Three-stage V-line Technique with Polycaprolactone Filler for Facial Contour Restoration

Asian facial anatomy is often characterized by flatter midfaces, wider zygomatic arches, and reduced projection, leading to diminished contour definition. Aesthetic goals therefore emphasize smooth transitions and balanced facial proportions. The V-line concept represents a structured approach integrating point-, line-, and plane-based augmentation to enhance facial support and contour. This preliminary case report describes a 39-year-old woman who underwent facial rejuvenation using a polycaprolactone (PCL)-based filler with a 3-stage V-line layered injection technique. The protocol targeted the jawline, midface, and T-zone in a single treatment session using a layer-specific approach. Improvements were observed immediately and maintained at 1-, 3-, and 6-month follow-ups. Lower facial contour and jawline definition improved, midface support was restored with smoother transitions, and upper facial projection was enhanced. No complications were observed. This preliminary report suggests that the 3-stage V-line technique using PCL filler may provide effective and natural facial rejuvenation tailored to Asian facial morphology. Further studies with larger sample sizes, objective outcome measures, and longer follow-up are warranted.