A single injection technique for midface rejuvenation.

The correction of volume loss has become an important part of facial rejuvenation treatments, particularly in the midface region. Techniques to date have largely relied on multiple injections, fanning techniques and deep placement of product under muscle or on periosteum. This article describes a new technique to enhance volume in the midface using a single injection of cross-linked hyaluronic acid at the subdermal level and above the muscle. The technique approaches midface rejuvenation with reference to both the bony skeleton and the medial malar fat compartment. After appropriately marking the skin, the filler is placed using a blunt cannula. The treatment achieves satisfactory volume correction, enhancing the sharp cheek bones and malar fullness typical of an attractive adult face. The approach is simple, quick, and well tolerated by the patient and may result in less bruising than deeper techniques.