#2-1. The Association of Minimal Invasive Plastic Surgery Column – Fillers

Hong Kiwoong, M.D.

Director

SAMSKIN Plastic Surgery, Seoul Korea

Creating an attractive face with injectable dermal fillers

In 1976, the first dermal filler containing collagen was developed but it was not until the advent of a hyaluronic acid(HA) filler, Restylane, in 1996 that dermal fillers started being used in clinical practice. The demand for fillers gradually increased starting in the early 2000s and products with various ingredients were developed using new technology. Today dermal fillers are used not only for local volumizing and reducing wrinkles but correcting the overall facial contours.

According to global statistics gathered in 2014, the most popular minimally invasive aesthetic procedure was botulinum toxin injection followed by filler injection. Within the field of fillers, soft tissue volume fillers for total facial contouring are becoming more popular than dermal fillers. A Korean study on the popularity of filler injection vs. fat graft found that the filler procedure was more commonly performed than fat graft for local as well as overall face volumization.

HELIOSⅡ/LOTUSⅡ/HYPERION – Manufacturer: LASEROPTEK(www.laseroptek.com)

Beyond localized volume enhancement or indented wrinkle correction, successful facial contouring with fillers requires the following conditions.

First, scientific standards of an attractive and youthful face need to be established before treatment. Many scholars and artists have supported that a golden ratio or ‘Phi’ represents an ideal balance of facial features. According to the theory of golden ratio, the height to width ratio of 1:1.618 can be found in many features of the face. Therefore, the face with this golden ratio was thought to be the most attractive. Stephen Marquardt, an American oral and maxillofacial surgeon, has created Marquardt mask for measuring facial beauty. In this mask, there is a golden ratio between the distance from the lower lip to nasal tip and the distance from the nasal tip to nasion. The ratio also exists between the horizontal length of the eye and the distance from nasion to lateral canthus. Marquardt argued that the faces of famous beautiful women have symmetry ratios similar to those of his beauty mask.