Volumetric (3D) facial modeling with fillers, correction of age-related changes, reviews, photos

Preserving freshness and youth is the main task of aesthetic medicine. Modern procedures allow you to safely and effectively get rid of wrinkles and sagging, without breaking away from the usual dynamic rhythm of life. The use of innovative formulas forces us to activate renewal processes at the cellular level. Correction of facial contours with fillers helps to achieve external perfection in just 1 procedure. The composition of the preparations improves the structure and color, maintains hydrobalance, and heals the skin. Injection plastic allows you to fill voids, add volume, smooth out creases, the effect is observed immediately after injection. A prolonged result is also noted, rejuvenation processes occur in the deep layers of the skin, nutritional functions and fibroplast synthesis are restored.

Indications for use

Correction with fillers can be performed at any age, not only to tighten the oval shape, but also to add relief and restore symmetry. Modern biodegradable materials are safe for use; the hypoallergenic composition does not lead to tissue rejection. Active ingredients help increase collagen synthesis and improve the overall condition of the skin. Prescribed from 30 to 60 years of age, it can be combined with various injection procedures, the effect can be compared to surgical lifting.

Indications:

initial stage of ptosis;
blurred oval contours;
fine wrinkles around the eyes, lips, eyelids;
asymmetry of facial features;
unexpressed cheekbones, chin;
drooping eyelids, corners of the mouth;
insufficient volume in the cheekbones and lips.

attention! To carry out the procedure, the patient’s desire to improve his appearance is sufficient. To combat more pronounced age-related changes, fillers are successfully used with thread lifting and Botox injections.

Fillers for facelift

With age, under the influence of gravitational forces and external negative factors, the skin loses its elasticity, and the contour of the oval loses the clarity of its lines. Subcutaneous fat tissue thins, gravitational stretching of internal tissue fibers occurs, and the concentration of hyaluronic acid decreases, which leads to the development of gravitational tissue ptosis.

There are several cosmetic techniques for tightening the oval shape; one of the most effective is contour correction with fillers, or bioreinforcement.

Contour modeling of an oval is recommended if:

there is a desire to improve the shape of the oval and return the contours to a chiseled shape;
the shape of the chin is unaesthetic;
lips have a vague outline and are not symmetrical;
the effect of sunken cheeks is observed;
there are wrinkles and creases;
there is deformation or disturbance of the symmetry of the contours as a result of trauma or surgery.

For such oval contour-correcting procedures, cosmetologists most often recommend the use of safe and biocompatible implant compositions based on hyaluronate.

Hyaluronic acid is an integral component of:

cartilage tissue;
epithelium;
connective and nervous tissues.

The substance acts as a binding element for water molecules in the superficial and deep layers of the skin, which promotes maximum tissue hydration, normalization of hydrobalance, improvement of turgor and restoration of skin elasticity. The component also acts as an activator of cellular metabolism, improves cellular immunity and protects against the effects of external negative factors.

To correct the contours of an oval, fillers with the densest gel consistency are used, which, when introduced into the tissue, fill the voids as much as possible, replenish the missing volumes and create a bio-reinforcement effect, forming a new frame and restoring clarity to the contours.

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Efficiency

The most pronounced result is observed between the ages of 35 and 50 years. Visually, you can look 5–10 years younger, the structure and color of your skin improves. Previously used to correct areas of the face - cheekbones, lips, chin. The introduction of the drug is effective not only against fine wrinkles, it is possible to remove deep nasolabial folds, and correct the shape and volume of the lips. The result is a natural, fresh appearance of the face, without disturbing the proportions.

It will not be possible to achieve the desired effect with pronounced ptosis, jowls, a sagging double chin, or deep folds. In such cases, a comprehensive anti-aging program is required, and endoscopic lifting is possible. They are not used with previously implanted permanent fillers, which remain in the tissues for life.

Types of fillers

Princess Volume is an Austrian drug that is of high quality and painless. The formula is represented by hyaluronic acid of non-animal origin. The risks of developing allergies and side effects are reduced; a special feature is the long-term preservation of the result - from 8 to 12 months. Allows you to cope with nasolabial folds, increase the volume of lips and cheekbones.

Juvederm Volume - produced in France, the composition contains hyaluronic acid, as well as a lidocaine solution. Allows you to fill deep wrinkles and restore a clear oval line. The result of facial modeling lasts from 4 to 12 months.

Surgiderm 30 xp - the composition contains synthetic hyaluronic acid, provides a short recovery period, and there is no risk of side effects. The effect lasts for about 18 months and is available in the form of a syringe.

