. Q.O. Read More

J Clin Aesthet Dermatol 2018 Jul 1;11(7):40-43. Epub 2018 Jul 1.

Dr. Werschler are with Yardley Dermatology Associates in Yardley, Pennsylvania.

Facial volume loss can substantially impact self-perception of the affected individual and his to her social/professional interactions and opportunities. Persons who are perceived as more youthful and attractive are rated as nicer, more energetic, healthier, and more likely to be productive than those perceived to be older and unattractive. The goal of this study was to assess the changes in emotional and functional status of subjects treated with 2 to 4 monthly PLLA injections to the upper, mid, and lower face. Read More

Clin Cosmet Investig Dermatol 2018 16;11:357-363. Epub 2018 Jul 16.

European Medical Aesthetics Ltd, London, UK.

With their high elasticity and viscosity, calcium hydroxylapatite (CaHA) fillers are now widely used to treat age-related or hereditary facial soft tissue volume deficits. CaHA filler volume augmentation is further enhanced by its ability to stimulate neocollagenesis and improve skin quality. However, its high viscosity and cohesivity may hinder its spread and distribution, while its injection by cannula or needle may require moderate extrusion force and lead to uneven distribution or focal accumulation in tissues. Read More

Semin Cutan Med Surg 2018 Jun;37(4S):S75-S84

Clinical Associate Professor Department of Dermatology University of California, Irvine School of Medicine Private Practice Santa Barbara, CA.

Updates on managing some of the most common dermatologic conditions for which patients seek care illuminated presentations at the Skin Disease Education Foundation's 42nd Annual Hawaii Dermatology Seminar®. This educational supplement summarizes the highlights of clinical sessions presented during this CME/CE conference. Treatment of psoriasis has continued to advance, with three interleukin (IL)-17 antagonists approved by the US Food and Drug Administration (FDA) and a fourth in phase 3 trials. Read More

J Cosmet Dermatol 2018 Oct 13;17(5):712-718. Epub 2018 Jul 13.

Division of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Hyaluronic acid (HA) injection is a popular nonsurgical, facial rejuvenating procedure. Due to the rapidly expanding use of HA injections, significant potential complications have also increased in frequency. Among these complications, the rare but most devastating one is arterial occlusion, which can result in skin necrosis or blindness. Read More

Facial Plast Surg Clin North Am 2018 Aug;26(3):323-330

Beup Aesthetic Plastic Surgery Clinic, Seoul, Republic of Korea. Electronic address:

Rhinoplasty is a commonly performed cosmetic surgery in Asia. Rhinoplasty using filler is preferred because has fewer side effects and shorter down time. The part of external nose between the skin and bone or cartilages consists of 4 layers. Read More

Am J Case Rep 2018 Jul 13;19:825-828. Epub 2018 Jul 13.

Department of Radiology, Universiti Kebangsaan Malaysia Medical Center, Cheras, Malaysia.

BACKGROUND Dermal fillers are increasingly used for medical and aesthetic purposes in clinical practice. Common complications following filler injections include bruising, itching, infections, allergic reactions, and tissue necrosis. This case is the first report of Herpes simplex virus type 1 (HSV-1) encephalitis as a possible complication of dermal filler injection. Read More

Dermatol Surg 2019 01;45(1):108-116

CIDGE International Dermatology Clinic, Geneva, Switzerland.

Background: Hyaluronic acid (HA) fillers are the preferred injectable products for aesthetic correction of skin depressions and restoration of facial volume.

Objective: To investigate the subcutaneous distribution of 3, biophysically distinct, CE-marked and FDA-approved HA fillers.

Materials And Methods: BELB, JUVV, and RESL were injected ex vivo in porcine and human skin. Read More

Plast Reconstr Surg 2018 07;142(1):112-121

Tokyo and Kawasaki, Japan From the Departments of Plastic, Oral and Maxillofacial Surgery and Plastic Surgery, Teikyo University School of Medicine; and University Hospital, Mizonokuchi.

