By William J. Lipham MD FACS, Jill Mellicher MD
This article is for somebody attracted to using Botox and dermal filler brokers for a wide selection of sensible and minimally invasive facial rejuvenation techniques. The garage, reconstitution, and mechanism of motion of botulinum toxin or Botox are all completely defined. an intensive research is supplied detailing the underlying facial muscle anatomy that's required and the way physicians can combine this technique into their present perform. an extra part can be integrated detailing injectable filler brokers, a greater kind of therapy for traces which are current at relaxation. because the call for for much less invasive facial rejuvenation items and coverings proceed to extend, Botox injections are rising because the well known selection. whereas the preliminary public response was once guarded, the approach is now universal, as thousands of people world wide are pursuing the beauty program of Botox for wrinkle reduction.The textual content makes use of a "how to" technique in educating the methods Botox can treatment many practical problems and conditions. Read more...
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Additional info for Cosmetic and clinical applications of Botox and dermal fillers
Typically, 2 to 3 injections are used to distribute botulinum toxin to this area. It is important to palpate the region of muscle contraction in order to inactivate the lateral orbicularis muscle. Care should be taken to avoid injecting within the orbital rim because this increases the likelihood of diffusion of the botulinum toxin behind the septum, which may induce ectropion or ptosis. Pertinent Facial Muscle Anatomy 17 Figure 3-7. Contraction of the lateral portion of the preseptal and preorbital portion of the orbicularis oris muscle induces “crow’s feet” or “smile” lines.
7. Frankel AS, Kamer FM. Chemical browlift. Arch Otolaryngol Head Neck Surg. 1998;124(3):321-323. 8. Harris CP, Alderson K, Nebeker J, Holds JB, Anderson RL. Histologic features of human orbicularis oculi treated with botulinum A toxin. Arch Ophthalmol. 1991;109(3):393-395. 9. Guerrissi J, Sarkissian P. Local injection into mimetic muscles of botulinum toxin A for the treatment of facial lines. Ann Plast Surg. 1997;39(5):447-453. 10. Borodic GE, Cozzolino D. Blepharospasm and its treatment, with emphasis on the use of botulinum toxin.
Contraction of the superficial muscle fibers of the orbicularis oris contributes to the formation of perioral rhytides (“smoker’s” lines). less complex structure, is present in the lower lip and arises from the mandible to intermingle with other muscles at the angle of the mouth. The orbicularis oris in its ordinary action affects the direct closure of the lips; with its deep fibers, assisted by the oblique ones, it closely applies the lips to the alveolar arch. This is very important in keeping the lips in their proper position during mastication and pronunciation of words.
Cosmetic and clinical applications of Botox and dermal fillers by William J. Lipham MD FACS, Jill Mellicher MD