The step-up approach in rejuvenation of the midface: a combination of minimally invasive procedures
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dr n. med. Agnieszka Surowiecka
Key words: barbed threads, dermal fillers, autologous cell therapy, lipotransfer, hyaluronic acid
Age-related changes in the midface result from skin thinning, loss of volume in fat compartments, loosening of the facial ligaments, and bone resorption. To achieve satisfactory rejuvenation of the midface, the aesthetic practitioner needs to compensate for all of these factors. Presently, there is no single restoration technique that would address all aspects of aging. That is why a combined protocol should be implemented. Since 2019, all patients of the Clinic have been offered a combined protocol, or a step-up approach known as the “beauty-ladder”, as a means of improving the appearance of their midface.
The protocol commences with the use of biostimulators to improve the quality of the skin, followed by volume loss restoration and tissue elevation at the subsequent sessions. Improvement in overall appearance was evaluated according to the patient’s satisfaction, reported on a Likert-type scale. 75% of the patients were very satisfied with the outcome, and 25% were satisfied.
The “beauty-ladder” is a personalized protocol that allows to achieve complete rejuvenation of the middle face. A combination of different techniques and levels of restoration is necessary to achieve a satisfactory result.