Placement of Dermal Fillers
Placement of dermal filler to maximise the effect on lines is relatively simple – deep lines caused by volume loss are corrected best with deeper injections in the lower dermis. Fine creases are corrected best with a shallower injection in the mid dermis. Injections in fat may not have as much impact, and injections in the papillary dermis (very superficial) will discolour the skin
The steps to a perfect dermal injection – for theoretical use only – advanced techniques are better demonstrated during your practical learning.
flexibility and means you don’t have stability while the needle is in the face, thus giving greater control.
needle to terminate. Choose your position of entry & anticipate where needle tip will reach too as an end point.
superficial creases.
Your needle tip should now be at the correct depth.
syringe between 3-10 seconds, depending on where you are working. If there is any blood, do not inject and repeat the process.
How to do a depth check:
Too shallow: If the skin is blanched without lifting, DO NOT INJECT- you are too superficial, and filler will be visible.
Fine lines: If you lift the needle and can clearly see the shape of the needle as a defined line (which may blanch- but only on
lifting) you are in the right depth for a low viscosity filler to treat a fine line.
Deep lines: If you lift and see a rough shape of the needle but it very defined you are about right for a deeper line or
volume replacement.
Too deep: If all you see is the skin lifting generally, you are likely deep in subcutaneous fat which is not optimal.
Injection Techniques