Facial Volumization

Dr. Lamb is the past president of the Kansas City Plastic Surgery Society, a distinguished member of the American Board of Plastic Surgery, a member of the American Society of Plastic Surgery and the Society of Aesthetic Plastic Surgery. He is currently Assistant Professor of Plastic Surgery at the University of Kansas Medical School.

INTRODUCTION. Understanding anatomy determines accuracy and placement. Lambros postulates. Defining the viaduct approach to safe injection.The gliding nature of the face and dynamic planes. Ligamentous architecture. Laying the groundwork for avoidance of complications. Vascular Anatomy. Vascular cannulation risk: Intraluminal diameter vs cannula or needle technique. TEMPLE & BROW. The attractive ideal. Superficial compartments. Infratemporal Septum (proximity to facial nerve and STA branch). Subcutaneous spaces anterior-posterior to cutaneous extension. Deep Spaces. The partition of the brow. Role of ROOF fat in brow rejuvenation. Redefining the feminine forehead. MIDFACE. The attractive ideal / golden ratio. Layered anatomical array. Superficial. SMAS and SMAS analogues. Deep. Contrasting the published techniques. Swift. Beut. DeMaio. Danger zones and safe harbors for midface volumization. PERIORAL. The attractive ideal / golden proportion. The significance of the wet-dry junction. Characteristics of the subcutaneous fat. The Upper Lip. Understanding the aging changes. Layered arrangement and characteristics of the lip tissue. Vascular anatomy - 2/4/5 rule. The Lower Lip. Lip - Chin interface. Gliding spaces of the lip-chin junction. Sub-mentalis space & midline partition. Mental nerve and retaining ligaments of the chin.