Increasingly, we are approaching facial ageing concerns using a combination approach, with the understanding that ageing is occurring at multiple layers in the face.1 A comprehensive understanding of this layered arrangement of the face involving skin, subcutaneous fat, muscles, deep fat compartments, retaining ligaments and bone, should inform our approach to treatment.2
Treatments for facial ageing should consider the most effective way to bring about improvements in skin sagging and photodamage, restoration of fat pad volumes, correction of fat and bone atrophy and modulation of facial muscles.3,4
Combining aesthetic treatments, from injectables to energy-based devices, to target these different facial structures can lead to better results than just a single treatment modality alone.5,6 When patients present with clinical concerns that may be better addressed with a surgical approach…
