A new three-point filler technique to maximize safety for the correction of glabellar rhytids: Evaluation of 50 patients

J Cosmet Dermatol. 2020 Jun;19(6):1311-1315. doi: 10.1111/jocd.13399. Epub 2020 Apr 3.

Abstract

Background: Hyaluronic acid (HA) fillers have been widely used for reversing the signs of the aging face. Injectable fillers are particularly effective in treating vertical glabellar wrinkles.

Aims: The aim of this study was to share our own safe glabella filling technique and to evaluate our results in 50 patients with facial rejuvenation.

Methods: A total of 50 patients consisting of women and men with moderate to severe glabellar rhytids were enrolled in the study. Patients were evaluated before the injection procedure and 2 weeks after the procedure by using the Rao-Goldman scale. We have described a new three-point filler technique.

Results: Of 50 patients, 39 were females and 11 males, and the mean age was 39.82 ± 6.44 years. The mean volume of HA that was injected into the glabellar wrinkles was 0.61 ± 0.12 mL. Eight patients had experienced mild complications related to the procedure. None of the patients had experienced skin necrosis and visual impairment.

Conclusion: Our technique is a simple and safe procedure to correct glabellar rhytids. Practitioners should be aware of the safe injection techniques, potential complications, and management of these complications for a good clinical practice.

Keywords: filler; glabella; hyaluronic acid.

MeSH terms

  • Adult
  • Dermal Fillers / administration & dosage*
  • Dermal Fillers / adverse effects
  • Female
  • Forehead
  • Humans
  • Hyaluronic Acid / administration & dosage*
  • Hyaluronic Acid / adverse effects
  • Injections, Subcutaneous / adverse effects
  • Injections, Subcutaneous / methods
  • Male
  • Middle Aged
  • Rejuvenation
  • Retrospective Studies
  • Rhytidoplasty / adverse effects
  • Rhytidoplasty / methods*
  • Skin Aging / drug effects*
  • Treatment Outcome

Substances

  • Dermal Fillers
  • Juvederm VOLUMA
  • Hyaluronic Acid