In this step, the most important assessments are the vectors involved in the aging appearance for each patient and each area of complaint. The face, neck, and chest have different ways of aging, and the same layers of skin are disposed differently in these three areas. Also, it is very important to evaluate the patient in dynamic and resting conditions because this will provide a hint about which layer is more important to treat to effectively address the specific patient complaint.
• Face: Only MFU-V can provide correction in a horizontal manner on the face, tightening the skin and SMAS from the corner of the mouth to pre-auricular area (fixed part of the SMAS).39,41
• Neck: Only MFU-V can provide correction in a vertical manner in the neck, recreating the mandible definition by tightening the platysma and skin from its origin (mandible region) and insertion (clavicle).39
• Décolleté: Only MFU-V can provide correction in a vertical manner on the chest as shown in clinical experience.42,43
Other procedures such as biostimulators and fillers can enhance the strength of other vectors such as horizontal or projection on the frame of the face, neck, and chest (Figure 8).44,45 They can be boosters (enhance collagen stimulation same areas) or highlighters (enhancing visual result of MFU-V by restoring the structure of bone and fat creating a stretching effect on the tissue envelope from SFS to epidermis). The more vectors you treat without overtreating one or the other, the more natural results look.