3rd layer | Muscles: lift lips/mouth corner elevator muscles via lever-pulley system and myomodulation effect. This results in maximal cheek and mouth corner lift.
2nd layer | Superficial fat: reposition fat pad. Mainly for surface contour and diminish shadows.
Example: the inferior orbital fat pad can be repositioned upward to cover or camouflage the lower orbital rim to smooth out the lid-cheek junction and rejuvenate the eyes. Use lower G’ filler. Voluma XC is ideal for mid-face Volumization
1st layer | skin: re-drapes skin envelope over bony fundament. Mainly for diminishing lines and wrinkles. 2 D injection.
Course Outline:
1. Line of ligament separates face into lateral and medial portion.
2. Assess if volume loss is occurring more in the lateral or medial portion.
Example of lateral volume loss
Play Video
Play Video
Example of medial volume loss
More examples contrast medial vs lateral aging ( volume loss ).
Medial injection projects the cheek.
Lateral projection lifts the cheek.
Injecting medially may lift the mouth corner for some patients.
Medial Injection Pattern
The progression from 1 to 3 demonstrates techniques advancing from basic to advanced. In my experience, Technique 3 carries more risk but delivers better results.
By accurately identifying these anatomical features and skillfully administering fillers at the correct depth and in the appropriate quantities, we can significantly elevate the outcomes of our facial enhancements.
Prezygomatic space is bounded superiorly by orbital retaining ligament and inferiorly by zygomatic cutaneous ligament. Medial and Lateral SOOF exists in this space.
Additionally, this patient underwent a Power Slim treatment to enhance her chin contour, along with the application of fillers for a temple lift, aimed at enhancing her jawline.
Regional:
Eye improvement ( fillers injected at temple and cheek to improve eye area )
Aesthetic Arterial Anatomy
Inject slowly and under low pressure to avoid eye complications.