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The concept of the MD Codes is a new and revolutionary way of using fillers to improve the appearance of the facial structure and enhance the appearance of the skin to make it look younger. This method was created by Dr. Mauricio de Maio, a well-known plastic surgeon, in order to provide a clear and methodical way of working on particular zones of the face. Whereas former filler techniques only aimed at increasing volume, the latter aim for more natural looks to treat the causes of facial skin aging.
One of the most important things that can be said about MD Codes is that it offers a very individual approach. Every treatment plan is individualized for the person’s specific facial anatomy so that the final outcome appears natural and boosts the aesthetic balance of the face. These areas that are highlighted include the jawline, saggy cheeks, deep wrinkles and other areas that need some improvement to be made. It also works on the emotional aesthetics, hence patients can look less tired, angry or sad by balancing the facial muscles.
MD Codes is a technique that is ideal for any person who wants to treat the signs of aging or improve his or her facial structure. Suitable prospects are people who have such problems as loose skin, loss of volume, wrinkles, or uneven skin texture. This procedure is also an ideal method for those who need to enhance certain aspects of their face and yet cannot or do not want to undergo a surgical process. But there are some issues, which one should consider and these are that one should be sober and have a positive expectation.
It is therefore important that a proper consultation with an experienced injector is done before undergoing the MD Codes treatment. In this session, the doctor examines the patient’s facial structure, the areas that the patient wants to change, and then the doctor devises a plan. There are certain steps that have to be followed before the procedure is carried out and they include; avoiding blood-thinning drugs, alcohol, or certain supplements like fish oil to prevent bruising or swelling. It also provides the patient an opportunity to ask any question that they may have in mind and thus be assured that they are comfortable with the whole process.
The process of getting MD Codes done may take anywhere between thirty to sixty minutes according to the plan that has been suggested. The doctor deposits the fillers into the specific regions of the body through subcutaneous injection using a fine-gauge needle or cannula, following the five-point MD Codes framework. Every stroke is accurate, to areas that include the temples, cheeks or chin to give the face a lifted look. Local anesthetic creams or ice packs are applied to ensure the patient is comfortable.
After the treatment, the patient may experience some common side effects such as swelling, redness or bruising during the process and will resolve within a few days. Therefore, the individuals who have undergone this procedure can return to their normal activities right away; however, it is recommended that one should not exercise, drink alcohol, or expose himself/herself to direct sunlight within the next 24-48 hours. The outcomes are usually visible at once and they get even better as the fillers set in.
There are no visible scars and the outcomes of the MD Codes are balanced. Thus, a natural, youthful technique is used to treat the areas of interest to improve the facial proportions and the person’s unique appearance. The result of this treatment usually lasts between 12 to 18 months and this will depend on the type of filler used as well as the patient’s metabolism.
To truly appreciate the efficacy of MD Codes, it’s crucial to understand the scientific principles that underpin this innovative approach. Traditional filler techniques often focused on merely filling lines or adding volume where it was perceived to be lost. However, Dr. de Maio’s genius lies in recognizing that facial aging is not just about volume loss; it’s a complex interplay of changes in bone structure, fat compartments, muscles, and skin elasticity.
The MD Codes system meticulously maps out specific injection points that correspond to key anatomical structures. These points, often referred to as “codes,” are strategically chosen to provide support, lift, and contour in a way that respects the natural architecture of the face. For instance, instead of just filling a nasolabial fold, MD Codes might target points in the mid-face to lift and support the cheek area, thereby indirectly softening the fold and providing a more natural and holistic rejuvenation. This approach is based on a thorough understanding of how different facial units interact and how volume loss or laxity in one area can impact the appearance of another.
Furthermore, the choice of hyaluronic acid fillers (the most common type used in MD Codes) is also scientifically driven. Different fillers have varying properties in terms of their viscosity, elasticity, and G-prime (a measure of a filler’s ability to resist deformation). An experienced injector using MD Codes will select the appropriate filler for each specific anatomical point, considering the depth of injection and the desired outcome. For example, a firmer filler might be used to enhance bone structure in the jawline or chin, while a softer, more pliable filler might be preferred for delicate areas like the tear troughs. This precise selection and application are what allow for such nuanced and natural-looking results.
The MD Codes framework transcends the simple concept of adding volume. It systematically addresses four key pillars of facial aesthetics:
Structure: This involves restoring the foundational support of the face, often by addressing bone reabsorption and providing support to areas like the cheekbones, jawline, and chin. By strategically placing filler in these areas, the face can achieve a more youthful and defined contour.
Contour: This pillar focuses on refining the curves and angles of the face, creating a harmonious and balanced appearance. This might involve enhancing the malar projection (cheekbones) or defining the jawline to create a more sculpted look.
Proportion: MD Codes emphasize achieving optimal facial proportions, ensuring that different features are in harmony with each other. For example, balancing the chin projection with the nose and forehead can significantly improve overall facial aesthetics.
Texture and Quality: While primarily associated with volume and structure, MD Codes can also indirectly improve skin texture and quality. By restoring underlying support, the skin appears smoother and firmer, reducing the appearance of fine lines and laxity. Some hyaluronic acid fillers also have hydrating properties that can further contribute to improved skin quality.
By addressing these four pillars comprehensively, MD Codes aim to achieve a holistic facial rejuvenation rather than simply treating isolated concerns. This comprehensive approach is what sets it apart from older, less integrated filler techniques.
One of the truly unique aspects of the MD Codes approach is its emphasis on emotional aesthetics. Dr. de Maio recognized that certain facial expressions or features can inadvertently convey negative emotions, even when a person isn’t actually feeling them. For example, deep frown lines might make someone appear perpetually angry, or downturned mouth corners could convey sadness.
