The R-Technique: A Multilayer Lateral-Facial Volumisation Method Using Hyaluronic Acid Fillers: A Prospective Analysis of 100 Cases

Background: Facial rejuvenation traditionally focuses on anterior mid-face volumisation; however, age-related descent and deflation of the lateral face contribute substantially to contour loss. The R-Technique, developed by Wong, emphasises a multilayered, ligament-focused approach to lateral-face restoration. Objectives: This study evaluates the safety, efficacy and patient satisfaction following the R-Technique across 100 consecutive cases at a tertiary aesthetic medicine centre. Methods: A prospective observational study was conducted on adult patients receiving Hyaluronic Acid (HA) fillers via the R-Technique. Standardised photographs, validated satisfaction scales and complication monitoring were utilised. Three viscosity grades of HA were placed strategically along an R-shaped treatment zone, extending from the temporal crest through the zygomatic arch and descending toward the mandibular ramus. Results: Ninety-seven percent of patients demonstrated clinically appreciable lifting and contour enhancement at twelve weeks. The mean Global Aesthetic Improvement Scale (GAIS) score was 1.34 ± 0.52, consistent with “much improved.” Complications were minor and self-limiting, including transient oedema (22%) and ecchymosis (18%). No cases of vascular occlusion, visual disturbance or long-term adverse events occurred. Patient satisfaction at twelve weeks was 94%. Conclusion: The R-Technique provides predictable, natural-appearing lateral facial rejuvenation with a strong safety profile. Its emphasis on anatomical support, multilayer deposition and lateral vectoring appears effective in counteracting age-related volume and ligamentous decline.