Injections in Aesthetic Medicine Atlas of Full-face and Full-body Treatment
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Preface Contents Contributors Part IGeneral Aspects 1 Fillers in Aesthetic Medicine 1.1…Permanent Fillers 1.1.1 Liquid Silicone 1.2…Collagen 1.2.1 Heterologous Collagen 1.2.2 Human Collagen 1.2.3 Autogenic Human Collagen 1.2.4 Isogenic Human Collagen 1.3…Hyaluronic Acid 1.3.1 What is Hyaluronic Acid? 1.3.2 What is Cross-Linked Hyaluronic Acid? 1.3.3 History of Hyaluronic Acid in Aesthetic Medicine 1.4…Macrofillers: Hyaluronic Acid for Body Modelling 1.5…Calcium Hydroxylapatite 1.5.1 Injection Technique 1.6…Botulin 1.6.1 History 1.6.2 Different Toxins 1.6.3 Use in Clinical Practice and Aesthetic Medicine 1.6.4 Clinical Evaluation of the Patient 1.6.5 Contraindications to Treatment 1.6.6 Informed Consent 1.6.7 Safety of Botulinum: Open Questions and State of the Art 1.7…Platelet-Rich Plasma 1.7.1 Mechanism of Action 1.7.2 Indications 1.7.3 How To 1.7.4 Methods 1.8…Combining PRP with Calcium Hydroxylapatite (Radiessereg) as a Filler 1.8.1 How To 1.9…Summary Acknowledgement References 2 Aesthetic Analysis of the Face: The Maxillofacial Deformity 2.1…Facial Analysis 2.2…What’s Beauty? 2.2.1 Surgical Options: The Orthognathic Surgery References 3 Standard Evaluation of the Patient: The Merz Scale 3.1…Application of the Merz Scale References Part IIFace and Body Treatments 4 Temporal Fossa 4.1…Anatomy 4.2…Pitfalls 4.3…Augmentation of the Temporal Fossa 4.4…Augmentation of the Temporal Fossa with Calcium Hydroxylapatite 4.4.1 Indications 4.4.2 Contraindications 4.4.3 Operating Time 4.4.4 Materials 4.4.5 Material Choice 4.4.6 Methods 4.4.7 Complications and Management 4.5…Augmentation of the Temporal Fossa with Hyaluronic Acid 4.5.1 Indications 4.5.2 Contraindications 4.5.3 Operating Time 4.5.4 Materials 4.5.5 Material Choice 4.5.6 Methods 4.6…Summary: Treatment Options 5 Forehead, Glabella, and Crow’s-Feet 5.1…Anatomy 5.2…Correction of Forehead and Glabella Wrinkles and Crow’s-feet with Botulinum Toxin 5.2.1 Pitfalls 5.2.2 Indications 5.2.3 Contraindications 5.2.4 Case 1: Treatment with Bocouture in a Young Simmetric Patient 5.2.5 Case 2: Treatment with Azzalure in a Case of Facial Asymmetry 5.2.6 Complications and Management of Botulin Toxin Injection 5.3…Correction of the Forehead Wrinkles with Hyaluronic Acid 5.3.1 Pitfalls 5.3.2 Indication 5.3.3 Contraindications 5.3.4 Case 3 5.4…Summary: Treatment Options 6 Malar Area 6.1…Anatomy 6.2…Pitfalls 6.3…Indications 6.4…Contraindications 6.5…Augmentation of the Malar Arch with Calcium Hydroxylapatite and Cannula 6.5.1 Operating Time 6.5.2 Materials (Fig. 6.5) 6.5.3 Material Choice 6.5.4 Methods 6.5.5 Considerations About Malar Arch Augmentation 6.6…Augmentation of the Body of the Malar Bone with Calcium Hydroxylapatite with Standard Needle 6.6.1 Pitfalls 6.6.2 Operating Time 6.6.3 Materials 6.6.4 Material Choice 6.6.5 Methods 6.7…Augmentation of the Malar Area with Calcium Hydroxylapatite and Platelet Enriched Plasma 6.7.1 Indications 6.7.2 Pitfalls 6.7.3 Contraindications 6.7.4 Operating Time 6.7.5 Materials 6.7.6 Material Choice 6.7.7 Methods 6.8…Malar Body Augmentation with HA Using Standard Needle 6.8.1 Pitfalls 6.8.2 Operating Time 6.8.3 Materials 6.8.4 Material Choice 6.8.5 Method 6.9…Complications and Management 6.10…Calcium Hydroxylapatite Versus HA 6.11…Summary: Treatment Options Acknowledgment Reference 7 Tear Trough 7.1…Anatomy 7.2…Pitfalls 7.3…Correction of Tear Trough Deformity with HA and Blunt Tip Cannule 7.3.1 Indications 7.3.2 Contraindications 7.3.3 Materials 7.3.4 Material Choice 7.3.5 Operating Time 7.3.6 Method 7.4…Complications and Management Summary: Treatment Options 8 Nasolabial Folds 8.1…Anatomy 8.2…Pitfalls 8.3…Correction of