Ellanse - filler contains polycaprolactone, which ensures complete biodegradation after 6-12 months. Suitable for patients intolerant to hyaluronic acid. Stimulates collagen synthesis and the formation of elastin fibers. The result lasts from 2 to 4 years.

Sculptra is based on polylactic acid, is well accepted by tissues, does not cause rejection or side effects. The result of the correction is a pronounced lifting effect; the filler formula also allows you to model your face and possibly get rid of deep wrinkles. It has a prolonged effect, the final version can be assessed after 2–4 months, and lasts for about 3 years.

Preparation for the event

Before correction with fillers, the doctor surveys the patient about previously performed cosmetic procedures, observed allergic reactions, and general health. In some cases, you will need to take tests to determine clotting parameters and check for an allergy to the drug. Recommendations help prevent side effects and shorten the recovery period.

Preparation:

You should avoid procedures that injure the skin;
exclude semi-finished products, snacks, marinades from the menu due to the high salt content;
a week before the event, stop smoking, drinking alcohol, strong tea, coffee;
reduce physical activity and sports;
stop taking medications at least 2 weeks before the procedure.

Administration technique

The procedure is performed by a dermatocosmetologist or aesthetic surgeon. It is necessary to fill out an injection passport indicating the name of the drug, volume, injection zones, and date of administration. This document remains with the patient and is provided to the cosmetologist for subsequent corrections. It is also necessary to check the certification of the drug and expiration dates. The volume of filler, as well as the placement zones, are determined individually; no more than 2 ml is injected per procedure.

Stages:

The face is cleaned of cosmetics and dust and treated with an antiseptic.
Emla anesthetic cream is applied and will take effect within 20 minutes.
Then the filler is injected, possibly classically using needles or cannulas. The latter are blunt, hollow tubes that push apart facial tissue rather than pierce it. From one hole it is possible to fill the areas of nasolabial folds, cheeks, lips, chin, and the area above the lip. The use of cannulas leads to minimal trauma and accelerates the healing process.
During administration, the patient may feel a burning sensation; the discomfort is associated more with the psychological aspect than with real pain.
Afterwards, re-treatment with an antiseptic is carried out. The doctor massages the face to evenly distribute the drug in the tissues and give the desired relief.

The correction lasts from 30 to 60 minutes, then the patient can go home.

Indications and how the procedure works

Contour plastic surgery for the face, neck and décolleté is performed only in a clinical setting by qualified cosmetologists. Filling defects and voids in tissues is done with fillers - preparations with a synthetic, biological or biodegradable base.

Skin contouring sessions shown:

with signs of gravitational ptosis;
with traces of acne;
results of premature aging;
with formed facial wrinkles, age wrinkles and nasolabial folds;
lost volume and elasticity;
with signs of hyperpigmentation, dull and losing its healthy color;
thinned, with signs of sagging, excessive dryness.

Modeling is also recommended for those who want to correct asymmetry, lack of volume and excessive pallor of the lips, make cheekbones more voluminous, and eliminate sagging earlobes, hands and neck. Thanks to the active action of the substances included in the filler preparations, visible improvements will occur after 1-2 sessions.

Depending on the specifics of the correction area, cosmetologists use several techniques for introducing thickening cocktails:

Point or papular. The needle is positioned at an angle of 45 degrees and the drug is injected into the glasses in small doses. Micronodules form at the injection sites, which resolve within 2-3 days.
"Point by point." The technique involves injecting a cocktail into the lower or middle part of the skin tissue in small portions parallel to the fold or wrinkle line.
Linear-retrograde . The classic technique of introducing fillers to fill wrinkles “from the bottom” and gradually to the upper layer of the epidermis. The needle is inserted at an angle of 30 degrees and the substance is released with a piston, gradually pulling out the needle.
Fan . The principle is similar to linear-retrograde technology. A special feature is performing one injection with a needle, and then dosed fan injection of filler from the needle turns at an acute angle.
Bolus. Technique with the deepest possible introduction of the composition until it comes into contact with the periosteum. The cosmetologist selects a straight or acute injection angle individually, depending on the nature of the defect.

In addition to the basic techniques, cosmetologists also use Parisian, Hollywood, multipuncture or mesh technology for introducing fillers. The choice of method for introducing subcutaneous filler is selected depending on the specifics of the modeling area.

Lift

Using the method of contour lifting with fillers, correction of various facial areas is performed, it all depends on the indications and desires of the patient. The drug is administered deeply subcutaneously using ultra-thin nano-needles, which leave virtually no traces and do not injure the epidermis.

