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Dynamic wrinkles\u2014the kind that deepen when you smile, laugh or speak\u2014 have long been a unique hurdle in cosmetics. Standard filler techniques don’t always work here because volume alone doesn’t fix movement-driven lines. Enter the Fern Pattern Technique. Developed in 2005 by Dutch cosmetic doctor Dr. Tom van Eijk, it was born out of frustration with the limitations of conventional filler placement, particularly around the mouth, where the skin is constantly in motion.<\/p>\n
The technique is becoming increasingly popular today, so we asked leading dermatologists to explain everything you need to know, whether you’re just cosmetically curious or considering it for yourself.<\/p>\n<\/div>\n
\u201cThe fern pattern technique is a way of injecting filler superficially to attempt to help with dynamic or reproducible lines,\u201d explains West Palm Beach, FL dermatologist Jacob Beer, MD. Specifically, \u201cthese are lines that are worsened with movement, such as the smile lines or the perioral lines around the mouth,\u201d says New York dermatologist Jody A. Levine, MD. \u201cThis technique involves injecting small amounts of filler into the superficial dermis along the line, then extending it away from the line in a pattern resembling a fern leaf.\u201d<\/p>\n
New York dermatologist Julie Russak, MD notes that this technique is not a volumizing approach but rather a reinforcement approach. \u201cYou\u2019re depositing product within the skin tissue itself, at the level where structural weakness originates, not beneath it. That distinction is the entire point,\u201d she says. \u201cWhat the fern pattern technique does differently is treat the dermis as the target, not the space below it. Intradermal hyaluronic acid placed in a branching pattern activates fibroblasts and drives new collagen deposition. You\u2019re giving weakened tissue a scaffold to rebuild against. That\u2019s regenerative logic.\u201d<\/p>\n
\u201cBecause the hyaluronic acid is placed within the dermis rather than below it, it prompts the skin\u2019s own fibroblasts to produce collagen and elastin. The correction outlasts the hyaluronic acid because the skin is rebuilding its own architecture in response to the treatment,\u201d explains Dr. Russak. \u201cThe result moves naturally because you haven\u2019t added mass underneath the tissue. And the improvement continues after the hyaluronic acid resorbs, which is not something you can say about conventional volumizing injection.\u201d<\/p>\n
Dr. Russak and Dr. Beer both note that generally less product is needed with this technique. The Fern Pattern Technique can be right for patients seeking improvement in superficial, dynamic wrinkles, as the hyaluronic acid forms a supportive framework for the skin, says Dr. Levine. Dr. Beer says it\u2019s important to note that there is limited objective data on the technique\u2019s overall benefit, as much of it is theoretical.<\/p>\n
All the experts are open to using the Fern Pattern Technique technique for the right patient. \u201cI use many different injection techniques depending on the goal at hand,\u201d says Dr. Levine. \u201cEvery patient\u2019s anatomy, skin quality, lifestyle and aesthetic goals are different. As a dermatologist, I evaluate each patient individually and use a combination of techniques tailored to their specific wants and needs. No one technique is better or worse than another; it’s just different ways of achieving a desired result.\u201d<\/p>\n
Dr. Russak is a strong proponent of the fern pattern technique, believing the diagnostic reasoning behind it is sound. \u201cMost patients present with a surface problem that is actually a structural one. The line isn\u2019t the diagnosis. The dermal thinning that made the line possible is,\u201d she says. \u201cWhen you fill beneath a wrinkle without addressing the tissue weakness, you\u2019re compensating for a problem you haven\u2019t solved. The skin is less responsive than it was, and adding volume underneath doesn\u2019t change that.\u201d<\/p>\n
Dr. Beer notes that the most important factor here is the practitioner’s experience. \u201cI’ve seen countless complications from other practices where you see beading and discoloration due to injections that are too superficial, as well as migration from injections that are too deep.\u201d He adds that \u201cthe product [i.e. Restylane versus Juv\u00e9derm] used is also very important.\u201d Because not all hyaluronic acid fillers behave the same way, and for a technique this placement-specific, viscosity and particle size can affect both precision and outcome.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
Dynamic wrinkles\u2014the kind that deepen when you smile, l […]<\/p>\n","protected":false},"author":1,"featured_media":1962,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[55],"tags":[],"_links":{"self":[{"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/posts\/1961"}],"collection":[{"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/comments?post=1961"}],"version-history":[{"count":0,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/posts\/1961\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/media\/1962"}],"wp:attachment":[{"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/media?parent=1961"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/categories?post=1961"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/tags?post=1961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}