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https://link.springer.com/article/10.1007/s00266-017-0981-1

So what is the angle of Mike and Dr Ava’s clinical paper?

For many years cosmetic injectors have been taught to mark out the area for cheek filler.  We use a white eyebrow pencil to mark out important areas of the cheek. Attending conferences and lectures you will always see the trainer using something called ‘Hinderer’s Lines’.  Hinderer’s lines are in the diagram below. They show 2 lines that intersect. This should help the injector with balance between the two cheeks but also the star indicates an area where it is suggested you have forward projection.

Although these Hinderer’s lines are commonly taught to injectors, Mike and Ava believe they do not represent the most BEAUTIFUL way to mark out the cheek filler treatment. That is the angle of their clinical paper.

Wind back the clock 5 years ago, when Mike was being contoured with make up for a photo shoot by Rae Morris (make-up artist).  Mike noticed Rae using a line from the top of the ear to the corner of the mouth. This line shows where the cheek should finish (the ‘shadow’).  This line indicates where you should use your darker colours when contouring with make-up.  Mike was fascinated with this marking out method and wondered why cosmetic doctors and nurses do not learn to contour with make up? He incorporated this make-up artist line into his cheek dermal filler injecting.

For years Mike has used the contour lines of make-up artists to achieve beautiful, natural looking results. Sounds logical doesn’t it?  It isn’t apparently because everyone in our industry STILL uses Hinderer’s lines to teach and to treat with cheek dermal fillers.

Mike and Ava set out to revolutionise the way cheek fillers are marked out, injected and taught to beginners.

They suggest the markings below would be more sensible and enhance the injectors results, leading to increased patient satisfaction.

It is Mike and Ava’s hope that injectors will follow the lead of make-up artists when injecting cheek dermal filler.  The above diagram and techniques has been performed by Mike and Ava over 1000 treatments with outstanding results. You can see how marking out the cheek like

this would result in better outcomes than using Hinderer’s lines. As cosmetic nurses and doctors we have a lot to learn from professional make-up artists.

The peer reviewed article featured one of Mike’s patients (below)

We are proud of Mike for being published in the prestigious Aesthetic Plastic Surgery Journal.  It is difficult to get published in medicine and aesthetics as you need to have novel ideas that impress the peer reviewers.