The 5-point cheek reshape

 

OVERVIEW

The cheek codes are divided into 5 subunits. There are three upper codes (Ck1, Ck2, Ck3) and two lower codes (Ck4 and Ck5). The upper codes are closely related to bone structure while the lower codes are located within the soft tissue.

Ck1 and Ck4 are lateral codes. Ck2 lies at the antero-medial aspect and Ck3 and Ck5 are located medially in the cheek area. Certain group of codes are selected to achieve specific objectives. For lifting effect and/or slimming of the face, Ck1 + Ck4 should be injected in the same session. To provide support of the lower eyelid, the best option would be to group Ck1 + Ck2 + Ck3 together. Volumetric deficits of the cheek are corrected with Ck3 + Ck5.

HOW TO INJECT

For cheek reshape, it is important to follow simple rules to achieve the best outcomes with the MD codes. Basically, start with lifting of the cheek by selecting Ck1 and Ck4 as follows:

 – Ck1 should be injected with VOLUMA at the bone level using a needle with three boluses of 0,1 ml (0,1 ml + 0,1 ml + 0,1 ml)

– Ck4 should be injected with VOLUMA at the subcutaneous level using a cannula with fanning technique with a volume of 0,7 ml (note that the active number of Ck4 is 0,5 ml but when Ck1 and Ck4 are injected together, the 0,3 ml + 0,7 ml rule should be observed).

After achieving the lifting effect, we can proceed to the support of the lower eyelid which may indirectly improve several conditions such as tear trough, eyebags and downturn of the lateral corner of the eye. Those are common signs of tiredness and sadness. Injection of Ck2 is simple while Ck3 needs more detailing.

Ck2 should be injected with VOLUMA at the bone level using a needle with one bolus of 0,2 ml

Ck3 can be injected with three different approaches depending on specific situations.

-In case bone support is required: Ck3 should be injected with VOLUMA at the bone level using a needle with one bolus of 0,3 ml. The injection should be delivered laterally to the mid-pupillary line and the infra-orbital foramen should be protected during the injection. To compensate the deep malar fat pad, Ck3 should be injected with VOLUMA at the fat pad using a cannula with fanning technique with a volume of 0,5 ml. To give further support for the lower eyelid, Ck3 should be injected with VOLIFT at the SOOF level using a cannula with fanning technique with a volume of 0,5 ml.

For the treatment of hollow cheeks, it is necessary to treat Ck4 first to tense the lower cheek and reduce the intra-oral negative pressure in Ck5.

Ck5 should be injected with VOLUMA at the subcutaneous level using a cannula with fanning technique with a volume of 0,5 ml.

TOP MODEL LOOK  (TML)

If further lifting is required or definition of the zygomatic arch is desired, Ck1 can be injected with the “top model look” (TML) approach.

Ck1 (TML) should be injected with VOLUMA at the sub-SMAS level using a cannula with linnear technique with a volume of 0,5ml.