{"id":141699,"date":"2026-02-05T10:13:50","date_gmt":"2026-02-05T10:13:50","guid":{"rendered":"https:\/\/kinamihealth.com\/?p=141699"},"modified":"2026-10-15T14:15:08","modified_gmt":"2026-10-15T14:15:08","slug":"traitements-combines-fillers-ah-levres-pommettes-cernes","status":"publish","type":"post","link":"https:\/\/new.kinamihealth.com\/ca-fr\/blog\/traitements-combines-fillers-ah-levres-pommettes-cernes\/","title":{"rendered":"Traitements combin\u00e9s aux fillers d\u2019AH: bonnes pratiques pour les l\u00e8vres, les pommettes et les cernes"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Les patients voient rarement leur visage comme une s\u00e9rie de zones distinctes. Ils veulent avoir l\u2019air repos\u00e9, \u00e9quilibr\u00e9 et naturel. Traiter plusieurs zones de fa\u00e7on coordonn\u00e9e, comme les pommettes, la vall\u00e9e des larmes et les l\u00e8vres, donne souvent un r\u00e9sultat plus harmonieux que le traitement d\u2019un seul trait. Ce guide destin\u00e9 aux cliniciens r\u00e9sume les bonnes pratiques pour planifier et r\u00e9aliser des traitements multizones aux fillers d\u2019acide hyaluronique (AH).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Planifier un traitement combin\u00e9<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-doctor-with-document_23-2149389045-1-1-1024x682.jpg\" alt=\"\" class=\"wp-image-131741\" srcset=\"https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-doctor-with-document_23-2149389045-1-1-1024x682.jpg 1024w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-doctor-with-document_23-2149389045-1-1-300x200.jpg 300w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-doctor-with-document_23-2149389045-1-1-768x512.jpg 768w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-doctor-with-document_23-2149389045-1-1-600x400.jpg 600w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-doctor-with-document_23-2149389045-1-1-64x43.jpg 64w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-doctor-with-document_23-2149389045-1-1.jpg 1060w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u00c9valuer l\u2019ensemble du visage<\/strong>, au repos et en mouvement, de face et de profil.<\/li>\n\n\n\n<li><strong>D\u00e9terminer la priorit\u00e9:<\/strong> chez beaucoup de patients, restaurer le soutien du milieu du visage am\u00e9liore la vall\u00e9e des larmes et la r\u00e9gion nasog\u00e9nienne avant m\u00eame de les traiter directement.<\/li>\n\n\n\n<li><strong>B\u00e2tir le plan par \u00e9tapes:<\/strong> d\u2019abord la structure (pommettes, menton), puis les zones de transition (vall\u00e9e des larmes), enfin l\u2019affinement (l\u00e8vres).<\/li>\n\n\n\n<li><strong>Fixer un volume total par s\u00e9ance<\/strong> et pr\u00e9voir des s\u00e9ances suppl\u00e9mentaires au besoin.<\/li>\n\n\n\n<li><strong>Documenter<\/strong> les produits, les lots, les volumes et les points d\u2019injection de chaque zone.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Les techniques d\u2019injection par zone<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Les pommettes<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">On utilise un gel d\u2019AH plus ferme et coh\u00e9sif, dot\u00e9 d\u2019une bonne capacit\u00e9 de projection, souvent plac\u00e9 en profondeur sur l\u2019os (sus-p\u00e9riost\u00e9) \u00e0 l\u2019aiguille ou dans le plan sous-cutan\u00e9 \u00e0 la canule. Restaurer la partie lat\u00e9rale et ant\u00e9rieure de la pommette peut am\u00e9liorer la transition vers la paupi\u00e8re inf\u00e9rieure.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">La vall\u00e9e des larmes<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">On privil\u00e9gie un gel d\u2019AH plus souple et peu hydrophile, plac\u00e9 en profondeur en petites quantit\u00e9s, souvent \u00e0 la canule. Un placement superficiel ou un volume excessif peut causer des poches ou une teinte bleut\u00e9e. Notre article sur <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/blog\/filler-vallee-des-larmes\/\">le filler de la vall\u00e9e des larmes<\/a> d\u00e9taille cette zone.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Les l\u00e8vres<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Un gel d\u2019AH souple et flexible con\u00e7u pour les l\u00e8vres pr\u00e9serve un mouvement naturel. De petits volumes sont r\u00e9partis pour d\u00e9finir le contour, soutenir le corps de la l\u00e8vre et respecter les proportions naturelles.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Beaucoup de cliniques canadiennes utilisent des produits compl\u00e9mentaires d\u2019une m\u00eame gamme, comme <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/juvederm\/\">JUV\u00c9DERM\u00ae<\/a>, <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/restylane\/\">RESTYLANE\u00ae<\/a>, <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/teosyal\/\">TEOSYAL\u00ae<\/a>, <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/belotero\/\">BELOTERO\u00ae<\/a>ou <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/revanesse\/\">REVANESSE\u00ae<\/a>, pour adapter chaque gel \u00e0 chaque zone.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">La s\u00e9curit\u00e9 des traitements multizones<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Conna\u00eetre l\u2019anatomie vasculaire de chaque zone, notamment les art\u00e8res infraorbitaire, angulaire et labiales.<\/li>\n\n\n\n<li>Aspirer lorsque c\u2019est indiqu\u00e9, injecter lentement \u00e0 faible pression et utiliser de petits bolus.<\/li>\n\n\n\n<li>Envisager la canule dans les zones \u00e0 risque \u00e9lev\u00e9.<\/li>\n\n\n\n<li>Garder de la hyaluronidase \u00e0 port\u00e9e de main et suivre un protocole \u00e9crit de gestion des complications.<\/li>\n\n\n\n<li>Surveiller le volume cumulatif pour \u00e9viter la surcorrection.<\/li>\n\n\n\n<li>Observer la couleur de la peau pendant et apr\u00e8s chaque injection.