Integrated Aesthetic Rejuvenation & Individualized Anatomical Rejuvenation

Introduction
IAR is a concept developed by Dr Liu which stands for both Integrated Aesthetic Rejuvenation and Individualized Anatomical Rejuvenation. Each individual's anatomy is analyzed and assessed including the skin, soft tissue, muscle, and bone. Treatment options are selected to best match each anatomical areas deficiency. The end result is integration of multiple treatment modalities applied to the global anatomy to deliver natural results unique to each individual.

Example of Integrated Aesthetic Rejuvenation: Soft Tissue Fillers Utilized to Match Patient Anatomy

In the application of soft tissue fillers, a combination of different fillers is often selected to maximize results by matching the unique quality of each filler to achieve either deep structural support, mid layer soft tissue restoration, and/or correction of fine surface lines. This approach not only considers the different layers of anatomy by depth, but also observes surface anatomy of adjacent cosmetic zones of the upper, mid, and lower face as well as the symmetry of the face laterally.

Left Photo-Patient noticing shadows and lines developing in areas of her eyes, cheeks, mouth, and chin with skin pigmentation and texture changes.

Right Photo-Combination IPL & Fractional Laser done initially to address pigmentation and skin texture changes. This was followed by Juvederm Vycross fillers (Voluma, Vollure, and Volbella) injected in a technique to integrate with her specific anatomical changes.

*actual patient case of Dr. Liu©

Left Photo-Patient feels her eyes look tired and her mouth unhappy.

Right Photo-Juvederm® Voluma injected into deep, mid, and superficial layers of her soft tissue to lift sagging tissue and soften shadows and wrinkles.

The "smile lines" (nasolabial folds) softened without injection of Voluma directly there.

*actual patient case of Dr. Liu©

Left Photo-Patient in her late 20's showing early volume loss creating minor shadows, sag, and lines. She felt her face was losing some of her natural contours.

Right Photo-Juvederm® Voluma was injected into deep and mid soft tissue to restore her natural contours.

*actual patient case of Dr. Liu©

Left Photo-Patient feels cheeks are sagging, eyebags are forming, and mouth looks unhappy.

Right Photo-Juvederm® Voluma injected into deep, mid, and superficial layers of her soft tissue to reduce aging around her eyes, lift the cheek, and lift the corner of her mouth.

*actual patient case of Dr. Liu©

Example of Integrated Aesthetic Rejuvenation: Forehead Lines, Crow's Feet, and Undereye Rejuvenation

Left Photo-Evolving forehead lines, crow's feet wrinkles, and volume loss of undereye.

Right Photo-Fine line filler technique used for forehead and crow's using Belotero and Refyne. Cannula filler technique using Vollure for undereye. Patient preferred not to have Botox to retain full motion of face.

*actual patient case of Dr. Liu©

Example of IAR Philosophy for Forehead Lines: Filler Chosen Over Botox to Avoid Eyebrow Droop & Retain Natural Movement

LEFT: Forehead Lines Before Treatment; MIDDLE: After Filler To Forehead Lines; RIGHT: Patient Moving Forehead Naturally After Filler
*actual patient case of Dr. Liu©

Dr. Liu on the Doctors Show Treating Above Patient

Segment 1: Before Treatment

Segment 2: After Treatment

Example of IAR Philosophy for Forehead Lines: Filler & Low Dose Botox to Treat Deep Forehead Lines

Left Photo-Patient in early 30's with deep forehead lines at rest.

Right Photo-Combination treatment was recommended. Primary treatment was Refyne and Volbella fillers to lift and smooth the deep forehead creases. Low dose Botox was done as a complementary treatment to reduce use of her forehead muscles but preserve natural motion of her forehead.

*actual patient case of Dr. Liu©

Example of Integrated Aesthetic Rejuvenation: Body Contouring Using Kybella and Microablative Radiofrequency

Left Photo-After liposuction procedure, 32 year old patient has residual irregular fat bulges (blue arrows) and excess, loose skin

Right Photo-Kybella was selected to dissolve the irregular fat bulges followed by Microablative Radiofrequency Needling for skin tightening

*actual patient case of Dr. Liu©

Example of Integrated Aesthetic Rejuvenation: Body Contouring Using Kybella and Deep Radiofrequency Microneedling

Left Photo-68 year old patient desired fat reduction and skin tightening of abdomen

Right Photo-After combination therapy of minimally invasive Kybella fat dissolving injection with radiofrequency microneedling and deep needling for skin tightening; visible reduction of fat from abdominal area with skin tightening.

Left Photo-68 year old patient desired fat reduction and skin tightening of abdomen

*actual patient case of Dr. Liu©

Example of Integrated Aesthetic Rejuvenation: Suture Suspension and Filler for Mid-Lower Face Lifting and Smoothing

Left Photo: 72 y.o. female with significant sagging of mid and lower face.

Right Photo: Combination approach of Instalift suture suspension and filler (Defyne, Refyne, Vollure, Volbella)

Left Photo: 72 y.o. female with significant sagging of mid and lower face.

Right Photo: Combination approach of Instalift suture suspension and filler (Defyne, Refyne, Vollure, Volbella)

Example of Integrated Aesthetic Rejuvenation: Combination Laser with PRP Serum for Maximum Rejuvenation of Skin

Left Photo-Before treatment view of right side of chest

Right Photo-Right side of chest after triple laser multimodality treatment demonstrating excellent results of reducing pigment, improving fine lines and texture

Left Photo-Before treatment view of left side of chest

Right Photo-Left side of chest after triple laser multimodality treatment plus PRP serum demonstrating better results of reducing pigment, improving fine lines and texture in comparison to laser only

Left Photo-Right side of chest after triple laser multimodality treatment ONLY

Right Photo-Left side of chest after triple laser multimodality treatment plus PRP serum.

Overall, laser therapy yielded excellent improvement; however, side by side photos and patient feedback demonstrated superior results for pigment removal, fine line/texture improvement, and overall skin luster on the left side that received laser and PRP serum.