Soft Tissue Fillers for Management of the Aging Perioral Complex

ABSTRACT

Rejuvenative therapy of the lower face has traditionally been surgical in nature, with office-based treatments such as soft tissue fillers relegated to “second tier” status. However, traditional rhytidectomy does not significantly affect the perioral complex and leaves the central lower face unaltered and unimproved. If it is left untreated, there is a clear disparity between the rejuvenated neck and aged perioral area. Soft tissue augmentation of the perioral area can provide rapid aesthetic improvement. Careful analysis of this area and appropriate treatment can harmonize these areas and produce a globally aesthetic result.

KEYWORDS

Perioral complex - injectable soft tissue fillers - fat transfer - nasolabial fold - labiomandibular fold

REFERENCES

• 1 Zufferey J A. Importance of the modiolus in plastic surgery.  Plast Reconstr Surg. 2002;  110 331-334
• 2 Pessa J E, Garza P A, Love V M, Zadoo V P, Garza J R. The anatomy of the labiomandibular fold.  Plast Reconstr Surg. 1998;  101 482-486
• 3 Furnas D W. The retaining ligaments of the cheek.  Plast Reconstr Surg. 1989;  83 11-19
• 4 Barton F E, Gyimesi I M. Anatomy of the nasolabial fold.  Plast Reconstr Surg. 1997;  100 1276-1280
• 5 Gosain A K, Amarante M TJ, Hyde J S, Yousif N J. A dynamic analysis of changes in the nasolabial fold using magnetic resonance imaging: implications for facial rejuvenation and facial animation surgery.  Plast Reconstr Surg. 1996;  98(suppl 1) 622-636
• 6 Zufferey J A. The nasolabial fold: an attempt at synthesis.  Plast Reconstr Surg. 1999;  104 2318-2320