Midface 3D restoration with an innovative high G’ filler

Abstract

Background: In the evaluation of the facial aging, the midface certainly represents the part that undergoes the most modifications and in which the aging process is most evident. The filling and redefinition of this part are fundamental to modify the perception of the age of the face and create a global rejuvenation effect. In general, high G’ fillers with a deep implant are used to treat the midface, taking advantage of the high lifting capacity and persistence of the implant in place. Methods: We report our experience in the treatment of 20 patients with a hyaluronic acid (HA) filler based on an innovative crosslinking technology (XTR™—eXcellent Tridimensional Reticulation) for midface treatment. GAIS (Global Aesthetic Improvement Scale) at 1 month and 3 months after treatment was evaluated as primary endpoint. Patient satisfaction with the overall appearance, repeatability of treatment, and also an instrumental evaluation of the improvement were performed. Results: Global Aesthetic Improvement Scale and patient satisfaction were very good 1 month and 3 months after treatment. The majority of patients said they would undergo treatment again. Clinical results were confirmed by instrumental evaluation. Conclusion: The treatment of midface with this innovative HA high G’ filler is really effective in restoration of the volumes and in reshaping the curves of zygomatic area.