Superficial Blanch Injection Technique for Glabellar Fine Rhytides.with Cohesive Polydensified Matrix Hyaluronic Acid (CPM HA) Filler (Belotero Balance). From the PRS supplement, “Cohesive Polydensified Matrix Hyaluronic Acid for Fine Lines”

In this video the needle is perpendicular to the skin surface. Injection is with retrograde serial puncture. Transient skin blanching at the point of injection is a manifestation of intradermal placement of the filler. Stretching of the skin with the fingers of the non-dominant hand in a perpendicular direction to the rhytides facilitates this intradermal placement. From the PRS supplement, “Cohesive Polydensified Matrix Hyaluronic Acid for Fine Lines” (vol 136, issue 5s). The techniques presented in this supplement to <em>Plastic and Reconstructive Surgery</em> do not necessarily represent best practices or endorsed techniques of the Guest Editors, Editor-in-Chief, Editorial Board, American Society of Plastic Surgeons (ASPS) or Wolters Kluwer Health. The videos in this supplement are intended to provide multidisciplinary, international perspectives on how specific Soft Tissue Filler and Neuromodulator products are being used by board-certified plastic surgeons, dermatologists, facial plastic surgeons, and oculoplastic surgeons worldwide and may contain off-label uses in your region. It is recommended that these techniques only be administered by board-certified physicians who are core-trained in cosmetic medicine and according to the product labeling recommended by the U.S. Food and Drug Administration. Publication of these supplements does not constitute product or sponsor endorsement by Journal or ASPS.