Sinijchaya Sahawatwong1, Punyaphat Sirithanabadeekul2, Vasiyapha Patanajareet3, Penpun Wattanakrai4, Wilai Thanasarnaksorn1. 1. Division of Dermatology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand;; Samitivej Esthetics Institute, Samitivej Sukhumvit Hospital, Bangkok, Thailand; 2. Division of Dermatology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand;; Division of Dermatology, Chulabhorn International College of Medicine, Thammasat University, Prathumthani, Thailand; 3. Department of Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. 4. Division of Dermatology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand;
Abstract
BACKGROUND: Various methods attempting to correct sagging of the lower face focus mainly on manipulation of the superficial musculoaponeurotic System. Each technique has its own limitation. The authors propose a relatively simple, conservative method utilizing hyaluronic acid injection just above the superficial musculoaponeurotic System. OBJECTIVE: To address a novel hyaluronic injection technique to lift the lower face. METHODS: Details of the injection techniques are described. The Position of the hyaluronic acid injected and the effect of hyaluronic acid on the superficial musculoaponeurotic System were confirmed by ultrasonography in one of the cases. RESULTS: Sonogram images demonstrated the location of the injected hyaluronic acid and pressure effect of hyaluronic acid on the superficial musculoaponeurotic System, confirming the ability to manipulate the superficial musculoaponeurotic System by this injection technique. The lifting result of this Single injection technique was immediately visible and maintained for at least 26 weeks. CONCLUSION: This is a less invasive, reproducible method that provides a sustained face lifting result. The authors propose the term "supraSMAS lift" for this novel injection technique.
BACKGROUND: Various methods attempting to correct sagging of the lower face focus mainly on manipulation of the superficial musculoaponeurotic System. Each technique has its own limitation. The authors propose a relatively simple, conservative method utilizing hyaluronic acid injection just above the superficial musculoaponeurotic System. OBJECTIVE: To address a novel hyaluronic injection technique to lift the lower face. METHODS: Details of the injection techniques are described. The Position of the hyaluronic acid injected and the effect of hyaluronic acid on the superficial musculoaponeurotic System were confirmed by ultrasonography in one of the cases. RESULTS: Sonogram images demonstrated the location of the injected hyaluronic acid and pressure effect of hyaluronic acid on the superficial musculoaponeurotic System, confirming the ability to manipulate the superficial musculoaponeurotic System by this injection technique. The lifting result of this Single injection technique was immediately visible and maintained for at least 26 weeks. CONCLUSION: This is a less invasive, reproducible method that provides a sustained face lifting result. The authors propose the term "supraSMAS lift" for this novel injection technique.