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Surgical Pearls | AAFPRS Annual Fall Meeting Featured Article

Periorbital and Midfacial Volume Enhancement With Cannula

Samuel M. Lam, MD1
[+] Author Affiliations
1Private practice, Plano, Texas
JAMA Facial Plast Surg. 2016;18(1):71-72. doi:10.1001/jamafacial.2015.1192.
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Published online


This surgical technique video illustrates how to create attractive results in periorbital and midfacial filling.

Article InformationCorresponding Author: Samuel M. Lam, MD, 6101 Chapel Hill Blvd, Ste 101, Plano, TX 75093 (drlam@lamfacialplastics.com).

Published Online: December 3, 2015. doi:10.1001/jamafacial.2015.1192.

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patients for granting permission to publish this information.

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Figure 1.
Clinical Photograph

Photograph of a woman in her 60s before and after insertion of fillers for the face (and neuromodulators) in the upper and lower eyelid region, temple, lateral cheek, prejowl, anterior chin, and marionette line.

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Figure 2.
Schematic Diagram

A, Asymmetric triangles of aging that would benefit from filling using cannulas. The dots indicate skin entry points for the cannula, and the arrows indicate the author’s preferred direction of passage for the cannula. B, Additional injection needed on occasion to fill the apex of the triangles that may exhibit a residual deficit.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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Periorbital Hyaluronic Acid Cosmetic Injection Using a Cannula

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