Avoiding key "danger zones" may help plastic surgeons enhance the safety and effectiveness of facial filler procedures, according to an expert update in the May issue of Plastic and Reconstructive Surgery®.
The article outlines preferred injection techniques in the facial danger zones – the temporal region, the infraorbital region, upper lip, commissure, lower lip, nasolabial fold and nose, and stresses that the practitioner should be able to recognize complications and address them immediately.
"Given current trends, it becomes even more important that plastic surgeons, dermatologists, oculoplastic surgeons and facial plastic surgeons learn safe, predictable techniques to achieve optimal results with facial filler injections," says study author Rod J. Rohrich, MD, and colleagues from the Dallas Plastic Surgery Institute. Dr. Rohrich also serves as editor-in-chief of Plastic and Reconstructive Surgery®.
The article includes a set of online videos illustrating anatomically based techniques to minimize risk and maximize safety when using dermal fillers in specific areas of the face. In the videos, Dr. Rohrich outlines his approach to specific principles for safe filler injection, including the use of hyaluronic acid fillers when possible. Other principles for safe filler injection include the use of continuous motion and gentle injection techniques. The videos also include cadaver dissections demonstrating the course of the underlying blood vessels in each danger zone, as well as before-and-after views showing the facial rejuvenation results.