Vectoring Approach to Midfacial Recontouring Using Calcium Hydroylapatite and Hyaluronic Acid

In the past, fillers have been used in 2 applications: to replenish volume loss and to mask volume descent, defects, or both. However, there is a third application of fillers, which is to place volume in a way that reduces relative skin laxity and restores earlier facial proportion. This third application is the subject of this article. The author describes a comprehensive, 3-dimensional vectoring approach to facial contouring that encompasses both skin surplus reduction and structural enhancement. Also presented are tissue mobility zones and premixing calcium hydroxylapatite with lidocaine before injection.