The tower technique and vertical supraperiosteal depot technique: novel vertical injection techniques for volume-efficient subcutaneous tissue support and volumetric augmentation.

A 55-year-old Caucasian female with a past history of face-lifting surgery presented with early signs of soft tissue elastosis, volumetric deficiency in the periocular region, the nasolabial folds, the lips, and the lower face. Hyaluronic acid (HA) filler injections were performed with two novel vertical injection techniques that support and tense the subcutaneous connective tissue--the Tower Technique (TT) and the Vertical Supraperiosteal Depot Technique (VSDT). Vertical injection techniques are a volume-efficient means of delivering excellent, long-lasting results and patient satisfaction with minimal recovery time and are appropriate for volumetric augmentation even in patients who have subdermal fibrosis due to previous facial surgery.