This 55-year-old female presented to my clinic as she wanted to improve her facial sagging, jowls and wrinkling around the chin. When carrying out an assessment for all of my patients, I use a 4D approach, which means looking at the patient when they’re being expressive and observing the dynamics of the face.
This patient had loss of mid-face volume due to atrophy of the deep and superficial fat. There was a loss of jawline definition due to atrophy of the superficial jowl fat and jowls caused by the weakening of the pre-masseteric and mandibular ligaments, and there was dynamic dyschord and reduced anterior projection of the chin. I noted that her chin was wider than the female ideal, and this needed to be taken in to consideration when treating so as not to masculinise her.
Before performing a dermal filler treatment, I always recommend using good skincare products to optimise the results. For this patient, I suggested she use the Teoxane AHA Cleansing Gel, RHA Serum…
