Summary and Key Features

  • There are a multitude of factors that contribute to skin aging, including volume loss, dyspigmentation, fine wrinkles, and changes in skin texture.

  • A multifaceted approach targeting the various aspects of aging is often required to effectively rejuvenate the skin and ensure patient satisfaction.

  • A combination of treatments with fillers, neurotoxins, and light- and energy-based devices is both safe and provides synergistic beneficial effects for the treatment of aging skin.

  • Further investigation into the efficacy, mechanisms of action, and optimal techniques is essential to advancing the treatment of photoaged skin.

Introduction

Soft tissue fillers are but a single tool in the physician’s arsenal in the treatment of aging skin. To effectively treat the patient and yield desirable results, the physician, as an artist, must globally visualize the entire subject and face as a whole. The physician must not only examine the types of lines and wrinkles, the fine or deep, static or dynamic, but also they must look past the mere lines and wrinkles to assess volume deficits created with the passage of time. The clinician must also study skin texture changes, telangiectasias, pigmentation, and skin laxity in the assessment of the patient. In this chapter, we discuss the efficacy and safety of combining fillers with different treatment modalities in the management of this multifaceted process of skin aging.

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