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marionettes areas treated, I recommend that you focus on the area that bothers them the most and consider what you can realistically expect to achieve with a certain amount of filler. For example, you might say, ‘I’m not sure that you’ll see a significant result with just 1ml but with 2ml you should see a real difference – but I do recommend that we use the full amount I‘ve quoted so that you can see the best results possible.’ I urge them to choose between the nasolabials and marionettes and we decide together to treat that area within their budget. It is far better for them and for your repeat business that you do a good job on a focused area rather than doing a minimally impressive job on many areas. Of course, we have to be careful that in advising this, we don’t cause an unnatural imbalance in the facial features – but for many patients, there will be a single problem area, which if corrected effectively, will give an excellent overall improvement in their appearance.
Summary
Clinical Practice Filler Doses
Dr Michael Aicken graduated in 2006 from the University of Aberdeen with a degree in medicine and a bachelor of medical sciences. Dr Aicken established Visage Academy and has also been involved in the development of an aesthetic clinic management app. REFERENCES 1. ‘Highlights of Prescribing Information,’ Allergan, (2016) <http://www.allergan.com/assets/pdf/botox_ pi.pdf> 2. Guyuron B &Michelow B, ‘The nasolabial fold: a challenge, a solution’, Plast Reconstr Surg, 93(1994) pp.522-9 <https://www.ncbi.nlm.nih.gov/pubmed/8115507> 3. Kenneth Beer, ‘Avoiding Complications with Fillers’, The Dermatologist, 22(2014) <http://www.thedermatologist.com/content/avoiding-complications-fillers> 4. McCleve DE, Goldstein JC, ‘Blindness secondary to injections in the nose, mouth, and face: Cause and prevention’, Ear Nose Throat J, 74(1995) pp.182–188. 5. Maya Vedamurthy and Amar Vedamurthy, Dermal Fillers: Tips to Achieve Successful Outcomes, J Cutan Aesthet Surg, 1(2008), pp.64-67 <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840909/ 6. CM Burgess, PA Moynahan, ‘Dermal Filler Injection Technique – Perspectives From a Plastic Surgeon and a Dermatologist: An Expert Interview With Paula Moynahan, MD, and Cheryl M. Burgess, MD’, Medscape, () < http://www.medscape.org/viewarticle/709469_2> 7. Engineering Dictionary, ‘Bracing’ (2009) <http://www.engineering-dictionary.org/NCRS-ConstructionDictionary/BRACING> 8. Babak Jahan-Parwar, Keith Blackwell, ‘Facial Bone Anatomy’, Medscape, (2013) <http://emedicine. medscape.com/article/835401-overview>
It is important to consider technique(s), line depths and patient budget when determining filler dosage. Practitioners should focus on areas of primary concern first to ensure maximum results. It’s the ‘wow-factor’ that brings patients back and entices them to tell their friends what they’ve had done and it is this same factor that makes patients satisfied that they made a wise decision in choosing you as their practitioner. Disclosure: Dermal Revolution is owned by Visage Aesthetics UK LTD, of which Dr Aicken is the managing director.
What is Tixel®? •
Tixel is a novel, thermal fractional skin rejuvenation system powered by Novoxel’s patented technology.
Why Tixel®?
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Treatment is fast (15-30 minutes).
(Pure Natural Heat)
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Tixel is lightweight, portable, and highly versatile.
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Tixel is similar in effectiveness to fractional lasers.
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It is a cost effective, sterile, fractional device for controlled evaporation of tissue.
Tixel can treat delicate skin, including periorbital, eye lids, neck, décolleté and the back of the hands safely with very low levels of pain.
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Compared to laser, Tixel treatment is safe with:
Treatment Options
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Less charring and crusting
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Less pain without anaesthesia or cooling
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Less downtime and post-procedure care
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No irradiation, just pure natural heat
“Tixel is a game-changer! Excellent results with minimal downtime” Dr Harryono Judodihardjo, Cellulite Clinic
www.aztecservices.uk.com | az@aztecservices.uk.com | 01494 956 644
Aesthetics | February 2017
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