Chemical Peels and Fillers

Oral Commissure

Chemical peels are also an important tool for the removal of superficial wrinkles. Although patients may find the word laser more attractive, depending on the skin type and the time required from recovery, superficial or medium-depth peels are better suited for some patients. The rules are the same as for laser resurfacing there are advantages and disadvantages with laser, chemical peels, or dermabrasion. Combining any of these resurfacing methods may maximize the advantages of each and...

Facial Plastic Surgery and Fillers

As BoNT-A has changed the approach to remodeling of the upper face, fillers have revolutionized the surgical approach to the face. Minimal facial surgery with a quicker recovery time and combined with fillers is the treatment of choice for cosmetic facial improvement. In addition to treating wrinkles, fillers may be used to promote Fig. 7.4 a Patient before treatment. b This patient submitted to minimum invasive surgery and full-face filling for volumetric improvement Fig. 7.4 a Patient before...

Laser Resurfacing and Fillers

Both of these methods are indicated for the treatment of static wrinkles. The depth of the wrinkle, skin type, and recovery time after the procedure may influence the choice of either method. Usually, patients with a fair complexion benefit from laser resurfacing. Patients with a dark complexion may present hyper- and or hypopigmenta-tion. Due to skin quality, it is more common that patients with fair and sun-damaged skin may present full-face wrinkling and should be treated first with a skin...

Botulinum Toxin and Fillers

Depressor Nasi Resection

The use of BoNT-A has changed the way cosmetic procedures are handled. Nonsurgical treatment of wrinkles used to consist of filling or resurfacing methods, both of which were focused on static rhytides. Dynamic wrinkles could at that time only be treated by a surgical approach and only in a few areas, such as the forehead and glabella. Muscle action may affect the duration of biodegradable fillers so that the presence of wrinkles in areas of direct muscular action produces only partial results...