Before starting the procedures, the cosmetologist selects the optimal composition of the cocktail and marks the areas that need to be corrected - the cheekbone area, cheeks, chin area. As a rule, a fan technique is used for lifting and modeling individual areas.

A correction session with fillers takes place according to the following algorithm:

The treatment area is cleaned of dirt and decorative cosmetics.
An anesthetic gel is applied to numb particularly sensitive areas.
The injection sites are marked with a medical marker.
Filler is injected into problem areas.
A soothing gel or mask is applied to the treated area.

A modeling and correction session can last 40-50 minutes, it all depends on the specifics of the area being treated, the condition of the skin, as well as the type and amount of the drug administered to correct the flaws.

Oval correction

To restore clarity to the contours of the face and eliminate the effect of a swollen oval, the correction procedure is performed as follows:

First, correction zones are marked and cleared.
Filler is injected into the marked areas - cheekbone, chin, frontal.
After the session, a soothing mask is applied.

Getting rid of a double chin

In order to eliminate a double chin, hyaluronidase-based fillers are used. The drug has a dense gel consistency. Along with correction of the chin area, sagging neck can be eliminated.

The photo shows the results of facial contouring with fillers (elimination of a double chin)

For such procedures, the “fern” technique is chosen. Its essence lies in the fact that the needle is inserted perpendicularly into the central part with a cut into the middle layer of the skin half or two-thirds of the needle. Also, the maximum effect in eliminating a double chin is provided by the mesh method of introducing the composition, which allows you to form a dense frame and tighten the skin. The procedure takes no more than 20 minutes.

For wrinkles

To correct age-related and facial wrinkles, preparations with hyaluronic acid are used directly in the fold area.

The following types of techniques are used:

multipuncture - to eliminate horizontal frontal wrinkles;
linear-retrograde - for correction of nasolacrimal grooves and deep folds;
Parisian - to eliminate small expression wrinkles;
“sandwich” method - for smoothing out the deepest creases.

The most popular procedure, the cost of one session varies from 9,000 to 12,000 rubles.

Modeling

Dense gel preparations are used to model individual zones - enlargement and correction of lips, replenishing the volume of the cheekbone area, raising the tip of the nose and correcting the shape, making contours clear.

Fillers are introduced into the marked areas using miniature cannulas - hollow tubes with a rounded end, which make the procedure more effective, painless and safe. Unlike injection with needles, during modeling using a cannula, neighboring tissues are not injured and blood vessels are not damaged.

As a result, you can restore roundness to your cheeks, definition to your cheekbones, seductive swelling to your lips, symmetry, and the correct shape of your nose and chin.

Reinforcement

The bioreinforcement method is used for complex correction and rejuvenation of the face. This is the most optimal method of non-surgical correction in cases where mesotherapy and peelings do not give a positive result. The essence is to form a framework of skin tissues to strengthen them and reduce the effects of gravity.

When administered, the drug is distributed in such a way as to form a gel network to prevent further deformation. The method can be used either independently or in various combinations with other contouring techniques.

Healing period

After injection correction, the face looks swollen, reddened, and some patients report painful sensitivity. After a few days, all symptoms go away on their own. You can evaluate the final version of the procedure in a week; the duration of the result depends on the choice of drug, and lasts from 2 months to 4 years. To achieve the desired effect, it is important to follow all medical recommendations.

How is the recovery going:

During the first days, you should not touch your face with your hands; contact with any surface should be limited. Sleep on your back, change your pillowcase regularly;
During the first 24 hours, you cannot use skin care cosmetics; after that, hypoallergenic foams and tonics are used for cleansing. The punctured areas are treated with an antiseptic solution; Panthenol will help speed up healing;
After the procedure, you cannot plan air travel for about a week;
limit physical activity and sports. Baths, saunas, solariums are prohibited;
protect the skin from exposure to ultraviolet radiation, use cream with SPF factor;
To speed up recovery, you should avoid drinking alcohol, strong tea, coffee, and foods high in salt. Smoking also negatively affects the condition of the skin and leads to long-term persistence of bruises.

Attention! Hardware techniques and massage neutralize the effect of fillers; mesotherapy and Botox injections can be used after healing is complete.

Contraindications

Modeling facial massage techniques are comparable to plastic surgery in terms of impact and effectiveness. It is important to remember that such a deep and intensive study of the body’s structures is not harmless and can significantly harm health if:

oncology;
blood poisoning;
herpes;
hernia of the cervical or thoracic spine;
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low blood pressure;
trigeminal neuralgia;
allergies;
inflammatory skin diseases;
dermatitis;
a large number of moles or papillomas;
fresh wounds, abrasions, burns, frostbite;
rosacea.