Nasolabial Folds with HA and Cannula 8.3.1 Indications 8.3.2 Contraindications 8.3.3 Materials 8.3.4 Material Choice 8.3.5 Operating Time 8.3.6 Method 8.4…Correction of Nasolabial Folds with HA and Standard Needle 8.4.1 Indications 8.4.2 Contraindications 8.4.3 Materials 8.4.4 Material Choice 8.4.5 Operating Time 8.4.6 Method 8.5…Complications and Management 8.6…Summary: Treatment Options 9 Medical Rhinoplasty 9.1…Anatomy 9.2…Pitfalls 9.3…Indications 9.4…Contraindications 9.5…Medical Rhinoplasty with Botulinum and HA 9.5.1 Operating Time 9.5.2 Materials 9.5.3 Material Choice 9.5.4 Method 9.6…Medical Rhinoplasty with Calcium Hydroxylapatite and Botulin Toxin 9.6.1 Operating Time 9.6.2 Materials 9.6.3 Material Choice 9.6.4 Method 9.7…Complications and Management 9.8…Summary: Treatment Options 10 Marionette Lines 10.1…Anatomy 10.1.1 Facial Vessels 10.2…Marginal Mandibular Branch of the Facial Nerve 10.3…Pitfalls 10.4…Marionette Line Correction with Hydroxylapatite and Blunt-tip Cannula 10.4.1 Indications 10.4.2 Contraindications 10.4.3 Operating Time 10.4.4 Materials 10.4.5 Material Choice 10.4.6 Methods 10.5…Marionette Line Correction with HA and Blunt-tip Cannula 10.5.1 Indications 10.5.2 Contraindications 10.5.3 Operating Time 10.5.4 Materials 10.5.5 Material Choice 10.5.6 Methods 10.6…Marionette Line Correction with HA and Standard Needle 10.6.1 Indications 10.6.2 Contraindications 10.6.3 Operating Time 10.6.4 Materials 10.6.5 Material Choice 10.6.6 Method 10.7…Complications and Management 10.8…Summary: Treatment Options 11 Lips 11.1…Anatomy 11.2…Pitfalls 11.3…Lips Recontouring with Hyaluronic Acid and Blunt Cannula 11.3.1 Indications 11.3.2 Contraindications 11.3.3 Materials 11.3.4 Material Choice 11.3.5 Operating Time 11.3.6 Method 11.4…Lips Augmentation with Hyaluronic Acid and Standard Needle 11.4.1 Materials 11.4.2 Material Choice 11.4.3 Operating Time 11.4.4 Method 11.5…‘‘Bar Code’’ Wrinkles (Cutaneous Upper Lip) 11.5.1 Materials 11.5.2 Our Material Choice 11.5.3 Operating Time 11.5.4 Method 11.6…Complications and Management 11.7…Summary: Treatment Options 12 Chin 12.1…Anatomy 12.2…Pitfalls 12.3…Augmentation of the Chin 12.4…Augmentation of the Chin with Calcium Hydroxylapatite 12.4.1 Indications 12.4.2 Contraindications 12.4.3 Operating Time 12.4.4 Materials 12.4.5 Material Choice 12.4.6 Methods 12.5…Augmentation of the Chin with Hyaluronic Acid 12.5.1 Indications 12.5.2 Operating Time 12.5.3 Materials 12.5.4 Material Choice 12.5.5 Methods 12.6…Complications and Management 12.7…Summary: Treatment Options 13 Neck and Décolleté 13.1…Anatomy 13.2…Pitfalls 13.3…Bio-rejuvenation Technique for the Treatment of Neck and Décolleté 13.3.1 Indications 13.3.2 Contraindications 13.3.3 Operating Time 13.3.4 Materials 13.3.5 Material Choice 13.3.6 Methods 13.4…Treatment of Décolleté Using HA Injected with Blunt-tip Cannula 13.4.1 Indications 13.4.2 Contraindications 13.4.3 Materials 13.4.4 Material: Our Choice 13.4.5 Operating Time 13.4.6 Method 13.5…PRP in the Treatment of Neck and Décolleté 13.5.1 Indications 13.5.2 Contraindications 13.5.3 Operating Time 13.5.4 Materials 13.5.5 Method 13.6…Complications and Management 13.7…Summary: Treatment Options 14 Arms 14.1…Anatomy 14.2…Pitfalls 14.3…Arm’s Treatment with Low-density HA 14.3.1 Indications 14.3.2 Contraindications 14.3.3 Materials 14.3.4 Material Choice 14.3.5 Method 14.4…Complications 14.5…Summary: Treatment Options 15 Hands 15.1…Anatomy 15.2…Pitfalls 15.3…Hand Filling with Calcium Hydroxylapatite and Blunt-tip Cannula 15.3.1 Indications 15.3.2 Contraindications 15.3.3 Materials 15.3.4 Material Choice 15.3.5 Operating Time 15.3.6 Method 15.4…Hand Filling with Hyaluronic Acid and Blunt-tip Cannula 15.4.1 Indications 15.4.2 Contraindications 15.4.3 Materials 15.4.4 Material Choice 15.4.5 Operating Time 15.4.6 Method 15.5…Hand Treatment with Low-density HA 15.5.1 Indications 15.5.2 Contraindications 15.5.3 Materials 15.6…Material Choice 15.6.1 Method 15.6.2 Complications and Management 15.7…Summary: Treatment Options 16 Breast Augmentation 16.1…Anatomy 16.2…Has Hyaluronic Acid Still a Role in Breast Augmentation? 