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Optimiser les r\u00e9sultats d\u2019une zone \u00e0 l\u2019autre<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/medium-shot-women-looking-tablet_23-2149332986-1-1024x682.jpg\" alt=\"\" class=\"wp-image-131742\" srcset=\"https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/medium-shot-women-looking-tablet_23-2149332986-1-1024x682.jpg 1024w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/medium-shot-women-looking-tablet_23-2149332986-1-300x200.jpg 300w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/medium-shot-women-looking-tablet_23-2149332986-1-768x512.jpg 768w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/medium-shot-women-looking-tablet_23-2149332986-1-600x400.jpg 600w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/medium-shot-women-looking-tablet_23-2149332986-1-64x43.jpg 64w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/medium-shot-women-looking-tablet_23-2149332986-1.jpg 1060w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pr\u00e9voir un suivi apr\u00e8s deux \u00e0 quatre semaines avant toute retouche.<\/li>\n\n\n\n<li>Prendre des photos standardis\u00e9es avant et apr\u00e8s.<\/li>\n\n\n\n<li>Espacer les s\u00e9ances d\u2019entretien selon la dur\u00e9e de chaque produit.<\/li>\n\n\n\n<li>Associer des skinboosters ou des biostimulateurs lorsque la qualit\u00e9 de la peau est en cause; consultez nos cat\u00e9gories <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/product-category\/dermal-fillers\/skinboosters\/\">skinboosters<\/a> et <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/product-category\/biostimulators\/\">biostimulateurs<\/a>.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Glossaire<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Coh\u00e9sivit\u00e9:<\/strong> la capacit\u00e9 d\u2019un gel \u00e0 rester uni en une seule masse.<\/li>\n\n\n\n<li><strong>G prime (G&#8217;):<\/strong> une mesure de la fermet\u00e9 d\u2019un gel et de sa capacit\u00e9 \u00e0 r\u00e9sister \u00e0 la d\u00e9formation.<\/li>\n\n\n\n<li><strong>Canule:<\/strong> un instrument \u00e0 bout mousse qui permet d\u2019injecter le filler avec moins de points d\u2019entr\u00e9e.<\/li>\n\n\n\n<li><strong>Hyaluronidase:<\/strong> une enzyme qui dissout les fillers d\u2019AH.<\/li>\n\n\n\n<li><strong>Sus-p\u00e9riost\u00e9:<\/strong> placement directement sur l\u2019os.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Urdiales-G\u00e1lvez, F., et al. (2021). Management of tear trough with hyaluronic acid fillers.&nbsp;<em>PMC<\/em>.&nbsp;<a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8127324\/\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8127324\/<\/a><a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8127324\/\"><\/a>\u200b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lipko-Godlewska, S., et al. (2021). Whole-face approach with hyaluronic acid fillers.&nbsp;<em>PMC<\/em>.&nbsp;<a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7901566\/\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7901566\/<\/a><a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7901566\/\"><\/a>\u200b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Converset, S., et al. (2025). Lip enhancement and perioral area correction with new hyaluronic acid fillers.&nbsp;<em>Aesthetic Surgery Journal Open Forum<\/em>.&nbsp;<a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/academic.oup.com\/asjopenforum\/article\/doi\/10.1093\/asjof\/ojaf101\/8243880\">https:\/\/academic.oup.com\/asjopenforum\/article\/doi\/10.1093\/asjof\/ojaf101\/8243880<\/a><a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/academic.oup.com\/asjopenforum\/article\/doi\/10.1093\/asjof\/ojaf101\/8243880\"><\/a>\u200b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dermatouch RN. (2025, May 9). Biostimulators and HA dermal fillers.&nbsp;<a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/www.dermatouchrn.com\/ha-billers-and-biostimulators-at-dermatouch-rn\/\">https:\/\/www.dermatouchrn.com\/ha-billers-and-biostimulators-at-dermatouch-rn\/<\/a><a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/www.dermatouchrn.com\/ha-billers-and-biostimulators-at-dermatouch-rn\/\"><\/a>\u200b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Plasticsurgerykey. (2022, February 22). Eyelid and periorbital dermal fillers.&nbsp;<a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/plasticsurgerykey.com\/eyelid-and-periorbital-dermal-fillers\/\">https:\/\/plasticsurgerykey.com\/eyelid-and-periorbital-dermal-fillers\/<\/a><a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/plasticsurgerykey.com\/eyelid-and-periorbital-dermal-fillers\/\"><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les patients voient rarement leur visage comme une s\u00e9rie de zones distinctes. Ils veulent avoir l\u2019air repos\u00e9, \u00e9quilibr\u00e9 et naturel. Traiter plusieurs zones de fa\u00e7on coordonn\u00e9e, comme les pommettes, la vall\u00e9e des larmes et les l\u00e8vres, donne souvent un r\u00e9sultat plus harmonieux que le traitement d\u2019un seul trait. Ce guide destin\u00e9 aux cliniciens r\u00e9sume les [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":131739,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[6545],"tags":[],"class_list":["post-141699","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agents-de-comblement-dermique"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Fillers d\u2019AH combin\u00e9s: l\u00e8vres, pommettes, cernes | Kinami Health<\/title>\n<meta name=\"description\" content=\"Combiner des fillers d\u2019AH aux l\u00e8vres, aux pommettes et dans la vall\u00e9e des larmes: planification, techniques par zone et s\u00e9curit\u00e9 des traitements multizones en clinique.\" \/>\n<meta name=\"robots\" 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