Protocol for Injecting Fillers Gives More Predictable Results

Dividing the face into units before injecting any filler is an effective approach to rejuvenate and contour the face, according to Mauricio de Maio MD, a plastic surgeon based in Brazil.
Speaking here at the annual meeting of the Canadian Association of Aesthetic Medicine, Dr. de Maio explains the MD Codes™, a detailed plan that he has developed to guide injections in the face. The MD Codes highlight specific anatomical sites of the face and specific injection points in those anatomical sites.
“Aging is merciless,” says Dr. de Maio, in an address to dermatologists, surgeons, and family physicians who focus on aesthetic medicine. “If you do not do anything, you will lose attractiveness. Sagginess can start even in the 30s.”
Other key changes that occur with aging is overall volume loss in the face, hollowness in the tear trough that creates a tired look, volume loss at the corners of the mouth that creates a sad look, and a loss of soft tissue along the jawline.
Restoring volume with injection of filler is critical to creating desirable contours in the face, and proper use of fillers fights against the development of jowls and depressions in the lower face, which occur in part due to gravity, explains Dr. de Maio.
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