When a complete or complex prosthetic rehabilitation is performed, restoring the aesthetics of the smile, it is definitely important to consider the entire face, the tissues that compose it and their aging. If this isn’t taken into consideration the success could be only partial, failing in harmonizing the treatment with the entire face.
Over the years, our face undergoes significant changes that affect not only the skin but also the deeper structures. The facial skin may present a reduced subcutaneous adipose tissue accompanied by changes of the mimetic muscles, while the underlying structures (the skeleton bone and cartilage) may undergo resorption or redrafting.
Due to the involvement of all these structures, it is important to perform a three-dimensional evaluation of the face before applying any type of treatment: a careful visual examination that helps us to understand which areas of the face particularly catch our attention, also trying to understand why.
The examination of the oral region is carried out evaluating the shape, size, volume, tone and symmetry of the upper lip with the lower lip, paying particular attention to the vermilion, also called cupid’s arch, and to the existence of skin imperfections such as wrinkles on the upper edge of the lip and nasolabial folds.
Many materials have been used in the past to increase the volume of the soft tissues of the face and for the treatment of superficial wrinkles, obtaining different results over time.

The research of the “perfect product” has always had the objective to find a biocompatible, long-lasting material, which has a natural look and finish, easily injectable and without complications.
The safest materials are those based on natural hyaluronic acid, whose function is to confer the right elasticity and hydration to the tissues, acting as a liquid retention element.
If the hyaluronic acid is used in its cross-linked -and therefore heavier- form (the so-called filler), the result will be a filling effect and the restoration of volumes, but sometimes the implanted material acts as a volumizer without exerting any stimulation as regards the biological level. The result should start decreasing after about 3-4 months and after about 6 months a new treatment will be required.
If the hyaluronic acid is used in its pure form, the effect will be a bio-revitalization: the inserted material recalls liquids and stimulates the production of new endogenous hyaluronic acid, restoring the hyaluronic acid which is physiologically lost with aging, exposure to ultraviolet light, smoke and air pollution. The initial effect is less evident than the one obtained with filling, but the result improves over time thanks to its recall of liquids from surrounding tissues. The treatment should be repeated after about three months.
The objective of these treatments is to make the volumes of the face more harmonious, reshape asymmetries, smooth possible expression wrinkles, eliminate imperfections of the soft tissue and prevent from aging damages.


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