Current Applications of Facial Volumization

www.PRSJournal.com 872e Over the past three decades, anatomical advances by means of cadaver dissection and medical imaging have highlighted volume loss as a principal cause of facial aging. Initial volumization techniques emphasized dermal and superficial subcutaneous injections; however, recently, there has been a paradigm shift in treating the aging face with deep tissue correction. Because of the rapid expansion of minimally invasive cosmetic facial interventions, it is critical that aesthetic surgeons maintain proficiency in these approaches to optimize patient outcomes in a longitudinal and comprehensive manner. It is equally important to educate noncore medical specialists engaging in nonsurgical cosmetic rejuvenation about the limitations and dangers of these approaches and when such treatments may not be constructive for a given patient. This article instructs the reader about tissue dynamics of the aging face, current temporary soft-tissue fillers and injection techniques, detailed injection methods for the correction of specific facial zones of volume loss, and potential injection complications.