Semin Plast Surg 2016; 30(03): 134-142
DOI: 10.1055/s-0036-1584819
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Noninvasive Facial Rejuvenation. Part 2: Physician-Directed—Neuromodulators and Fillers

Ryan M. Dickey
1   Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Matthew R. Louis
1   Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Joshua A. Cox
1   Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Kriti Mohan
1   Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Edward I. Lee
1   Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Marjory G. Nigro
2   Nigro Dermatology Group, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
26 July 2016 (online)

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Abstract

A proper knowledge of noninvasive facial rejuvenation is integral to the practice of a cosmetic surgeon. Noninvasive facial rejuvenation can be divided into patient- versus physician-directed modalities. Patient-directed facial rejuvenation combines the use of facial products such as sunscreen, moisturizers, retinoids, α-hydroxy acids, and various antioxidants to both maintain youthful skin as well as rejuvenate damaged skin. Physicians may recommend and often prescribe certain products, but patients are in control with this type of facial rejuvenation. On the other hand, physician-directed facial rejuvenation entails modalities that require direct physician involvement, such as neuromodulators, filler injections, laser resurfacing, microdermabrasion, and chemical peels. With the successful integration of each of these modalities, a complete facial regimen can be established and patient satisfaction can be maximized. This article is the second in a three-part series describing noninvasive facial rejuvenation. Here the authors discuss neuromodulators and fillers in detail, focusing on indications for use, techniques, and common side effects.