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The use of STYLAGE, and the ideal STYLAGE in profile balancing

I have been using Stylage products for over a year now and have found these products to be superior during all my treatments, but particularly in my profile balancing. The addition of mannitol in the products ensure reduced post-operative inflammation, and protects the product from premature breakdown, increasing its longevity. In addition, the excellent mouldability of the product ensures ease of handling and outstanding tissue integration. The wide Stylage range allows you to choose the right product for the area being treated, tissue plane and patient’s skin type. The result is a natural looking outcome that lasts a good length of time. 

What is your ideal STYLAGE product for each particular indication and why (please details for each indication the rheology of the product, injection plan and top tips)?

In the lips I usually use Stylage Special Lips. I choose this product as the lips are subject to very high shear forces and require a product which is soft enough to adapt to these forces and not look stiff. At 18,5 mg/g concentration, this ensures a soft looking result comparable to natural lips. For younger patients, who want a more glamorous result I may choose Stylage M. This product is slightly more concentrated, at 20 mg/g, leading to more volumisation. When treating the lips, if I require more projection to improve the patient’s E line, I use linear retrograde threading. However if I want to improve the vertical height of the lips, I use tenting to ensure increased height without as much projection.  

In the nose, chin, deep cheeks and jawline, I use a more viscous product such as Stylage XXL. These are areas that are subject to low shear forces but higher compressive forces, so I like to use Stylage XXL. Although 21mg/g, this product is highly cross-linked, which means it is extremely cohesive and can both project and maintain its shape. In the deep tissues of the cheek and chin, I use a needle onto bone. For the jawline I use a 22g 70mm cannula subcutaneously, with a needle onto bone at the angle of the mandible. For the anterior jawline, I use a needle onto bone at the pre and post jowl sulcus and a cannula to connect the jawline to the chin.

If I am treating the superficial fat pads of the face, including the cheeks and chin, I use a product which can volumise, but is less cohesive and is adaptable to higher shear forces. My product of choice is Stylage L. At a concentration of 24 mg/g, this product is great for volumizing, but is not as cohesive as Stylage XL or XXL. This means that it can withstand the dynamic forces these areas are subject to. In addition, it has excellent mouldability capacity, which is necessary for product placement more superficially.

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