Volume Management of the Middle Third-Lower Orbit/Midface

Abstract

This is the second of the three articles discussing volumetric rejuvenation of the face. The previous article, Volume Rejuvenation of the Facial Upper Third, focused on the upper one-third of the face while this article focuses on the middle one-third, primarily the lower eyelid, cheek, and perioral area. Again, the authors (RG, TK, SPS, RF, SL, and EFW) from the upper face article have provided a summary of rejuvenation utilizing a product of which they are considered an expert. Robert Glasgold has provided volumetric analysis of the region as an introduction.

Retracted: PN‐HPT® (Polynucleotides Highly Purified Technology) in facial middle third rejuvenation. Exploring the potential

“…1,2 The facial middle third aging look appears segmented by dark concavities and shadows due to the changes in how soft tissues distribute and the persistent tethering tensions by the orbital ligament, malar septum, and McGregor's patch. 3,4 The youthful middle third of the face appears convex, with skin appearing luminous from the lower eyelid down to the nasolabial fold. In the aging midface, soft tissues no longer mask the inferior orbital rim due to wasting over time, and the lower eyelid does not gently transition into the cheek.…”

“…Concomitantly, counteracting the soft tissue waste in the malar septal depression will recreate a convex cheek with an intense highlight. 4 The agents used as usual lifters in the aging facial middle third-hyaluronic acid, calcium hydroxyapatite with lidocaine, polymethylmethacrylate microspheres, polyl-lactic acid-are volume enhancers of transient efficacy. Sometimes they have limitations, such as the risk of nodules after polyl-lactic acid infiltration in the medial and lateral cheeks, the malar and submalar areas, the preauricular region, and earlobes.…”

“…Sometimes they have limitations, such as the risk of nodules after polyl-lactic acid infiltration in the medial and lateral cheeks, the malar and submalar areas, the preauricular region, and earlobes. 4 Natural-origin, highly purified polynucleotides from trout gonads, known as Polynucleotides Highly Purified Technology (PN-HPT ® ), are another option that has emerged over the last years to counteract the aesthetic shortcomings of the soft tissue waste associated with aging. Thanks to advanced purification and sterilization techniques, PN-HPT ® are free of protein contaminants and allergic potential.…”

Buccal fat pad excision for cheek refinement: A systematic review

“…After applying the study criteria, 27 publications were excluded because of other associated surgical procedures ( 9 - 12 ), other therapeutic applications of BFP ( 2 , 13 - 15 ), technical notes ( 4 , 16 - 24 ), studies with less than 10 patients ( 7 , 25 ), case report ( 26 , 27 ), article reviews ( 28 - 30 ), and absence of the outcomes of interest ( 31 , 32 ), respectively.…”

Associação de terapias para o rejuvenescimento facial - relato de caso

“…Os ácidos hialurônicos variam de acordo com a reticulação. Os mate-riais com maior grau de reticulação normalmente são os escolhidos para gerar mais volume e os de menor reticulação são os de escolha para regiões mais finas do rosto, portanto o procedimento a ser realizado é o que irá definir o grau de reticulação do produto utilizado [3][4]8,[14][15][16][17][18] .…”