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“Naso, Labbra e Mento”: Tips and Tricks al trattamento combinato per esaltare il profilo del volto

Introduction: Profiloplasty is the combined treatment aimed at improving the appearance of a face by enhancing the profile. It is well known, in fact, that Beauty includes convexity and concavity. How to do it, where to start, what to avoid, are the main questions to wonder. Objective: From the patient assessment to the main strategies to safely harmonize some focal points of beauty through the use of dermal fillers of hyaluronic acid (HA). Materials and methods: Three specific areas were considered: nose, lips and chin. Once the right proportions were defined, each area was treated with Hyaluronic Acid (HA) dermal fillers with different rheological properties. For the nose and chin, a filler of HA 25 mg/ml with classical rheology, with high G prime and MoD 8%, was used by elongated bolus technique. For the lips, three different fillers based on dynamic HA (23mg/ml) were used, with high cohesiveness and with different MoD depending on the objective to be obtained (remodeling, redefinition, volume), also considering the starting morphology, injected with a combined technique. Results: The author illustrates how to carry out the correct assessment of the patient, where to start and the main tips and tricks for a safe and effective treatment of the different areas. Conclusions: A repeatable and safe combined approach that allowed a harmonious and lasting redefinition of nose, lips and chin in the same session. Bibliography: - Abu Arqoub, S. H., & Al-Khateeb, S. N. (2011). Perception of facial profile attractiveness of different antero-posterior and vertical proportions. The European Journal of Orthodontics, 33(1), 103-111. - Lazzarotto, A., Robiony, M., Cambiaso-Daniel, J., Nocini, R., & Gualdi, A. (2022). Social profiloplasty: a practical assessment and injection guide. Facial Plastic Surgery, 38(02), 135-142. - Buschang, P. H., Fretty, K., & Campbell, P. M. (2011). Can commonly used profile planes be used to evaluate changes in lower lip position?. The Angle Orthodontist, 81(4), 557-563. - Harb, A., & Brewster, C. T. (2020). The nonsurgical rhinoplasty: a retrospective review of 5000 treatments. Plastic and Reconstructive Surgery, 145(3), 661-667. - Trevidic, P., Kim, H. J., Harb, A., Ho, W. W., & Liew, S. (2022). Consensus recommendations on the use of hyaluronic acid–based fillers for nonsurgical nasal augmentation in Asian patients. Plastic and Reconstructive Surgery, 149(2), 384-394. - Buschang, P. H., Fretty, K., & Campbell, P. M. (2011). Can commonly used profile planes be used to evaluate changes in lower lip position? The Angle Orthodontist, 81(4), 557-563. - Walker, L., & Cetto, R. (2021). Lip augmentation using hyaluronic acid filler and a 4-mm needle: A safer, more natural, and predictable approach. The Journal of clinical and aesthetic dermatology, 14(1), E61. - Ghasemi, S., & Akbari, Z. (2022). Lip Augmentation. Dental Clinics, 66(3), 431-442. - Wilson, M. J. V., Jones, I. T., Butterwick, K., & Fabi, S. G. (2018). Role of nonsurgical chin augmentation in full face rejuvenation: a review and our experience. Dermatologic Surgery, 44(7), 985-993.

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