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Clavicular Contouring with a Novel Subperiosteal Filler Injection Technique: A Single-Case Study
Chung-Harn Chang1, Hong-Liang Zhao2
1Chang's Clinic of Cosmetic Surgery, Taipei, Taiwan. jojoforce@foxmail.com.
Aesthetic Plastic Surgery
|November 14, 2024
Summary
A novel subperiosteal injection technique using dermal filler was validated in the clavicle area. This method offers stable, long-term results superior to traditional cosmetic injections.
Area of Science:
- Medical Aesthetics
- Injectable Cosmetics
- Dermal Fillers
Background:
- Injectable cosmetic procedures are increasingly popular.
- Advancements in technology and materials facilitate minimally invasive aesthetic treatments.
- Subperiosteal injection is a novel technique not yet established in medical aesthetics.
Purpose of the Study:
- To confirm the feasibility of subperiosteal injection of dermal filler.
- To validate this novel technique using the clavicle area and ultrasound.
- To explore its potential for improved contouring and addressing filler displacement.
Main Methods:
- A new technique involving linear limited subperiosteal dissection with a cannula.
- Expansion of the periosteum via injection pressure to facilitate subperiosteal filler placement.
- Combination of sharp and cannula techniques for subperiosteal filling.
Main Results:
- Clinical observation and ultrasound validation confirmed successful subperiosteal injection.
- The dermal filler provided very stable support at the subperiosteal level.
- Ideal results were maintained at the 6-month follow-up.
Conclusions:
- The subperiosteal injection technique is practical and easily promoted.
- It achieves long-term stable outcomes surpassing traditional injection methods.
- Applicable to various facial injection sites beyond the clavicle area.

