Newer injection points for facial contouring with hyaluronic acid filler-Case Report.

[BACKGROUND] Hyaluronic fillers have been used for filling in folds and contour the face according to global aesthetic standards to achieve a smooth ogee curve on the face. But sometimes these result in a bulkier look to the face thus preventing more people from opting for these procedures. Although M.D codes have now been given to guide the injecting physicians for various points of injections on the face, they need to be used judiciously and tailored to individuals, using the lateral points of the face first.

[AIMS] Patients still come to physicians to get the midface and nasolabial folds corrected but a proper aesthetic evaluation is essential and it was observed that targeting the peripheral points of the face leads to better tightening of the face and a slimmer look for the patient. A case was injected on peripheral points including some newer points not mentioned in the M.D codes. These points are on the forehead along the hairline and the mastoid process. Safety and efficacy of injecting on these particular points were evaluated.

[METHODS] 2-ml hyaluronic acid syringes (20 mg conc) were used to give bolus injections on the peripheral points of the face, including a new point on mastoid process and peripheral points on forehead.

[RESULTS] A good aesthetic outcome was achieved resulting in slimming of face with patient satisfaction and without any complications.

[CONCLUSION] A good nonsurgical contouring of a young face can be achieved with 2 ml hyaluronic acid injection when the correct points are injected.