Dr. Alena Pallová, MD
Dermatologist Pezinok, Slovakia
• Dermatologist specialized in Aesthetic Dermatology, from
the Faculty of Medicine, Comenius University in 2005
• Leading lecturer in application of TEOSYAL® products,
regularly participating in international conferences
• Founder of the Institute of Aesthetic Medicine, in Slovakia
• Pioneer of a new unique technique of hyaluronic acid
application, focusing on volume restoration: Swiss Lift
I started to deal with Dermatology after graduating from the Faculty of Medicine of the Comenius University in Bratislava, Slovakia, in 2005. The most frequently performed interventions at that time included corrections of nasolabial folds and marionettes lines. For superficial wrinkle corrections, materials were applied directly in the upper layer of the dermis, just under the wrinkle, to fill its crease.
At the time, most manufacturers of hyaluronic acid-containing fillers offered only two types of products: one for moderate wrinkles, another for severe wrinkles. The development of materials dedicated to filling volumes meant a great progress for Dermatology. These appeared on the Slovak market in 2008. From that moment on, in the aesthetic medicine field, the human face began to be perceived in three dimensions, like a relief made of elevations and depressions.
I do not use volumizers to smooth wrinkles but rather to add or restore volume where needed. For example: mid-cheek, jaw, temporal area and facial contours correction. When patients come to my clinic for a complete aesthetic treatment of the face, I always start with the correction of volume loss which allows me to bring back the original contours of a youthful face. Then, I turn to softer fillers with lower viscosity and elasticity to treat the remaining specific wrinkles directly.
Fig.1: Pre and post-treatment pictures of a 49 years old male patient. On each facial side, volume loss was addressed with the supraperiosteal injection of TEOSYAL® ULTRA DEEP in the mid-cheek (0.9mL, bolus), as well as TEOSYAL RHA® 4 in the face contours (0.6mL, bolus/linear threading). Nasolabial folds were injected subcutaneously with TEOSYAL RHA® 4 (1mL, linear threading). Pictures provided by Dr. Alena Pallová.
The evolution of filler materials has greatly benefited from technological advances that now render their outcomes immediately visible, allowing physicians to monitor facial changes directly during the aesthetic procedure. In addition, efforts to increase the comfort of patients also came into forefront over the years. Indeed, since 2011, many of us have been using mostly fillers containing the anesthetic lidocaine1. For patients with a relatively low pain threshold, these products make the procedure virtually painless which alleviates the concerns associated with its implementation2.
In the course of my career, the major breakthrough I witnessed on the filler market, is the recent development of the dynamic range of Resilient Hyaluronic Acid fillers: TEOSYAL RHA®1. At present, this represents the latest major step in the evolution of fillers. In my view, the TEOSYAL RHA® dynamic range far exceeds conventional materials in many ways3. In particular, I wish to emphasize the ability of these fillers to respect facial expressions, keeping a natural look, preserving dynamics and adaptability, thanks to their ability to accompany the motion of the dynamic muscle groups of the face. When maximum projection is needed, I also like to combine these TEOSYAL RHA® dynamic fillers with the injection, in deeper anatomical layers, of a highly cohesive and stiffer volumizer: TEOSYAL® ULTRA DEEP1.
Indeed, I do have my own set of favourite hyaluronic acid-containing fillers. However, I have always argued that there is no such thing as one single best method of treatment. There are only most appropriate methods for each clinical case. That is why we always have to approach patients individually, and define together with them the best solutions and procedures for their aesthetic imperfections.
Original source: Avant-Garde Issue 6
1. TEOSYAL® ULTRA DEEP, TEOSYAL PureSense® ULTRA DEEP (Containing Lidocaine) and TEOSYAL RHA® 1 to 4 are trademarks of the firm TEOXANE SA. TEOSYAL® ULTRA DEEP, TEOSYAL PureSense® ULTRA DEEP
and TEOSYAL RHA® 1 to 4 are class III medical devices and are regulated health products bearing the CE marking (CE0086) under this regulation. For professional use only. Please refer to instructions for use.
2. A thorough knowledge of facial anatomy and injection techniques is mandatory.
3. Dr. Pallová’s personal opinion and experience.
