The perioral area is difficult to correct .. Its integrity depends on the harmonious state of its various structural components: dental arches, bones, good muscle tone and tissue tropism of the dermo-hypodermic.
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The facial structures change during the years due to extrinsic factors ( sun ,smoking stress ,facial expressions) and get those imperfections as the little wrinkles that evolve to a state of aging more and more manifest with deep wrinkles and tissue atrophy. So there are different degrees of alteration of the perioral area and we must be able to know how to choose the right therapy.
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My personal classification of the so-called "bar code" is essentially based on the type and alterations present. 3 stages are well recognized as bar code
1° Stage : about those young women who have fine roughness of the upper lip only when they speak or slightly marked at rest.
2° Stage : in this case, the wrinkles are present even at rest and may be single, or spread all over the upper lip.
3° Stage : This is the most advanced stage, and also the most difficult to correct, where there are more or less deep wrinkles and a dermo –epidermis deconstruction
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The classification is very important because for each stage you must apply the most suitable therapy , with an approach completely different. In more advanced stages, to have no failures, you must not simply fill the wrinkle but to be able to carry out a complete renovation . Only in this way you can have excellent results and especially long-lasting
I developed this technique to restructure the deep layers of the skin. This technique is mainly used in the third stage and consists of injecting small doses of hyaluronic acid ( deep filling) to fill the virtual spaces due to the deconstruction of the subcutaneous tissue. The effect of this technique is really exceptional because it will lead to a relaxation of the whole skin of the upper lip and of the deeper wrinkles.
What we can get with the vertical technique
Obviously he various techniques used can be integrated according to the individual case
