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.