Pretreatment punch technique guides safe injection

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Soft tissue augmentation with a hyaluronic acid filler can be an effective technique for improving the appearance of deep vertical glabellar rhytids. Relative to other facial sites, however, filler injections into the glabellar region carry a higher risk of necrosis from inadvertent vascular compression, obstruction or direct injury.

In a recently published article, Pinar Özdemir Çetinkaya, M.D., and colleagues described their technique for maximizing safety using a filler to correct glabellar rhytids and reported outcomes with its use in a retrospective study including 50 patients.1

To guide the filler injections, their approach utilizes a needle punching technique that assesses for the presence of the supratrochlear artery and/or its branches. Deep placement of the filler onto the periosteum further minimizes risk and makes the procedure ideal for correcting moderate to deep glabellar wrinkles, said Dr. Özdemir Çetinkaya, department of dermatology and venereology, Nazillili State Hospital, Aydin, Turkey.

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