For deep glabellar and nasolabial folds, our preferred filler is Radiesse®. Radiesse is calcium hydroxyapatite gel. Radiesse is an excellent dermal filler for severe folds, wrinkles that require large volumes and respond well to deep placement, which is critical with Radiesse. It is recommended to inject Radiesse below the dermis to avoid visibly noticeable lumps and irregularities. For the nasolabial folds, inject slightly medial to each nasolabial fold as the natural muscular action of the facial muscles will tend to lateralize the effect and can worsen the appearance of the folds if not placed medially (Figure 117.1).
KeywordsNerve Block Facial Muscle Intravascular Injection Dermal Filler Nasolabial Fold
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