The nasolabial sulcus is the first sign of aging that is observed and a frequent reason why a person comes to the specialist in Aesthetic Medicine. The dr. Garcerant, a specialist in this type of procedure, explains how the treatment is performed and what its benefits are.
Anatomically it occurs in its upper 2/3 by the decrease of fat compartments of the cheek , as well as by sagging skin. In its lower third it presents an active component by the mobility of the mouth and the smile.
Currently we have scales of measurement of the depth of the wrinkle that allow us to assess the degree of aging of the nasogenian furrow. In this way we can set the starting point of the treatment, as well as predict the final outcome measured or realistically adjust the expectations of the patient prior to treatment.
However, to date many patients with permanent filling material at this location come to the clinic, as well as patients who have been treated with resorbable fillers repeatedly. In these cases the tissue can no longer be injected directly.
For this reason other methods of correction are used. The fatty compartments of the cheek and cheek are replaced in their place of origin to diminish the projection of weight that they make on the groove, as well as the realization of vectors with collagen-forming materials from the back of the face in order to inducing retraction of the skin and flattening of the groove.
How to reduce the nasolabial folds
The classic technique for treating wrinkles in the nasolabial folds consists of injecting hyaluronic acid or calcium hydroxyapatite into retro-linear or fan-shaped tracings with a needle and following the path of the groove.
However, today we have the micro cannula, a device similar to the needle but without constant tip. This technique allows us to treat the area of the nasolabial sulcus, as well as the puppet line from a single point of entry, with the advantage of being able to prevent the outflow of bruises.
After the procedure, it is only necessary to avoid mobilizing the area within the first few hours after implant placement.
Indications of the treatment of the nasogeniano
This treatment is indicated in the male and female patients, with aging of the nasogenian sulcus 3, 4 and 5 (measured by the aging scale of the nasogenian sulcus of MERZ), regardless of age and whether or not they have previous infiltrations with resorbable materials .
On the other hand, it is contraindicated in patients with serious diseases under treatment, patients with acute diseases or infections in the area to be treated and patients with permanent filling materials. Even so, they are susceptible to other techniques to improve the nasolabial folds that do not include pricking directly.
The result of this treatment is immediate , with minimal discomfort and with minimal subsequent inflammation; many times, in addition, without retouching but with a mandatory fulfillment of a revision at 3 or 4 weeks. The valuation of this result is done by means of the previous and post treatment photographs as the objective valuation method.