By Kate Coleman-Moriarty
Written via a best specialist within the box, this source introduces the reader to the pharmacology of botulinum toxin and describes and the total variety of strategies for its optimum administration―including secure dealing with, the choice and overview of sufferers, capability issues and pitfalls, and asthetic ideas. It additionally presents comparative info on different modalities corresponding to laser and hyaluronic acid, in addition to strength danger components, so readers can decide upon the simplest approach for every sufferer. And, it discusses either types of toxin at the moment on the market - Botox and Dysport.
- Covers the full diversity of use of botulinum toxin for beauty reasons.
- Provides cutting-edge, sensible instructions on remedy tools and proper garage.
- Discusses different remedies in order that the reader can make a decision which rejuvenating therapy is better for every sufferer.
- Uses full-color medical images of pre-, peri-, and post-operative effects to demonstrate nuances of recommendations in addition asthe effectiveness of botulinum toxin on wrinkles and scars for the foremost facial components.
- Discusses which sufferers will be in danger for hostile effects―or "worsening results"―and deals compatible alternatives.
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Extra info for Botulinum Toxin in Facial Rejuvenation
G. 025ml (see dose box) subcutaneously. Avoid using too much as this can cause brow ptosis. Complaint: a droopy eyelid Ptosis is the term used for a droopy eyelid. The distance from the lower lid margin to the upper lid margin (the palpebral aperture) varies. Some patients have visible sclera below and above their limbus (edge of the cornea). This may occur in myopic patients with naturally large eyes; in patients with thyroid eye disease; or in those with unusually shallow orbits. The eyelid is elevated by the levator palpebrae superioris muscle (normal range is 17mm from looking down to looking up) and Müller’s muscle – a supra-tarsal collection of involuntary smooth muscle ﬁbers.
This would paralyze the lacrimal pump, causing a watery eye – unless, luckily, the patient was already suffering from a dry eye. The lacrimal pump (Fig. 9) comprises ﬁbers from the orbicularis that insert onto the vertical portion of the canaliculus and the lacrimal sac. Blinking contracts these ﬁbers and dilates the canaliculus and sac. This creates a negative pressure drawing the tears along the lower lid margin into the lacrimal sac. Paralysis of the lacrimal pump occurs naturally in patients with facial nerve palsy.
Due to protrusion of upper and lower lid orbital fat and skin from weight of ﬂaccid brows and ﬂaccid lower septum. BTX over 75% of medial brow only. BTX to inferolateral canthus in certain patients. BTX over lacrimal pump. BTX over branch of maxillary vein. BTX to pretarsal orbicularis muscle. Patient looks tired My eyes are swollen! 1 lists the most frequent complaints encountered in the author’s practice during more than 10,000 treatments with botulinum toxin for rhytids. During this time the incidence of complaints has dropped dramatically, probably as a result of more rigorous patient selection and counseling.