Principles of Injectable Facial Filling

Currently, the term “fillers” refers to injectable off-the-shelf products used to treat skin irregularities and volume deficiencies. The use of fillers to correct wrinkles and creases as well as to restore volume to the aged face has grown rapidly. The clinician must fill lines and creases as well as undertake the more difficult task of creating three-dimensional shapes in the subcutaneous space with a two-dimensional instrument. Local anesthetic temporarily adds facial volume in order to demonstrate the intended result of the final injection. This technique is invaluable because “previewing” the intended result allows the clinician and client to make adjustments with impunity.