ABSTRACT
There are now many injectable implants for face remodeling since the first product
appeared in Europe in 1984. The treatment regions most in demand are the cheeks, jaws,
lips, and the oval of the face. The aging process is due to fat resorption over the
upper two thirds of the face, in addition to the loss of elasticity. Weakness in the
skin and subcutaneous fascia becomes more apparent over the lower third of the face.
The fat loss together with the slack skin gives the impression of gauntness and loss
of volume under the eyes (i.e., the zygomatic and palpebral areas). Treating the zygomatic
bone area and subcutaneous tissue by injecting filler products will increase volume
around the zygomatic malar bone and subcutaneous area. To choose an implant, we must
take into account the patient's wishes, hopes (whether temporary or long-lasting effects
are required), age, skin type (dry, moist, greasy, thick, or thin), and the patient's
medical history to prevent obvious contraindications in the choice of implant due
to type of product, especially in the case of allergies, inflamed areas, or any suspicion
of autoimmune disease or recent infection.
KEYWORDS
Collagen - hyaluronic acid - polylactic acids - calcium hydroxyapatite - polyacrylamides
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Catherine Bergeret-GalleyM.D.
Cabinet Medical Marignan, 10 Rue Marignan
Paris, France 75008
Email: cbg@wanadoo.fr
