Consensus Recommendations for Optimal Augmentation of the Asian Face with Hyaluronic Acid and Calcium Hydroxylapatite Fillers.
BACKGROUND
Although the use of filling agents for soft-tissue augmentation has increased worldwide, most consensus statements do not distinguish between ethnic populations. There are, however, significant differences between Caucasian and Asian faces, reflecting not only cultural disparities, but also distinctive treatment goals. Unlike aesthetic patients in the West, who usually seek to improve the signs of aging, Asian patients are younger and request a broader range of indications.


METHODS
Members of the Asia-Pacific Consensus group-comprising specialists from the fields of dermatology, plastic surgery, anatomy, and clinical epidemiology-convened to develop consensus recommendations for Asians based on their own experience using cohesive polydensified matrix, hyaluronic acid, and calcium hydroxylapatite fillers.


RESULTS
The Asian face demonstrates differences in facial structure and cosmetic ideals. Improving the forward projection of the "T zone" (i.e., forehead, nose, cheeks, and chin) forms the basis of a safe and effective panfacial approach to the Asian face. Successful augmentation may be achieved with both (1) high- and low-viscosity cohesive polydensified matrix/hyaluronic acid and (2) calcium hydroxylapatite for most indications, although some constraints apply.


CONCLUSIONS
The Asia-Pacific Consensus recommendations are the first developed specifically for the use of fillers in Asian populations.


METHODS
Therapeutic, V.
Seoul, Republic of Korea; Taipei and Kaohsiung, Taiwan; Tokyo, Japan; Hamburg and Berlin, Germany; Bangkok, Thailand; Rockville, Md.; Singapore; and Surabaya, Indonesia From the Leaders Clinic, Yonsei University, Oracle Derm Clinic; Yes Clinic, L1 Cosmetic Surgery and Laser Center, Rebecca Cosmetic Center, P-Skin Professional Clinic, and Med Aesthetic Clinic; Jiyugaoka Clinic; University of Hamburg and Rzany & Hund; Pinklao Clinic; Sundaram Dermatology, Cosmetic & Laser Surgery; W Aesthetic Plastic Surgery; and Rejuva Skin & Beauty.
Nark-Kyoung
NK
Rho
Yao-Yuan
YY
Chang
Yates Yen-Yu
YY
Chao
Nobutaka
N
Furuyama
Peter Y C
PYC
Huang
Martina
M
Kerscher
Hee-Jin
HJ
Kim
Je-Young
JY
Park
Hsien Li Peter
HLP
Peng
Paisal
P
Rummaneethorn
Berthold
B
Rzany
Hema
H
Sundaram
Chin Ho
CH
Wong
Yuli
Y
Yang
Adri Dwi
AD
Prasetyo
D044466:Asian People / Q000235:genetics*; D003357:Cosmetic Techniques; D003466:Cultural Characteristics; D000067548:Dermal Fillers / Q000008:administration & dosage*; D017886:Durapatite / Q000494:pharmacology*; D004954:Esthetics; D005145:Face; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000494:pharmacology*; D007279:Injections, Subcutaneous; D008297:Male; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome
D000067548:Dermal Fillers; D006820:Hyaluronic Acid; D017886:Durapatite