This video will discuss high yield 3-dimensional surface topography landmarks for facial filler injections.1-13 Vascular pathways and danger zones will be addressed coupled with key retaining ligament architecture. Injection targets including fat compartments and potential spaces will be outlined in key facial aesthetic subunits, including temple, cheek, lip, and jawline.
Disclosures
Dr Surek is a consultant for Galderma (Lausanne, Switzerland), Allergan (Dublin, Ireland), and Cyprus Medical (Chicago, IL, USA).
Funding
The author received no financial support for the research, authorship, and publication of this article.
REFERENCES
- 1.Lamb J, Surek C.. Facial Volumization: An Anatomic Approach. 1st ed. Thieme Medical Publishers; 2017. [Google Scholar]
- 2.Pessa J, Rohrich R.. Facial Topography: Clinical Anatomy of the Face. Quality Medical Publishing; 2012. [Google Scholar]
- 3.Surek CC.Facial anatomy for filler injection: the superficial musculoaponeurotic system (SMAS) is not just for facelifting. Clin Plast Surg. 2019;46(4):603-612. doi: 10.1016/j.cps.2019.06.007 [DOI] [PubMed] [Google Scholar]
- 4.Barros MD, Pinto AC, Liquidato BM, Montor WR. Tip chapter: anatomy of the face, neck, hands, and genital area. In: Da Costa A, ed. Minimally Invasive Aesthetic Procedures, A Guide for Dermatologists and Plastic Surgeons, 1 ed. Springer; 2020:271-292. [Google Scholar]
- 5.Wollina U, Goldman A. Facial vascular danger zones for filler injections. Dermatol Ther. 2020;33(6):e14285. [DOI] [PubMed] [Google Scholar]
- 6.Hufschmidt K, Bronsard N, Foissac R, et al. . The infraorbital artery: clinical relevance in esthetic medicine and identification of danger zones of the midface. J Plast Reconstr Aesthet Surg. 2019;72(1):131-136. [DOI] [PubMed] [Google Scholar]
- 7.Scheuer JF 3rd, Sieber DA, Pezeshk RA, Campbell CF, Gassman AA, Rohrich RJ. Anatomy of the facial danger zones: maximizing safety during soft-tissue filler injections. Plast Reconstr Surg. 2017;139(1):50e-58e. [DOI] [PubMed] [Google Scholar]
- 8.Ferneini EM, Hapelas S, Watras J, Ferneini AM, Weyman D, Fewins J. Surgeon’s guide to facial soft tissue filler injections: relevant anatomy and safety considerations. J Oral Maxillofac Surg. 2017;75(12):2667.e1-2667.e5. [DOI] [PubMed] [Google Scholar]
- 9.Woodward J. Review of periorbital and upper face: pertinent anatomy, aging, injection techniques, prevention, and management of complications of facial fillers. J Drugs Dermatol. 2016;15(12):1524-1531. [PubMed] [Google Scholar]
- 10.Brennan C. Avoiding the “danger zones” when injecting dermal fillers and volume enhancers. Plast Surg Nurs. 2014;34(3):108-11; quiz 112. [DOI] [PubMed] [Google Scholar]
- 11.Kim HS, Lee KL, Gil YC, Hu KS, Tansatit T, Kim HJ. Topographic anatomy of the infraorbital artery and its clinical implications for nasolabial fold augmentation. Plast Reconstr Surg. 2018;142(3):273e-280e. [DOI] [PubMed] [Google Scholar]
- 12.Juhász ML, Marmur ES. Temporal fossa defects: techniques for injecting hyaluronic acid filler and complications after hyaluronic acid filler injection. J Cosmet Dermatol. 2015;14(3):254-259. [DOI] [PubMed] [Google Scholar]
- 13.Freytag DL, Frank K, Haidar R, et al. . Facial safe zones for soft tissue filler injections: a practical guide. J Drugs Dermatol. 2019;18(9):896-902. [PubMed] [Google Scholar]