Background: Because subcutaneously injected hyaluronic acid filler is absorbed over 6 months to 1 year after the treatment of facial wrinkles, frequent retreatment may be required. However, persistent long-term effects are often clinically observed when hyaluronic acid filler is injected as a bolus for facial augmentation. Therefore, the authors investigated, over time, the changes in volume and histologic features of subcutaneous bolus injections of hyaluronic acid. Read More

Aesthetic Plast Surg 2018 Oct 11;42(5):1388-1392. Epub 2018 Jun 11.

King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Background: The widespread desire to maintain youth and beauty with minimally invasive procedures made the use of soft tissue fillers an attractive option to correct numerous aesthetic problems. However, many complications have emerged recently especially with the use of non-FDA-approved permanent materials. In this case report, we are demonstrating the effective management of a patient with Brucella isolated from a facial abscess at the site of prior permanent filler injection done 17 years ago. Read More

Aesthetic Plast Surg 2018 Aug 11;42(4):1119-1125. Epub 2018 Jun 11.

Universitätsklinikum Magdeburg Universitätsklinik für Psychosomatische Medizin und Psychotherapie [University Hospital for Psychosomatic Medicine and Psychotherapy], Leipziger Straße 44, Eschenstr. 5, Magdeburg, 39120, Germany.

Background: The demand for minimally invasive cosmetic procedures has continued to rise, especially in Germany, yet few studies have examined this patient population. The literature in Germany has repeatedly voiced the speculation that users of minimally invasive, skin-rejuvenating procedures displayed a higher tendency toward dysmorphic behavior patterns or, respectively, other abnormal personality traits.

Objectives: The aim of this study was to investigate body image, personality traits, quality of life, and socioeconomic parameters in users of botulinum toxin and/or facial fillers. Read More

Acta Dermatovenerol Alp Pannonica Adriat 2018 Jun;27(2):71-73

Department of Dermatology, School of Medicine, Ankara, Turkey.

Introduction: Lip augmentation procedures with hyaluronic acid dermal fillers have become increasingly popular worldwide because full lips are often considered beautiful and youthful. The goal of a lip augmentation procedure is to create smooth lips with adequate volume and a natural appearance. Various techniques for lip augmentation have been utilized and described. Read More

Plast Reconstr Surg Glob Open 2018 May 25;6(5):e1789. Epub 2018 May 25.

Anticlock Clinic, Chandigarh and Department of Plastic surgery, Fortis Hospital, Mohali, India.

Hyaluronic acid dermal fillers are becoming popular all over the world, but due to the presence of many blood vessels in the face, there is always a small possibility of vascular complications. We present a case with the ischemic involvement of chin and neck skin after accidental submental artery involvement after hyaluronic acid filler injection for chin region. Impending skin necrosis on the chin and upper neck on the right side was diagnosed quickly by observing the skin changes in the immediate postfiller phase. Read More

Aesthet Surg J 2018 Apr;38(suppl_1):S24-S28

Department of Dermatology, Icahn School of Medicine at Mt. Sinai, New York, NY.

The recent approval in 2015 of Radiesse for injection into the hand by the FDA has spurred an increase in interest among patients and clinicians in nonsurgical hand rejuvenation using fillers. Application of the same techniques used to treat the face to the dorsum of the hands does not account for the unique nature of the skin and underlying anatomy, and can lead to suboptimal outcomes and an increased risk of adverse events such as the formation of nodules. Here, the authors discuss dilution strategies and injection techniques for hand rejuvenation using Radiesse for optimal patient safety and aesthetic outcomes. Read More

Plast Reconstr Surg 2018 09;142(3):273e-280e

Seoul, Republic of Korea; and Bangkok, Thailand From the Division of Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institution, BK21 PLUS Project, Yonsei University College of Dentistry; and the Chula Soft Cadaver Surgical Training Center and Department of Anatomy, Faculty of Medicine, Chulalongkorn University.

Background: Understanding the topography of the blood vessels distributed around the nasolabial fold region is essential for ensuring the safety of dermal filler injections into the nasolabial fold. The purpose of this study was to provide anatomical information on the infraorbital artery distribution and its relationship with the facial artery for use in clinical procedures involving filler injection during nasolabial fold augmentation.

Methods: The infraorbital artery was investigated in the nasolabial fold region divided into zones I to XII based on clock-hour meridians centered on the infraorbital foramen. Read More