Dermal Fillers

25 Dermal Fillers

Soft-tissue augmentation, commonly referred to as dermal filler treatment, reduces facial lines and improves contour defects by temporarily restoring volume to the dermis and soft tissues through the use of injectable products.1 With the use of appropriate techniques and volumes, dermal filler treatments can enhance appearance in a subtle, natural way. Treatments require short recovery times and can be safely performed in the outpatient setting.2,3

Dermal filler treatments have become the second most commonly performed minimally invasive cosmetic procedure in the United States, according to statistics from the American Society for Aesthetic Plastic Surgery.4 The popularity of this procedure is largely due to increased patient demand for less invasive cosmetic treatment options and to recent product innovations that have prolonged treatment results.

Numerous dermal fillers (DFs) are available, each varying in composition, duration of action, palpability, ease of administration, complications, and other factors.5 In addition to the provider’s knowledge of DF products and injection skill, an appreciation for aesthetic facial proportions and symmetry is required to achieve desirable outcomes. Injection of dermal fillers has a steeper learning curve than botulinum toxin injections and requires practice to achieve desirable results.6 This chapter is intended to assist aesthetic providers in getting started with products and techniques that consistently achieve good results and have a low risk of complications. The focus is on the use of hyaluronic acid DF products for the FDA-approved treatment of nasolabial folds (NLFs).


Facial wrinkles and folds of the lower two-thirds of the face commonly treated with dermal fillers are shown in Figure 25-1. Arterial and venous supply for these areas is shown in Figure 25-2. The lateral nasal artery is a noteworthy vessel for NLF treatments. It is found at the junction of the facial artery and angular artery, and is the main vascular supply for the nasal tip and ala. It is located 2 to 3 mm superior to the nasal alar groove.12

Dermal Filler Treatment for Nasolabial Folds: Steps and Principles

The following recommendations are guidelines for treatment using hyaluronic acid dermal fillers.

General Treatment Technique

Mar 12, 2016 | Posted by in General Surgery | Comments Off on Dermal Fillers

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