Kosmetische Medizin 33(2-2012): 54 – 56

DEVELOPMENT OF MINIMAL INVASIVE TREATMENTS FROM WRINKLE CORRECTION TO THE MODELING OF THE FACE 

MATTHIAS IMHOF AND ULRICH KÜHNE

KEY WORDS: Volumizing, Botulinum toxin A, Radiesse^®, Filler, Hyaluronic acid

SUMMARY:
The following case report of a 52-year-old patient exemplifies the evolution of minimal invasive treatment options during the last seven years. In 2005, when the patient first came to the office, treatment focused on filling single wrinkles in the face. During the first year of treatment, the nasolabial folds were filled with a hyaluronic acid filler.  Additionally, botulinum toxin A and a native hyaluronic acid were injected. In the following years, it became increasingly evident that the aging process is not confined to the skin surface but also involves all underlying structures, including the bone. Because of this the trend went away from filling of wrinkles towards volumizing the face, thus regaining the attributes of a youthful face. This development was backed by new products which enabled the volumizing effect,  e.g. Radiesse^®. The photos from 2010 demonstrate the impressive therapeutic success which can be expected from the combined approach as performed on this patient.

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