16.3…Macrolane for Breast Augmentation: Clinical Experience and Future Perspectives 16.4…Results 16.4.1 NASHA-Based Gel Injected Without Ultrasonography Guidance 16.4.2 NASHA-Based Gel Injected Under Ultrasonography Guidance 17 Gluteal Augmentation and Remodeling 17.1…Anatomy 17.2…Pitfalls 17.3…Buttock Augmentation by Hyaluronic Acid 17.3.1 Indications 17.3.2 Contraindications 17.3.3 Operating Time 17.3.4 Materials 17.3.5 Material choice 17.3.6 Methods 17.4…Complications and Management 17.5…Summary: Treatment Options 18 Calf Augmentation and Remodeling 18.1…Anatomy 18.2…Pitfalls 18.3…Calves Augmentation with Hyaluronic Acid 18.3.1 Indications 18.3.2 Contraindications 18.3.3 Operating Time 18.3.4 Materials 18.3.5 Material Choice 18.3.6 Methods 18.3.7 Complications and Management 18.4…Summary: Treatment Options 19 Scar Revision 19.1…Correction of Scars with Hyaluronic Acid 19.1.1 Indications 19.1.2 Contraindications 19.1.3 Operating Time 19.1.4 Materials 19.1.5 Methods 19.2…Complications and Management 19.3…Summary: Treatment Options 20 Full-body and Full-face Treatment 20.1…From the Full Body to the Full Face: The Sense of Multiple Treatments in the Same Day in Aesthetic Medicine 20.2…Surgery or Not Surgery? 21 Complications in Aesthetic Medicine 21.1…Hyaluronic Acid 21.2…Macrofiller 21.3…Calcium Hydroxylapatite (Radiesse) 21.4…Classification of Complications 21.5…Immediate Complications 21.6…Transient Erythema, Edema, and Pruritus 21.7…Induration 21.8…Ecchymosis and Hematoma 21.9…Bacterial Infections 21.10…Biofilm 21.11…Herpes Reactivation 21.11.1 Herpes Zoster 21.11.2 Herpes Labialis 21.12…Overcorrection 21.13…Migration 21.14…Inflammation 21.15…Foreign-Body Granulomas 21.16…Discoloration 21.17…Skin Necrosis 21.18…Rapid Resorption 21.19…Radiological Problems 21.19.1 Radiographic Problems Due to Radiesse 21.20…Incorrect Placement of Macrofillers 21.21…Defensive Aesthetic Medicine References Part IIIMiscellany 22 Quality Standards in Aesthetic Medicine 22.1…The AQ Standard for Aesthetic Medicine 22.2…The Quality Protocol for Patient Management and for Registration of Products 22.3…Customer Relationship Management or PRM 22.3.1 Key Points of PRM 22.4…Quality Standards of Marketing in Aesthetic Medicine 22.4.1 Marketing Campaigns 22.4.2 Coupon or not Coupon: The Profitability of Large Discounts in Aesthetic Medicine 22.5…Standard for Qualification of Medical Doctors References 23 Complementary Treatments 23.1…Radiofrequency for Nonablative Skin Rejuvenation 23.2…Mechanical Stimulation of the Skin 23.3…Acoustic Waves References 24 Products Sec1 Sec2 Sec3 24.2.2 Belotero Soft Filler 24.2.3 Belotero Intense Filler Sec6 Sec7 Sec8 Sec9 Sec10 24.5.2 Glytone 2 Filler 24.5.3 Glytone 3 Filler 24.5.4 Glytone 4 Filler Sec14 Sec15 24.7…Juvédermreg Hydratetrade 24.8…Juvedermreg ULTRAtrade RANGE Sec18 Sec19 Sec20 24.12…Juvédermreg Volumatrade with Lidocaine (2 ml) 24.13…Juvedermreg Volifttrade with Lidocaine 24.14…Haequeo Range 24.15…Macrolane VRF 20 and Macrolane VRF 30 24.16…NEWESTreg: Skin Biorevitalization 24.17…PLINESTreg: Skin Biorevitalization 24.18…PLINESTreg fast: Skin Biorevitalization 24.19…IALESTreg: Skin Biorevitalization 24.20…Radiesse 24.20.1 Radiesse Filler Sec30 Sec31 24.22…Range Restylane Vital 24.22.2 Surgidermreg 24XP 24.22.3 Surgidermreg 30XP 24.22.4 Surgidermreg 30 Sec33 Sec34 Sec35 Sec36 24.24…Vistabexreg Sec37 24.25…Summary
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