ARTICLE | FACIAL AESTHETICS |
Figure 5 Treatment to the perioral region with dermal filler, (A) before treatment and (B) directly after treatment. Indirect filling technique to the upper lip; linear threading, 27 G blunt, 1.5-inch cannula, automated injection of Belotero Intense® 1 cc, premixed with Lidocaine 1%. Direct filling technique to the upper lip rhytides; linear threading with a sharp, short 30 G needle, Belotero soft® 0.5 cc. Corners of the mouth; linear threading and crosshatch, sharp, short 27 G needle, Belotero Intense® 1 cc
BoNT A
Treatment to the patient with BoNT A is shown in Figures 1–3. Approximately every 6 months, the mimetic wrinkles of the upper third of the face (glabellar lines, forehead lines, crowÕs feet) were treated with BoNT A using Incobotulinumtoxin A, reconstituted in 1.25 cc, sterile, 0.9% unpreserved saline, using a 30 G needle. Treatment was customised to the patient:
■ Glabellar lines received five injection points. 4 U intramuscularly to the procerus, 4 U per point medially, and 2 U per point laterally to the corrugator supercilii and depressor supercilii
■ Overall doses: glabellar lines 2 U, forehead lines 10Ð 20 U, and crowÕs feet 6Ð 10 U per side.
For the corners of the
■ The forehead lines had 12 injection points. The frontalis muscle was injected intramuscularly ® six points at 2 U (medial, lateral cranial) and six points at 1 U intramuscularly and medially (including two points to the lateral eyebrow), and intradermally and laterally
■ The crowÕs feet had 12 injection points. The orbicularis oculi had three injections intramuscularly, each at 2 U; nine injection points were intradermal, each at 0.5 U
crosshatch, using a short, sharp 27 G needle.
Dermal filler To the nasolabial folds (Figure 4), the author used a direct filling approach with linear threading, using a short, sharp 27 G needle. The product used was Radiesse premixed with Lidocaine 1% in a 20% ratio. Total dose: 2 cc (1 cc per side). Treatment of the perioral
mouth, the author used the direct filling technique with linear threading and
region was three-fold (Figure 5). To treat upper-lip contours, an indirect filling approach was implemented with linear threading, using a 27 G blunt-tip, flexible, 1.5-inch cannula and an automated injection system. The
total dose was 1 cc of Belotero Intense premixed with Lidocaine 1% in a 20% ratio. For upper-lip rhytides, a direct filling approach was used with linear threading, using short, sharp 30 G needle. A total dose of 0.5 cc Belotero Soft was administered. For the corners of the mouth, the author used the direct filling technique with linear threading and crosshatch, using a short, sharp 27 G needle. A total dose of 1 cc of Belotero Intense was administered here.
Figure 6 Treatment to the periorbital region with dermal filler, (A) before treatment and (B) directly after treatment. Direct filling technique: to the tear trough using linear threading, sharp short 30 G needle, Belotero intense® premixed with Lidocaine 1% 0.6 cc; to the lateral eyebrow using linear threading, sharp, short 27 G needle, Esthélis basic 0.4 cc
24 ❚ September 2012 |
prime-journal.com
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