Procedures in Cosmetic Dermatology: Soft Tissue Augmentation

Infraorbital Hollow and Nasojugal Fold

Summary and Key Features The infraorbital hollow (IOH) refers clinically to the curvilinear depression below the eyes and comprises the tear trough, nasojugal fold, and palpebromalar groove. With thin skin overlying bone and little to no subcutaneous fat in this…

Volumetric Treatment of the Brows

Summary and Key Features Orbits that are large, round, and hollow are associated with age, not youth. Young orbits are almond shaped, the bone is not visible, and there may be considerable fullness of the upper lid. The same configurations…

Soft Tissue Augmentation of the Temple

Summary and Key Features Lipoatrophy of the temporal region can result from the aging process, low body fat, certain genetic disorders, treatment with antiretroviral therapy, or physical trauma. Effective augmentation of the temporal region with soft tissue fillers can produce…

Forehead Reflation

Summary and Key Features Rejuvenation of the upper face relies on toxins, but for some patients with etched-in lines, true correction requires replacement of volume in the forehead concavity and filling of lines at the superficial dermal level. Although multiple…

Bellafill

Summary and Key Features Bellafill is currently the only US Food and Drug Administration (FDA)-approved long-term filler indicated for the correction of the nasolabial folds and atrophic acne scars. Bellafill is composed of smooth, round, and uniform microspheres (30–50 μm…

Liquid Injectable Silicone

Summary and Key Features Two forms of highly purified injectable liquid silicone (Silikon-1000 and Adatosil-5000) are US Food and Drug Administration (FDA) approved for intraocular tamponade of retinal detachment. Both products may be legally injected off-label for skin augmentation, according…

Introduction to Permanent Fillers: Pros and Cons

Summary and Key Features Permanent fillers are materials composed of nonabsorbable or permanent materials. These agents can provide long-lasting results but carry more potential risk. Polymethylmethacrylate and liquid injectable silicone are the only currently available permanent fillers available in the…

Autologous Fat

Summary and Key Features Autologous fat is an ideal filler that provides patients with long-lasting revolumization. With proper patient assessment, planning, and treatment, facial augmentation provides a safe means to restore the youthful contours of the face. The use of…