It is not recommended to do the procedure after recent chemical peeling, Botox injections, biorevitalization, contouring and mesotherapy sessions.

How much does the procedure cost?

Correction services using fillers are offered by many cosmetologists working in private offices. But you can only trust an experienced dermatocosmetologist or plastic surgeon; injections are administered exclusively on an outpatient basis.

Prices depend not only on the prestige of the medical center, the qualifications of the doctor, but also on the chosen drug. Also, depending on the volume and complexity of the work, the cost increases when using additional anesthesia and using cannulas instead of a syringe.

A doctor’s consultation is paid separately, the cost is from 1500 to 3000 rubles. The price range for oval correction varies from 15,000 to 50,000 rubles, the filler formula is selected individually.

Complications and their prevention

Complications after the procedure are not uncommon . But their risk is significantly reduced if you go to a modern clinic and see a competent specialist. With its help, you will select a drug that will not only be of high quality, but also safe.

The cosmetologist will choose injections for you, taking into account the individual characteristics of the skin and the entire body as a whole, because they also affect the procedure.

At the end of the procedure, the doctor must show the empty syringe, having used everything completely. You cannot leave the drug for finishing or subsequent correction . Otherwise, there may be a risk of infection.

We invite you to watch a video about what complications are possible after the filler injection procedure:

Precautionary measures

The likelihood of developing side effects depends directly on the drug. Biodegradable ones rarely cause allergic reactions, the healing process takes place quite quickly. The risks of persistent discomfort symptoms are higher when using polymer fillers, which remain in the subcutaneous layers for life. The final result depends on the doctor’s experience, as well as the patient’s compliance with the rules of the rehabilitation period.

How to prevent the development of complications:

contact only a trusted clinic and a qualified doctor;
use of anesthesia with epinephrine;
administration through blunt cannulas in small doses;
the use of an aspiration test to prevent the drug from entering the vascular bed;
Immediately after the procedure, a massage is performed to evenly distribute the filler.

Mild symptoms during the first 5 days are considered normal - painful sensitivity, swelling, bruises. The administered drug should not migrate or gather in nodules. If discomfort persists for a long time and worsens after 3 days, you should consult a doctor. The sooner correction of unsuccessful filler injections begins, the more successful the result will be. In the case of silicone compounds, if the placement technique is violated, only surgical intervention is possible.

Side effects:

puffiness, swelling;
tissue fibrosis;
protrusion, migration of the drug;
tissue rejection, abscess;
allergic reaction;
vascular embolism, necrosis;
formation of keloid scars;
violation of facial symmetry.

Contraindications for this procedure:

pregnancy, breastfeeding;
malignant tumors;
infectious, acute, chronic diseases;
autoimmune pathologies;
failures of the cardiovascular system;
inflammation on the face.

Aftercare after modeling

Facial contouring with fillers is a procedure with minimal trauma, since cannulas or thin nano-needles are used for invasions. Despite this, in order to avoid negative consequences and to achieve lasting results, it is necessary to follow a number of rules for care after modeling.

Rules of care after modeling:

In the first 4-5 hours after a plastic surgery session, it is not recommended to take a horizontal position or bend forward.
For 2 weeks, limit coffee in the morning, exclude spicy, fatty foods, and alcoholic drinks from your diet.
For 2-3 days after the session, do not touch the corrected areas with your hands, choose a sleeping position on your back to avoid migration of the gel.
Do not apply decorative cosmetics for 3-5 days, exclude cleansing procedures and scrubbing.
To distribute the gel evenly, it is recommended to perform massage exercises, but under the guidance of a cosmetologist.
Avoid visiting the sauna, swimming pool, thermal procedures, and physical activity for 7-10 days after the modeling session.
Avoid taking blood thinning medications for 2-4 days before and after the procedure to reduce the risk of hematomas.

After contouring, it is necessary to carefully monitor the cleanliness of the skin; it is recommended to treat the areas with mild disinfectants. If complications arise during the rehabilitation period, you should immediately seek help from a specialist.

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Comparison with other correction methods

Fillers provide a pronounced effect after one procedure; the advantage is a short recovery period. The effect lasts for several years, depending on the formula of the drug and the characteristics of the patient’s lifestyle. Combines well with other injection techniques and has no age restrictions. Provides a lasting anti-aging effect, the ability to correct aesthetic imperfections, and improve the overall condition of the skin. The development of side effects and allergic reactions is minimal.