MD Codes aim to subtly modify these features to help patients project more positive emotions. This isn’t about creating an artificial “happy” face, but rather about softening features that contribute to unintended expressions. By strategically injecting filler in specific points, an experienced injector can:
Reduce “Tired” Look: Addressing volume loss in the tear troughs or mid-face can reduce shadows and lift the entire eye area, making a person look more rested and refreshed.
Soften “Angry” Look: Relaxing the muscles and supporting the skin around the glabella (between the eyebrows) can soften frown lines, making a person appear less angry or stressed.
Minimize “Sad” Look: Lifting the corners of the mouth and supporting the marionette lines (lines extending from the corners of the mouth downwards) can reduce a “sad” or “downturned” appearance.
Enhance “Attractive” Look: By improving overall facial balance and contour, MD Codes can enhance features that are widely considered attractive, leading to a more harmonious and appealing appearance.
This focus on emotional aesthetics highlights the sophisticated understanding of facial dynamics that underpins the MD Codes philosophy. It moves beyond purely cosmetic improvements to address the subtle psychological impact of facial features on how individuals are perceived and how they feel about themselves.
While the immediate results of an MD Codes treatment are often visible, the full effect unfolds over the following weeks as the fillers integrate with the tissue and any initial swelling subsides. The longevity of the results typically ranges from 12 to 18 months, though this can vary significantly based on several factors:
Type of Filler Used: Different hyaluronic acid fillers have varying molecular structures and cross-linking, which affects their degradation rate. Firmer fillers designed for structural support tend to last longer than softer fillers used for finer lines.
Patient’s Metabolism: Individual metabolic rates play a role in how quickly the body breaks down and absorbs the hyaluronic acid. Some individuals naturally metabolize fillers faster than others.
Injection Area: Fillers in areas with high movement (like around the mouth) may degrade more quickly than those in more stable areas (like the cheekbones).
Lifestyle Factors: Factors such as sun exposure, smoking, and overall health can influence the longevity of the results. Excessive sun exposure, for instance, can accelerate the breakdown of collagen and hyaluronic acid.
To maintain the optimal results, follow-up treatments are generally recommended. These maintenance sessions are often less extensive than the initial treatment, requiring smaller amounts of filler to refresh and sustain the desired outcome. Regular consultations with your injector will help determine the ideal timing for touch-up appointments, ensuring that your results remain consistent and natural over time. Some patients opt for yearly maintenance, while others may require it sooner or later depending on their individual circumstances and desired aesthetic.
While MD Codes treatments are generally safe when performed by a qualified and experienced injector, like any medical procedure, there are potential risks and considerations:
Common Side Effects: As mentioned, temporary swelling, redness, bruising, and tenderness at the injection sites are common and usually resolve within a few days.
Allergic Reactions: Although rare, allergic reactions to hyaluronic acid fillers can occur. A thorough medical history should be taken to assess any potential allergies.
Nodules or Lumps: In some cases, small palpable nodules or lumps may form, which can often be massaged or treated with hyaluronidase (an enzyme that dissolves hyaluronic acid).
Infection: While rare, there is a small risk of infection at the injection site. Strict adherence to sterile techniques is crucial to minimize this risk.
Vascular Complications: The most serious, albeit extremely rare, complication is accidental injection of filler into a blood vessel. This can lead to serious consequences such as skin necrosis (tissue death), vision impairment, or even stroke. This is why it is paramount to choose an injector with a deep understanding of facial anatomy and extensive experience with injectables. They should be trained in appropriate injection techniques and be prepared to manage complications if they arise.
Asymmetry: While MD Codes aim for symmetry, slight asymmetries can sometimes occur. An experienced injector can often correct minor asymmetries in follow-up appointments.
Patients should always disclose their full medical history, including any medications, allergies, and previous cosmetic treatments, to their injector during the consultation. This information is vital for ensuring the safety and effectiveness of the MD Codes treatment. It’s also important for patients to have realistic expectations and understand that while MD Codes can achieve significant improvements, they cannot entirely stop the aging process or perfectly replicate surgical results.
The MD Codes system represents a significant leap forward in the field of non-surgical facial rejuvenation. Its systematic, anatomical, and emotionally intelligent approach has set a new standard for how dermal fillers are utilized. As research and understanding of facial aging continue to evolve, the MD Codes framework is likely to adapt and expand, incorporating new insights and technologies.
The emphasis on a personalized approach means that the treatment will continue to be tailored to each individual’s unique needs and aesthetic goals, moving further away from a “one-size-fits-all” mentality. Furthermore, as more practitioners become trained and proficient in MD Codes, its accessibility will likely increase, allowing more individuals to benefit from this advanced technique. The future of facial aesthetics seems to be firmly rooted in methods that prioritize natural-looking results, patient safety, and a deep understanding of the complex interplay of facial structures – all hallmarks of the MD Codes philosophy.
MD Codes are the latest and most effective guidelines in the field of aesthetic medicine that provide a proper and systematic way of approaching facial rejuvenation. This new technique helps to deliver very credible outcomes that improve the patients’ self-confidence and their emotional state as well.
Q: Are MD Codes safe?
A: If done by a trained and experienced professional, MD Codes are safe and are also FDA approved.
Q: How long does it take to complete the procedure?
A: The effects can be seen almost immediately and the end result may last between 12 to 18 MD months
Q: Can Codes be used to solve all the facial problems?
A: However, some concerns cannot be treated with only MD Codes, but may need another treatment modalities such as Botox or skin resurfacing.
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