Filler Chin

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Skinovate offers a full range of the very latest Dermal Fillers and Wrinkle treatments. Enhance your natural appearance with the most advanced wrinkle treatments.
http://www.skinovate.com.au/treatments/wrinkle-reduction-treatments/

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  • Resty photos, jill photos, 3d techs, lecture cosmsurgmag, youtubevid of power point, ? Film lecture ??? Injecting system restymichaelvid shoots
  • Photos of imbalance,
  • Photos of skull muscles fascia attachments
  • Book from work from usa guy
  • Salad sandwich photo, fat shirt…..STUDIES
  • Salad sandwich photo, fat shirt…..STUDIES
  • Salad sandwich photo, fat shirt…..STUDIES
  • Series of slides with b4 and afters
  • Filler Chin

    1. 1. Fillers: Don’t Forget The Chin Dr Paul Spano Medical Director SKINOVATE Melbourne www.skinovate.com.au
    2. 2. Indications• Weak and aged chins • Cheek dominance
    3. 3. Chubby Cheeks
    4. 4. BalanceStrong Jaw Strong Jaw
    5. 5. BalanceA strong jawline is one of the most noticeable, and most attractive, facial features. A well defined jaw gives the appearance ofstrength, confidence, and elegance, but only if it is in harmony with the rest of the face.
    6. 6. Anatomy
    7. 7. Anatomy
    8. 8. Fillers• Collagen Bovine Porcine• Silicone Isolagen Fibril• Hyaluronics Generations• Polylactic Acid (Newfill)• Polyacrylamide (Aquamid)• Fat Transfer• HA, Calcium combos
    9. 9. History of Fillers• Fat 1893 Neuber 1911 Injected Brunings• Paraffin 1899 Gersuny• Fibrin 1957 Spangler• Silicone 1961 Uchida• Bovine Collagen 1977 Knapp Lock Daniels FDA Approved 1981 Klein 1983 1000 pts• Hyaluranon 1965 (eye) 1988 (skin) Balazs• NASHA 1996
    10. 10. Chin Filling: 1• Informed consent• Good quality photos• Alcohol swab• Topical anaesthetic cream• Sitting up or almost• Mark out / Palpate Mental vessels / nerves
    11. 11. Chin Filling: 2• Palpate the mental vessels• Mark out area to be filled• Needle perpendicular to skin• Feel needle touch bone• Inject just above bone (easiest layer to find)• Placing a PAD of filler on top of the bone• Push-up / lift effect (natural, lasts)• Natural look when deep
    12. 12. Chin Filling: 3Add Superficial Filler Relax Mentalis• To augment the deep filler • Overactive mentalis• Mental crease • Rule of Thirds• Intradermal • Overbite• Subcutaneous • Popply chin
    13. 13. Chin Filling 4• Volume 1 – 2 ml• Product eg Perlane, Sub Q or Modelis• Placement Supraperiosteal• Staging Can always add more• How Cannula vs Needle• Where At the edge of existing chin bulge
    14. 14. Superficial vs Deep• Learn from cheek / tear troughs• Above bone easy, reliable• Lasts longer ?? Hidden away from dermal enzymes• Surgical chin implants placed on bone
    15. 15. Deep Filling
    16. 16. Chin Considerations• Widening of chin (less than width of mouth)• Protrusion of chin (less than nose tip)• Merge with pre jowel sulcus• Mental crease / fold• Marrionette folds• Will be different in almost every patient• BALANCE WITH CHEEKS
    17. 17. Protrusion
    18. 18. Protrusion & Width• Before• After
    19. 19. Camouflage with Beard
    20. 20. Protrusion
    21. 21. Before & After
    22. 22. Before & After
    23. 23. Before & After
    24. 24. Before & After
    25. 25. Before & After
    26. 26. Before & After
    27. 27. Before & After
    28. 28. Before & After
    29. 29. Before & After
    30. 30. Balance
    31. 31. Strength
    32. 32. Balance
    33. 33. Why Such A Long Face??
    34. 34. Great Chin!!!
    35. 35. Thank You Dr Paul Spano Medical Director SKINOVATE Melbournewww.skinovate.com.au

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