Objectives: All too often, injectors treat areas suggested by their patients. While this may yield excellent results in some cases, disproportionate and unbalanced results may ensue in other cases. During this advanced session, a framework will be provided to help injectors decide which areas to treat first so as to achieve the most impactful, aesthetically pleasing, and balanced results.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
Yes
Please specify entities (individual, company, society): Employee of Symatese

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: To be able to assess the negative vectors in a face, plan composite measures to modify the negative vectors in the face using injectables, execute in a single stage or multiple stages, and reassess outcomes

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: From historical "one up, one over" point to interfacial filling ultrasonographic guided with video of the procedures

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Improving the hollowing of the upper eyelid has an significant impact on total facial appearance, but it's a Royal discipline.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Proposal of clinical guidelines for deep injection in the part of the anterolateral midface with bony support. Illustration of distortion of animation by superficial injection. Illustration of correctly deposited filler in a cadaver dissection.

Introduction: Treatment of the midface is considered pivotal in facial reshaping and for support of the lower eyelid. Superficial, subdermal injection may interfere with lower periorbital animation and malar mound oedema. It does not provide support to the lower lid. While appropriate more inferiorly in the tissues overlying the oral cavity, deep injection on bone provides stable reshaping respecting facial expression.

Materials / method: A case of unnatural animation after subcutaneous injection and successful treatment by dissolving the filler is presented. Film fragments and representative before and after clinical photography illustrate deep injection of the midface from one access point, along two axes. Coloured agarose was injected in a cadaver head to study filler depth and spread with a dissection.

Results: The midline of the malar eminence and the continuation of the tear trough are traced on the face for guidance. Injections, all from the intersection, allow real-time observation of light reflection changes in the malar area during the treatment. Anteriorly, a 30 G needle deposits filler close to bone. Medially and laterally, a 22 G cannula minimises trauma and ensures the filler stays deep enough. Cadaver dissections confirm deep filler placement, without subdermal spread.

Conclusion: Anterolateral midface volume deficits can be treated adequately by deep injection of diverse fillers along two easily traceable axes, with the least possible distortion of facial animation.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
Yes
Please specify entities (individual, company, society): Honoraria received from Merz, Abbvie-Allergan, AAT and stock options AAT

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: How to achieve the "Vshape" of the face by activating the elevator muscles

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: The Fern Pattern Technique was introduced at IMCAS Paris 20 years ago. It has been proven to be the most effective way to inject hyaluronic acid in order to reduce lines and folds. What are the basic principles and rationale behind this technique?

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Review the technique and anatomical rationale for camouflaging malar mounds and prolapsed fat pads with hyaluronic acid filler

Introduction: This lecture utilizes cadaver photographs to explain the complexity of the periorbital region including the malar septum's role in causing the majority of side effects in this area. An anatomical based technique to treat both of these conditions will be discussed in depth with the importance of both preventing and treating the most common side effect in this area - delayed onset swelling.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Often Biostimulation is used too often too much, which lead to stiffened faces.. Spacing the sessions and using the right amount is key

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability