Context: Facial fllers have revolutionized the feld of cosmetic facial rejuvenation as it has become
the prime sought – after rejuvenation procedure offering youthful, 3-dimensional look with minimal
invasiveness. Fillers are expensive and need to be redone periodically hence a sound understanding
of structural basis on which they are laid is important in reducing the quantity of fller required in
each sitting as well as increasing the longevity of results. Aim: The aim of the following study is to
analyse a novel method of facial flling “The pillars pyramids and tie beams (PPT)” technique and its
advantages over the conventional methods. Subjects and Methods: A novel technique of injecting
the facial fllers was employed on 67 patients visiting our clinic. These patients were followed-up for
a period of 3 years. Results: We observed that the amount of fller material required in initial sitting
remains the same, however the frequency of touch up visits is decreased and so is the amount
of fller material required for follow-up injections. Conclusion: Facial contour remodelling is being
revolutionised by the new fller materials for volume augmentation and no uniform consensus has
been reached on the techniques currently used in clinical practice. We advocate this novel PPT
technique of facial flling in facial rejuvenation to restore a youthful look as a primary goal.