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(Video) Restoring Lost Volume from Bone Resorption in Maxilla at Nasal Base with Hyaluronic Acid (HA

Facial aging reflects the dynamic, cumulative effects of time on the skin, soft tissues, and deep structural components of the face, and is a complex synergy of skin textural changes and loss of facial volume. Many of the facial manifestations of aging reflect the combined effects of gravity, progressive bone resorption, decreased tissue elasticity, and redistribution of subcutaneous fullness.

Structural components of facial aging: Skeletal structure

Aging of the craniofacial skeleton is not merely the result of bone atrophy but is also due to a change in the relative dynamics of bone expansion and bone loss. There is an appreciable reduction in facial height, which is mainly due to changes in the maxilla and mandible, and a modest increase in facial width and depth. The orbits increase in size, whereas the maxilla decreases in size, compounding the inferior displacement of the malar fat pad and accentuation of the nasolabial fold. Maxillary resorption can also lead to a loss of support in the upper lip, which contributes to perioral wrinkling. In the mandible, tooth loss causes marked resorption of the alveolar ridge, and the shape and projection of the chin also change with age. There is a general coarsening of mandibular bony protuberances at the points of insertion of masticatory muscles (eg, the gonial angle and inferior edge of the zygomatic eminence), and a general softening elsewhere.

This week, our IFAAS faculty Dr Holman demonstrates the exclusive technique of Restoring Lost Volume from Bone Resorption in Maxilla at Nasal Base with Hyaluronic Acid (HA) Filler Injection.

The faculty would also like to add that" The nose tip tends to sag with age due to bone loss. With restoring of the lost volume in maxilla at nasal base, it gives a natural effect and makes the face look more youthful as it is addresses the cause of changes with age rather than just filling the Nasolabial fold. It shares the same concept as filling cheeks, chin, temple and tear trough with deep filler. This technique as a result addresses the NLF but is not NLF filler injected in the traditional way. "

Hope you have enjoyed the article & video! Stay tuned for our future posts about more techniques related to advanced aesthetic injectables!

Reference:

https://academic.oup.com/asj/article/26/1_Supplement/S4/223473

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