Consensus recommendations for optimal augmentation of the asian face with hyaluronic acid and calcium hydroxylapatite fillers

Nark Kyoung Rho, Yao Yuan Chang, Yates Yen Yu Chao, Nobutaka Furuyama, Peter Y.C. Huang, Martina Kerscher, Hee Jin Kim, Je Young Park, Hsien Li Peter Peng, Paisal Rummaneethorn, Berthold Rzany, Hema Sundaram, Chin Ho Wong, Yuli Yang, Adri Dwi Prasetyo

Research output: Contribution to journalArticlepeer-review

51 Citations (Scopus)


Background: Although the use of filling agents for soft-tissue augmentation has increased worldwide, most consensus statements do not distinguish between ethnic populations. There are, however, significant differences between Caucasian and Asian faces, reflecting not only cultural disparities, but also distinctive treatment goals. Unlike aesthetic patients in the West, who usually seek to improve the signs of aging, Asian patients are younger and request a broader range of indications. Methods: Members of the Asia-Pacific Consensus group-comprising specialists from the fields of dermatology, plastic surgery, anatomy, and clinical epidemiology-convened to develop consensus recommendations for Asians based on their own experience using cohesive polydensified matrix, hyaluronic acid, and calcium hydroxylapatite fillers. Results: The Asian face demonstrates differences in facial structure and cosmetic ideals. Improving the forward projection of the "T zone" (i.e., forehead, nose, cheeks, and chin) forms the basis of a safe and effective panfacial approach to the Asian face. Successful augmentation may be achieved with both (1) high-and low-viscosity cohesive polydensified matrix/hyaluronic acid and (2) calcium hydroxylapatite for most indications, although some constraints apply. Conclusion: The Asia-Pacific Consensus recommendations are the first developed specifically for the use of fillers in Asian populations.

Original languageEnglish
Pages (from-to)940-956
Number of pages17
JournalPlastic and reconstructive surgery
Issue number5
Publication statusPublished - 2015 Oct 27

Bibliographical note

Publisher Copyright:
© 2015 by the American Society of Plastic Surgeons.

All Science Journal Classification (ASJC) codes

  • Surgery


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