Pili Ngi - used for mild ptosis, stimulates the synthesis of collagen and hyaluronic acid. They require long-term recovery, special skin care, a traumatic and painful procedure can be prescribed even after 60 years.
Plasmolifting - patient’s plasma is used for correction. A fairly expensive cosmetic method, the effect lasts up to a year. Thanks to injections, it is possible to activate metabolic processes and increase skin density.
Thread lifting is performed between the ages of 30 and 50 years. They are used as biodegradable and non-absorbable materials. The result lasts from 3 to 7 years, with a short recovery period due to administration through micropunctures. Allows you to cope with different degrees of ptosis, improve facial features, and correct asymmetry.
Hardware procedures can be combined with various biological products. For a pronounced effect, a course of therapy is required. The effect is aimed at the synthesis of fibroplasts, as a result of which an increase in the number of collagen and elastin fibers. Maintaining the results depends on subsequent skin care and the individual characteristics of the patient.
Botulinum therapy is used to correct the upper part of the face. Helps smooth out medium and fine wrinkles and prevent the development of ptosis. The effect lasts for about 8 months, combination with other injection techniques is possible.
Surgical facelift requires preparation, the use of general anesthesia, and there is a high risk of side effects. The recovery period lasts more than a month, the result lasts about 10 years.

Before the session

Before you begin the massage, you need to do a little preparatory work:

Remove ear and neck jewelry.
Hide your hair under a special cap.
Wash off your makeup.
Using the scrub, thoroughly cleanse your face.
Apply a pre-selected massage product. It can be oil, modeling cream or gel. Many practitioners prefer to use talc because it provides greater contact with the skin.
If you are giving yourself a massage, remember that your hands should be clean, dry, and your nails short.

The psychological attitude towards the procedure is also important: complete relaxation, the absence of negative thoughts, and a comfortable environment will enhance the rejuvenating effect.

How to neutralize the effect

It is not always possible to achieve the desired result; in addition to the lack of result, asymmetry, migration of material, and the development of side effects are possible. Neutralization methods depend on the composition of the administered drug:

Hyaluronic acid is a biocompatible material and rarely causes side effects. You can neutralize the effect with the help of massage, microcurrent, and hardware procedures that enhance lymphatic drainage. You can also quickly eliminate the consequences using hyaluronidase injections.
Collagen fillers are more difficult to correct. To eliminate the consequences, electrophoresis and ultrasonic massage are prescribed. It can be quickly eliminated by using glucocorticosteroids, but there is a high probability of developing complications after hormonal drugs.
Calcium hydroxyapatite is a heavy filler of synthetic origin. The only way to neutralize the results of a cosmetic procedure is through surgery.

Advantages and disadvantages

The use of fillers to form an oval is one of the modern cosmetic methods of rejuvenation and correction. The effect can be assessed immediately, and the rehabilitation period takes only a few days.

Important! It is worth noting the safety of the formulations used; the patient can choose the optimal drug to solve a whole range of aesthetic problems. The results of the procedure look natural; the injection procedures will not be noticeable to others.

Advantages:

quick achievement of results;
1–2 procedures are sufficient for correction;
the ability to improve the overall condition of the skin and stop the aging process;
short healing period;
natural result of rejuvenation;
combined with other invasive techniques;
the effect lasts up to 4 years.

Flaws:

high price;
there are risks of developing side effects;
the result depends on the experience and qualifications of the doctor.

Opinions of cosmetologists

On forums, professionals share their experience of working with fillers.

The user writes that the result can be assessed only after 2 weeks; an overdose is unlikely when administering hyaluronic acid in a volume of 1.5 ml.

The review describes ways to cope with the side effects of the injections; the user assumes that the cause was a periosteal injury.

The participant asks how long the result will last and what factors influence it.

What is contour plastic surgery?

Contour plastic surgery is a technique for introducing fillers using injections to form facial contours, fill wrinkles, and straighten folds.

Fillers are special gels that are injected under the skin to smooth out the dermis . This filler can create volume anywhere on the face while lifting and tightening the skin.

When using fillers based on hyaluronic acid to shape the oval of the face, it is possible not only to make it more attractive and youthful, but also to stimulate the body to produce its own elastin and collagen, which significantly rejuvenates the skin. You can find out more about whether it is possible to rejuvenate yourself using facial contouring with hyaluronic acid here.

Patient reviews

There are mostly positive reviews about oval correction with fillers among patients.

The review describes long-lasting results after Juvederm injections, even with an active lifestyle.

A user writes about the need to choose different fillers to achieve contouring and add volume.

A participant writes about the painlessness of filler placement.

There are also not very positive reviews. A participant writes about side effects such as dark circles under the eyes after using Restylane.

Other opinions can be found on the forum.