Injection Guidelines for Treating Midface Volume Deficiency With Hyaluronic Acid Fillers: The ATP Approach (Anatomy,...

Area of Science:

• Aesthetic medicine and facial anatomy.

Background:

• Midface rejuvenation with hyaluronic acid (HA) fillers is a key aesthetic procedure.
• HA fillers have advanced for improved projection and dynamic adaptability.
• Midface volume restoration contributes to a youthful appearance and can indirectly address other concerns.

Purpose of the Study:

• To provide an anatomical description of the midface relevant to filler injections.
• To propose a multilayer treatment algorithm for tailored midface rejuvenation.
• To guide the selection of HA filler properties for optimal outcomes.

Main Methods:

• Detailed anatomical review of the midface's 5-layered structure.
• Identification of vascular structures and their depths within the midface.
• Development of a multilayer injection algorithm considering patient-specific factors.

Main Results:

• The midface's layered structure necessitates a tailored, anatomical approach.
• Understanding vascular anatomy is crucial for minimizing procedural risks.
• A multilayer strategy enhances treatment customization for natural results.

Conclusions:

• Hyaluronic acid fillers offer effective, minimally invasive midface rejuvenation.
• A thorough anatomical understanding and multilayer approach are essential for safe and aesthetically pleasing outcomes.
• Tailoring treatment to individual patient characteristics optimizes rejuvenation results.