Our latest webinar delved deeper into getting to know the different anatomy of the face: upper, middle and lower, as well as how to achieve the ideal full-face remodelling using HYAcorp and Genefill Face Fillers.

If by any chance you missed the live event, don’t worry because we have the full webinar recorded so you can watch it at your convenience. Further, all questions asked during the session have also been answered below by the experts.

Full webinar replay available now.

Q1: What entry points do you recommend for the temple using a cannula ?

[Dr. Frank] Most of the time I use a mid zygoma approach and then work my way up if I want to tackle the anterior temple. I'm not so much a fan of the superior access in people who do have a lot of facial hair because my cannula is then scrubbing over the hair. If I don't use a foil I do feel quite confident to insert either subdermal or in the interfacial plane coming from this approach obviously there's a good reason if you say if you're not that experience with the temple yet and don't know which layer is the right one how it should feel if you don't have verification with ultrasound then tilting in from the temporal Crest going down to the bone and then tilting it over and going down is definitely a safer way for the posterior hairline I do not inject any soft tissue filler there to be honest because I think this is rather then already surgical indication if you want to lift that much.

[Dr.Ruiz] I usually approach the temporal area from the zygoma. If I want a superficial feeling I usually you divide this area in 4 and I make a superficial filler in the inferior both and in Superior lateral if I want a deep injection I only use this part and I do it with a needle so for the inferior part and for the superolateral part I always use a cannula.

Q2:  What are your  thoughts on using a cannula for the Vermillion Borders?

[Dr. Frank] Personally I don't use the cannula for the vermilion borders, I use it for the mucosa. I go to the separation of dry and wet mucosa I then retrograde to insert my filler to give deep volume to replenish but there are two reasons why I'm not using it for the vermillion borders because obviously, it seems tempting right just put it up to the filtrum retract. However, the reason why I don't use it is that I'm quite afraid of filler migration if I apply this technique. It is the same if you go for the Russian needle technique if you do too much harm to this intersection between mucosa and then that's called squamous epidermal cells you will have a certain migration of the filler and it often migrates in a cranial direction and also in the direction towards the lower lip as the concentric movement of our orbicularis is spreading the filler. If I want to frame this, I use a needle 32 G tilted a little bit, and works perfectly fine for me.

[Dr.Margara] I only use a needle for the borders of the lips because I think we can be more precise in the dermis creating a very good projection and very good definition of the Vermilion border staying in the dermis using the needle, I think that it's better to use the needle. If you want to volumize the lips, maybe you can use also the cannula as you said before.

Q3:When to use genefill soft touch and soft fill

Genefill Soft Touch replaces lost hyaluronic acid in the skin, is used for volume replacement (filling of folds), superficial folds, periorbital lines, and perioral lines. Genefill Soft Fill is indicated for the restoration of the facial volume and contour replacesreplace lost hyaluronic acid in the skin, is used for volume replacement (filling of folds), medium to deep folds, nasolabial folds, cheek area, lip augmentation, glabella folds. Do not inject Genefill Soft Fill in the periorbital region (eyelid, crow’s feet, circles under the eyes)

Q4: How much Genefill Dx you put in the chin and how many in the jaw?

The recommended maximum safe milliliters (ml) for injections are as follows:

Jawlines: 1 - 3 ml. Chin: 1 - 2 ml.

Our experts advise a dosage of 2cc per session for women and 3cc per session for men for a comprehensive mandibular contouring.

Q5: What do you think about using needle perpendicular to the bone?

I like to use this technique when I have to put some HA with high G’  to create a structured volume helping in harmonizing the skeletal bone of patient's faces.

Q6: Can I know the method for Russian Lips?

Russian Lips Is a technique that is performed with multiple injections administered vertically into the base of the lip, drawing out to the outer edge.  The lips will be shaped to lift or flip the lip. Frequently it’s used to add excessive volume.

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