Dermal fillers placed into the following MD Code areas will help lift jowls and strengthen the SMAS (superficial muscular aponeurotic system), which is the layer of the muscles of facial expression in their own connective tissue envelope.
The SMAS lies beneath the skin and subcutaneous tissue, and it is one of the most critical support structures for the face and neck. The strengthening of the SMAS and foundation of the face with dermal fillers placed strategically into areas called the MD Codes. These will lift the sagging excess tissue due to lack of collagen, bone loss, deep fat pad loss (destabilising the ligaments attaching to the facial skin), and muscle weakness. Volumising the deep fat pads with dermal fillers lifts these ligaments that support the foundation of the face.
The FOUNDATION CODES; CK1, Ck2, CK4, and T1 strengthen the SMAS and pull the jowls up and outwards. CK3 volumises the deep cheek fat pad in the mid-face and the banana fat pad under the eyes and thus improves deep hollows under the eyes. CK 5 volumises hollow cheeks and lifts jowls.
The CONTOUR CODES; C 1 to C6 feminise the jawline area, soften the marionette lines and jowl area, lift a downturned mouth corner and soften a protruding chin. JW1 to JW5 improves the jawline, jowls and double chin,
The REFINEMENT CODES; soften nasolabial folds, improves tear troughs and softens lines around the mouth; smokers lines and lip augmentation can also be artistically done to achieve "natural "looking lips.
Using the MD Codes system, which is based on the strategic placement of dermal filler, and combining this with treatments, we can achieve direct and indirect effects by giving volume and structure to the face.