The 12-point Revitalization Guide to Pan-facial Application of Injectable Fillers in Older Women.

Soft tissue filler augmentation for beautification is a common aesthetic request from women who wish to enhance facial features. These interventions are performed in both younger and older women and can result in exaggerated or over-augmented lips and cheeks. This unsatisfactory outcome in older women might be due to the inappropriate application of filler enhancement principles that are based the characteristics of a young face. These existing principles do not necessarily translate well to an older face due to underlying facial skeletal changes associated with aging. Mature women might prefer subtler corrections that do not significantly alter their faces, but rather refresh and revitalize their current appearance. Here, the author presents a 12-point revitalization guide, based on personal experience, as an approach for the pan-facial application of calcium hydroxylapatite and hyaluronic acid fillers specific to the aging female face that can result in an understated and age-appropriate appearance. Three illustrative cases are also presented.