In the face region, a 1.25-inch multihole cannula is used to sculpt and
in the blush area, we finish the curvature of the design close to the
nasal region, with the 1.25-inch curved multihole cannula (developed by
the author of the present work, in such a way that it can be if you make
the same level of curvature of the face design on both sides).
The incision in the tragus region is performed with a blade 11 and 5 mm
in front of the tragus. Through this same narrow path, it is also
possible to access the medial and medial malar region, where some
patients have excessive or deformed volumes.
The technique for accessing the temporal region is also performed by
tragus and the work on this cushioned surface is more delicate but safe,
as it is always worked at the level of subcutaneous fat and with
pinching and pulling the fat away from the SMAS, where they are located.
all noble structures, and in this area one is attentive to the delicate
movement, as there is a superficial temporal artery that passes at the
level and is protected by the SMAS.
What makes the technique safe is the fact that we currently have
specific instruments for the face region, which are quite delicate and
do not need to move the cannula inside the fat as is done in regions
with greater volumes of fat. In the face region, there is the movement
of fat over the cannula, without the slightest sudden movement of the
cannula. This makes the technique very safe. Of course, the professional
needs excellent technical and scientific training. The other regions of
the face can be aspirated, but they require different points of entry
for the cannula.
In the revision of the nasolabial fat pad, it is necessary to make a
narrow path in its alignment, which is transversal to the narrow path in
the tragus region. So, especially for this cushion, a narrow path is
made in the direction of the labial commissure with an 18 G needle, and
from this, the surface of this cushion is flattened, leaving them
lighter and giving a younger face feature.
In the region of the fat pad of the lower eyelid, it also needs to make
a differentiated narrow path. In the evocation region, 10.0 mm outwards
and 10.0 mm downwards, the narrow path is carried out to access the fat
pad of the lower eyelid in a parallel way, thus removing excesses from
the surface of this pad.