Facial filling techniques focus on periphery of face

CHICAGO — Patricia Wexler, MD, associate clinical professor at Mt. Sinai Medical Center, New York, gave a presentation at the American Society for Dermatologic Surgery annual meeting on facial filling techniques and how facial filling has changed over the years.

"We now see that patients don't want to look round, they want to go back to having a heart-shaped or oval face," Wexler told Healio.com.

She said she gives most her her fillers above the periosteum and focuses on the periphery of the face. "We don't lose anything in the center of the face, that occurs because of loss of elasticity and loss of volume," Wexler said.

"You can look natural with layering of fillers and combining that with other techniques, such as toxin and either radiofrequency or ultrasound ... without having scalpel procedures," she added.

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