Minimally Invasive Aesthetic Surgery Techniques Botulinum Toxin, Filler, and Thread Lifting Won Lee Editor 123 Minimally Invasive Aesthetic Surgery Techniques Won Lee Editor Minimally Invasive Aesthetic Surgery Techniques Botulinum Toxin, Filler, and Thread Lifting Editor Won Lee Yonsei E1 Plastic Surgery Clinic Anyang, Kyonggi-do, Korea (Republic of) 0th edition: © MD World Book Publishing 2022 ISBN 978-981-19-5828-1 ISBN 978-981-19-5829-8 (eBook) https://doi.org/10.1007/978-981-19-5829-8 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore Preface Minimally invasive plastic surgery has become the fastest growing cosmetic field. However, the use of unscientific methods and misunderstood treatments persist. Complications develop because of two causes: (1) the variations in facial anatomy and (2) the doctor’s negligence. Continuous learning and studying is essential for better results. MIPS is a small group of board-certified Korean plastic surgeons who innovate upon and study minimally invasive procedures. Our aim was to find methods to constantly improve patient results and to consequently share the knowledge to improve the patient results on a larger scale. We publish articles and present at several conferences to share our experiences and findings. We are publishing this book containing the latest scientific knowledge related to botulinum toxin, filler injections, thread lifting, and other minimally invasive esthetic procedures. There are various innovative techniques for administering botulinum toxin. While botulinum toxin type A has been used widely, type B and E will also be used soon. Botulinum toxin microinjection techniques are also essen- tial to know about. More and more techniques will be developed. Filler injections are commonly used for increasing volume. Easy injec- tions and immediate results have helped the technique grow rapidly. However, several vascular and nonvascular complications can occur. The latest compli- cations are discussed in this book. Thread lifting is also a fast-growing technique for esthetic fields, with the development of several techniques for the face, neck, and body area. We have described many of the techniques in this book. Patient safety is the most important aspect of these medical procedures and should be performed using science-based knowledge. Extensive anatomi- cal knowledge is crucial for successful minimally invasive esthetic proce- dures. We have included several illustrations and cases to facilitate the increase in anatomical knowledge. I am greatly honored to work with Dong Wan Seo, Gi Woong Hong, Kyun Tae Kim, Eun-Jung Yang, Jeongmok Cho, Hyun Woo Cho, Young Dae Kweon, Bong-il Rho, Chang Woon Yun, Soo Yeon Park, Hyun Jin Yang, Jin Young Kim, Won Kyung Kang, Kyu Hwa Jung, Yongwoo Lee, and Young Choon Jung. Finally, as always, with a lot of love, I am thankful to Seung Hyun, Hyun Ji, and Jung Youn. v vi Preface Minimally Invasive Plastic Surgery Association, South Korea Anyang, Kyonggi-do, Republic of Korea Won Lee Contents 1 Artistic Approach for Minimally Invasive Plastic Surgery . . . . . 1 Dong Wan Seo and Won Lee 2 Anatomical Considerations for Botulinum Toxin Injections . . . 17 Gi Woong Hong and Won Lee 3 Clinical Injection Techniques for Botulinum Toxin . . . . . . . . . . . 27 Kyun Tae Kim and Won Lee 4 Anatomical Considerations for Filler Injection . . . . . . . . . . . . . . 35 Gi Woong Hong and Won Lee 5 Physical Properties and Rheological Approach for Hyaluronic Acid Fillers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Eun-Jung Yang and Won Lee 6 Practical Techniques for Hyaluronic Acid Filler Injections . . . . 57 Jeongmok Cho and Won Lee 7 Doppler Ultrasound-Guided Hyaluronic Acid Filler Injection Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Hyun Woo Cho and Won Lee 8 Filler Injection Complications and Hyaluronidase . . . . . . . . . . . 99 Won Lee 9 Anatomical Considerations for Thread Lifting . . . . . . . . . . . . . . 115 Gi Woong Hong and Won Lee 10 History, Principles, and Adjuvant Therapy for Thread Lifting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123 Young Dae Kweon and Won Lee 11 The Basic Techniques for Thread Lifting . . . . . . . . . . . . . . . . . . . 131 Bong-il Rho, Chang Woon Yun, Soo Yeon Park, and Won Lee 12 The Techniques and Considerations for Thread Lifting . . . . . . . 145 Won Lee and Chang Woon Yun 13 Minimally Invasive Rhinoplasty: Augmentation Rhinoplasty with Cogged Threads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Hyun Jin Yang and Won Lee vii viii Contents 14 Submental Contouring Using Elastic Threads . . . . . . . . . . . . . . . 187 Jin Young Kim, Jeongmok Cho, and Won Lee 15 Submental Liposuction and Thread Lifting . . . . . . . . . . . . . . . . . 197 Won Kyung Kang and Won Lee 16 Short Scar Rhytidectomy Combined with PDO Threads . . . . . . 203 Soo Yeon Park, Kyu Hwa Jung, and Won Lee 17 Complications of Thread Lifting and Treatments . . . . . . . . . . . . 213 Yongwoo Lee and Won Lee 18 Body Contouring Using Threads and Fat Graft . . . . . . . . . . . . . 223 Young Choon Jung and Won Lee About the Editors Jeongmok Cho Incline Plastic Surgery Clinic, Seoul, Republic of Korea Hyun Woo Cho Ipche Plastic Surgery Clinic, Seoul, Republic of Korea ix x About the Editors Gi Woong Hong SAMSKIN Plastic Surgery Clinic, Seoul, Republic of Korea Kyu Hwa Jung Liting Plastic Surgery Clinic, Seoul, Republic of Korea Young Choon Jung Hershe Plastic Surgery Clinic, Seoul, Republic of Korea