Summary: Facial aging in Asian patients involves a flatter skeletal structure, reduced ligamentous anchoring, and soft-tissue laxity. This structured injection strategy, herein referred to as the L-V approach (lifting and V-shaped contouring), uses 3 hyaluronic acid fillers with distinct rheological properties. It combines deep supraperiosteal injections for foundational support, targeted ligament and fascia injections for facial lifting, and superficial volumization to smooth grooves and wrinkles. This layered, biomechanically informed approach restores facial projection, enhances contour definition, and maintains natural dynamics—offering a safe and effective rejuvenation technique tailored to Asian facial morphology.
Wu et al. (Sun,) studied this question.