LAM FACIAL PLASTICS

Many young girls have a visible malar septal line so it is not critical to diminish it. However, I think people that have a minimal line or less of one are oftentimes more attractive. Deepening the line is certainly not an attractive thing. What I am talking about is not that there is a line but as one ages the line deepens along with the volume loss (like the string pulling on a deflated balloon). If you attack the malar septum in a perpendicular fashion especially with a cannula you can soften the line as you inflate the area. If you attack it parallel to the line, you either do not change the line or worse you WORSEN it by depositing fat or filler only on one side of it. Trust me: I have seen that and it is not pretty.
best,
sml

Recently I've found out that the malar septum line is called 'nasojugal groove' by some injectors. Here is a video where it is corrected by injection of perlane:

add w w w in front
thederm.org/videolibrary.php?dvid=11

He injected the area above and to the side of the grove, lifting it up and leveling it with the area below the groove. I don't think he injected the groove itself.

Actually, I disagree with that completely. If you want to be insanely anal, then you can reference my book, which I think you own (Complementary Fat Grafting, Lippincott, Williams & Wilkins, 2007), in which I distinguish the nasojugal groove, the tear trough, and the malar septum. The nasojugal groove (page 67) is the fan-shaped BONY depression that occurs at the medial extent (near the nose) of the lower eyelid depression that corresponds (but variably so) with the overlying soft-tissue depression known as the tear trough (page 73). Both structures lie superior and medial (toward the nose) from the malar septum (page 69). The septum is close to but completely distinct from the nasojugal groove and tear trough.

I felt that was a very informative video. My malur septum lines are very noticeable and even though there is volume surounding the lines, there is still an outline of the malar septum line. I guess I don't know a lot about the contours of a face because I have no idea if that is an aging aspect or not because I had filler put in my tear trough and anterior cheek region and it is still there.

the only thing that i do differently from the video is that i go perpendicular to the malar septum rather than parallel. (btw, i sat next to the canadian dermatologist featured in the video 2 months ago in San Diego at the Botox national meeting. he seems to be a very nice gentleman. we shared and discussed different ideas about injections.) i truly believe you can get a smoother result by attacking a linear deficit perpendicularly. i like the idea that i have heard reinforced from my colleagues that a linear deficit should almost always be approached perpendicularly. examples on the face would be the lower eyelid, the malar septum, and the chin crease. i do the same with the smile lines and puppet lines. however, i do follow the smile line (NLF) when I do fillers.

Summertan,

Why do you want your maler septum cut out. Do you not like yours?

I don't think he wants it cut out, he just wants it blended in. The gaunt anterior cheek look that is centered around the malar septal depression can make someone look tired, older, and less vibrant. This concept is very hard to communicate in a forum thread.