References

Gold MH Use of hyaluronic acid fillers for the treatment of the aging face. Clin Interv Aging. 2007; 2:(3)369-376 https://doi.org/10.2147%2Fcia.s1244

Goodman GJ, Magnusson MR, Callan P Aspiration before tissue filler—an exercise in futility and unsafe practice. Aesthet Surg J. 2022; 42:(1)89-101 https://doi.org/10.1093/asj/sjab036

Harrar H, Myers S, Ghanem AM Art or science? An evidence-based approach to human facial beauty a quantitative analysis towards an informed clinical aesthetic practice. Aesthetic Plast Surg. 2018; 42:(1)137-146 https://doi.org/10.1007/s00266-017-1032-7

King M, Convery C, Davies E This month’s guideline: the use of hyaluronidase in aesthetic practice (v2.4). J Clin Aesthet Dermatol. 2018; 11:(6)E61-68

Porcheron A, Mauger E, Russell R Aspects of facial contrast decrease with age and are cues for age perception. PLoS One. 2013; 8:(3) https://doi.org/10.1371/journal.pone.0057985

Richmond S, Howe LJ, Lewis S, Stergiakouli E, Zhurov A Facial genetics: a brief overview. Front Genet. 2018; 9 https://doi.org/10.3389/fgene.2018.00462

Rohrich RJ, Bartlett EL, Dayan E Practical approach and safety of hyaluronic acid fillers. Plast Reconstr Surg Glob Open. 2019; 7:(6) https://doi.org/10.1097%2FGOX.0000000000002172

Surek CC, Beut J, Stephens R, Jelks G, Lamb J Pertinent anatomy and analysis for midface volumizing procedures. Plast Reconstr Surg. 2015; 135:(5)818-829e https://doi.org/10.1097/prs.0000000000001226

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Treating the cheeks with hyaluronic acid filler

02 July 2022
Volume 11 · Issue 6

Abstract

Natalie Haswell details how natural results can be achieved when treating the cheeks, as well as the common mistakes that newer injectors may make in this area

Cheek volumisation and augmentation is when a temporary hyaluronic acid filler is injected into the layers of the cheek area and mid-face, often along the zygomatic bone. This can also be performed with stimulatory semi-permanent fillers that contain calcium hydroxylapatite, polycaprolactone or poly-L-lactic acid, but the most commonly used filler type is hyaluronic acid. This is due to the reduced risk of permanent vascular occlusion and the ability to use hyaluronidase (Hyalase) to dissolve this, should there be an undesired complication (King et al, 2018).

Hyaluronidase is a prescription-only medicine (POM) and, within aesthetic medicine and practice, it is used off-license to reverse the effects of vascular occlusion or elective correction. Nurse prescribers must always ensure that they are insured appropriately for the prescribing and use of hyaluronidase within their aesthetic practice.

Treatment of the cheeks with filler can be identified in up to three categories: restoration, rejuvenation and/or beautification. Differentiating what type of treatment the cheek filler is for your patient is essential in achieving a natural and desired outcome. Establish whether it is a beautification, restoration or rejuvenation treatment, or if the desired outcome is achieving more than one of these results.

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