Multimodal Treatment Combinations and Layering to Restructure the Aging Face: Recommendations From an Expert Panel.

IF 1.5 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-16 eCollection Date: 2025-06-01 DOI:10.1097/GOX.0000000000006873

Carla de Sanctis Pecora, Niamh Corduff, Julia Carroll, Mariana Muniz, Sonja Sattler

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引用次数: 0

Abstract

Background: Facial aging is a complex process that varies by facial layer and patient characteristics. Correction of the signs of facial aging can be achieved with various aesthetic treatments, including Cohesive Polydensified Matrix hyaluronic acid (CPM-HA), calcium hydroxylapatite in carboxymethylcellulose (CaHA-CMC), microfocused ultrasound with visualization (MFU-V), and incobotulinumtoxinA (incoBoNT-A). This article describes how these treatments can be used in an individualized, layered approach for whole-face rejuvenation that optimizes outcomes and patient satisfaction.

Methods: An international panel of 5 expert aesthetic physicians convened to align on best practices for a layered approach to whole-face rejuvenation using CPM-HA, CaHA-CMC, MFU-V, and incoBoNT-A. Panelists reviewed statements about facial aging and key features of the select products supporting their use in a layered treatment plan.

Results: The proposed layered treatment plan expands on previous work by de Sanctis Pecora and consists of targeting (1) bone and retaining ligaments; (2) muscles, ligaments, and the superficial muscular aponeurotic system; (3) fat pads; (4) the dermis; and (5) skin quality. Panelists agreed that key features of the select products inform their positioning in the layered treatment plan. Step-by-step procedures for targeting each layer-including product, injection or application technique, and/or rationale-are provided.

Conclusions: CPM-HA, CaHA-CMC, MFU-V, and incoBoNT-A are considered by the expert panel of aesthetic physicians to be ideal treatment options to obtain a synergistic effect in layered whole-face rejuvenation.

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多模式治疗组合和分层重组老化面部：来自专家小组的建议。

背景：面部衰老是一个复杂的过程，因面部层和患者特征而异。可以通过各种美容治疗来纠正面部衰老的迹象，包括内聚多致密基质透明质酸（CPM-HA）、羧甲基纤维素羟基磷灰石钙（CaHA-CMC）、微聚焦超声可视化（MFU-V）和肉毒杆菌毒素（incoBoNT-A）。本文描述了这些治疗方法如何在个性化、分层的方法中用于全脸年轻化，从而优化结果和患者满意度。方法：一个由5名美容医师专家组成的国际小组召开会议，就使用CPM-HA、CaHA-CMC、MFU-V和incoBoNT-A分层全脸年轻化方法的最佳实践进行协调。小组成员回顾了关于面部老化的陈述和选择产品的关键特征，支持他们在分层治疗计划中的使用。结果：提出的分层治疗方案扩展了de Sanctis Pecora先前的工作，包括靶向(1)骨和保留韧带；(2)肌肉、韧带和浅肌腱膜系统；(3)脂肪垫；(4)真皮；(5)皮肤质量。小组成员一致认为，所选产品的关键特征决定了它们在分层治疗计划中的定位。提供了针对每一层的逐步程序，包括产品，注射或应用技术和/或原理。结论：美容医师专家组认为CPM-HA、CaHA-CMC、MFU-V和incoBoNT-A是在分层全脸年轻化中获得协同效果的理想治疗选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.