Eliminating puppet lines and nasolabial folds is a common goal of dermal filler injections. The lower third of the face, which includes the mouth, lips, jawline, and chin, is an area where fillers can be widely used. To keep the jawline and chin in proportion to the rest of the face, a thick and structured filler should be injected deeper into the skin, beyond the superficial dermis. On the other hand, fine and delicate fillers can be used to correct wrinkles and puppet lines around the mouth.
Juvederm is one of the most popular dermal fillers used today. It is injected into the skin of the face, jawline, and neck using a fine needle to increase volume under the skin and reduce fine lines, wrinkles, and skin laxity. The product formula contains lidocaine to make the injection process virtually painless for most patients. Dr.
Shaun Patel recently treated a 52-year-old woman with a Juvederm filler injection in the lower face using microcannula and needle techniques. He injected 2 ml of Juvederm UltraPlus to soften nasolabial folds and puppet lines and to re-volumize the pre-double chin groove. He used a microcannula to minimize bruising and swelling. Patel emphasized that injectable treatments, such as Botox or fillers, should optimize a patient's appearance without changing it completely.
Fillers are often classified according to their longevity in fabrics or the source of the filling material. With the help of a qualified and experienced provider, injectable fillers can provide natural-looking enhancements to help you feel more confident in your appearance. It is important to choose a provider with proven experience in cosmetic medicine as well as substantial training and experience in performing filler injections. The convenience of this treatment combined with its non-surgical nature and easy recovery process make dermal filler injections an ideal choice for many patients.
When considering facial filler injections, it is important to understand that each area of facial anatomy has its own unique concerns, precautions, and challenges. It is critical to receive dermal filler injections from a highly trained specialist who has an in-depth knowledge of facial anatomy using safety techniques such as vessel mapping, aspiration, knowledge of depths, when a bolus can be done and when not, when to use a needle or cannula or visa versus. Great care should be taken when injecting near the wing groove as a large amount of filler above or below it could exceed the limits of intravascular pressure and restrict blood flow. For each type of filling and target area, there are several injection techniques depending on the objectives of the specialist and the patient.
The most common filler injections in the periorbital region are done in the area just above the eye (the forehead), to treat a low eyebrow or detachment, and the region just below the eye (infraorbital region), to camouflage pockets or fill gaps called “tear canals”. Lip augmentation is also an off-label use for products such as Restylane; many providers inject lip filler into both upper and lower lips to give volume to thin lips or modify lip shape. It is important to plan ahead when scheduling any new filler injections; allow adequate time for recovery before any major events in your life. Most patients see these lines developing in their mid-30s but they can be corrected instantly with a dermal filler injection.
