• Michael S Kaminer, Joel L Cohen, Ava Shamban, William Philip Werschler, Garrett T Shumate, Adrienne Drinkwater, and Conor J Gallagher.
• SkinCare Physicians, Inc., Chestnut Hill, Massachusetts.
• Dermatol Surg. 2020 Jun 1; 46 (6): 810-817.

BackgroundAesthetic medicine has evolved from targeting individual treatment areas to a global approach of panfacial rejuvenation. HARMONY was the first clinical study to systematically demonstrate positive physical and psychosocial impacts of panfacial treatment.ObjectiveProvide evidence-based guidance on treatment strategies to help maximize outcomes in patients seeking panfacial rejuvenation.Materials And MethodsStudy sites with the lowest (n = 2) and highest (n = 2) improvements based on FACE-Q Satisfaction with Face Overall scores were analyzed to understand differences in treatment strategy that may contribute to incrementally greater patient satisfaction.ResultsThe highest scoring sites exhibited greater improvement in all patient-reported outcomes and investigator-assessed measures related to dermal filler treatment compared with the lowest scoring sites. The highest sites favored lateral malar augmentation and used less volume medially versus the lowest sites. In the lower face, the highest sites used greater volumes and more HYC-24L than HYC-24L+. Initial treatment volumes were more conservative at highest than lowest sites; greater volumes were used by highest sites in touch-up treatments.ConclusionProduct usage trends common to the highest scoring sites (including injection volume, injection sites, and product selection) may provide guidance on best practices for a panfacial approach to aesthetic treatment to maximize patient satisfaction.

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