Vertex Augmentation With Hyaluronic Acid Filler: A Novel Technique for Height Enhancement and Cephalic Contouring

Abstract

Height augmentation and cephalic contouring using hyaluronic acid (HA) fillers represent an innovative approach in minimally invasive aesthetic medicine. This study introduces a novel technique for vertex augmentation, leveraging cross-linked HA fillers to achieve subtle height enhancement and cephalic contouring. A 42-year-old male patient seeking non-surgical height augmentation underwent vertex injections with 15 ml of HA filler (e.p.t.q. eve X, Jetema Inc., Seoul, Republic of Korea), using a multidirectional spreading technique under local anesthesia. The procedure resulted in an immediate and sustained 1.2 cm height increase with no adverse effects at a 6-month follow-up. The vertex's low vascularity and favorable anatomic features minimized complications and enhanced safety. This method also holds potential for cephalic contouring in female patients, providing subtle cranial volume for aesthetic purposes. The findings highlight the adaptability of HA fillers beyond traditional facial applications, offering a safe, effective alternative to surgical interventions. Further studies are encouraged to validate long-term outcomes and expand patient applicability.