Aspen, Colo. – At the most recent edition of The Cosmetic Bootcamp (CBC), attendees learned when and when not to use bolus injections in the midface.
Mary P. Lupo, M.D., told attendees that she injects nasolabial folds with various fillers, including any of the Juvederm or Restylane lines. If she’s using one Voluma syringe for the cheeks, she said, “I need a bit of a bolus effect.” Conversely, she said that with Radiesse, she avoids bolus injections because she has “a healthy respect for the fact that Radiesse at this time is not reversible. If I’m using Radiesse, it’s in a very fluid movement with the cannula, in little streams.”
But if she needs to construct a cheekbone for a patient who doesn’t have a strong one, “I’m going to go with Voluma, injecting little boluses along the cheekbone. And then as you lift up, I use the tower technique.” Dr. Lupo is a New Orleans-based dermatologist.
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