Lip augmentation is a challenging aesthetic procedure that requires a thorough understanding of the aging process. In addition, practitioners need to be familiar with the lip anatomy in order to create appealing and attractive lips. They should also be aware of the desirable anatomical features in the “ideal” lips.
The treatment outcomes are affected by a number of factors such as the amount and type of the filler, the unique anatomy of patients and the injection technique. To ensure optimal results, doctors should recognize and overcome the challenges related to lip augmentation while respecting the anatomy. In this article, we will discuss about the anatomical considerations for lip augmentation. We will also discuss about the patient selection process.
Analyzing the anatomical features of a youthful lip
The upper lip of young Caucasians is typically narrower compared to the lower lip. The ideal upper lip to lower lip ratio is around 40:60. For patie ...
With so many different fillers available, patients no longer have to rely on surgical interventions—which tend to be invasive and risky. The most popular type of modern filler is the synthetic hyaluronic acid-based filler (such as Juvederm, Restylane, and Belotero). Other fillers made of poly-L-lactic acid and calcium hydroxylapatite, such as Sculptra and Radiesse, are also becoming popular due to the long-lasting results.
Sculptra and Radiesse
Containing calcium hydroxylapatite as its active ingredient, Radiesse is most often used for the treatment of moderate to severe wrinkles and folds (including nasolabial folds). Radiesse has also obtained FDA approval for the treatment of aging-related volume loss in the backs of the hands. Apart from the hands, Radiesse can be used on other body parts for contouring and augmentation. This includes the lips, chin, and cheeks. The highly versatile filler is supplied as an injectable implant.
Sculptra is formulated with poly- ...
The Sculptra Butt Lift
A Sculptra butt lift is a revolutionary procedure that has become increasingly popular in the United States (particularly in Los Angeles). Butt lifting procedures have been gaining momentum since the early 2010s, thanks to pop icons such as Beyoncé, Jennifer Lopez, and Kim Kardashian. In contrast to conventional procedures such as the Brazilian Butt Lift, a Sculptra butt lift is unlikely to cause any downtime. The procedure does not involve liposuction and is ideal for patients who do not have sufficient fat. It offers a great way of achieving a more shapely and full buttocks without the need for invasive surgical procedures.
About the Sculptra butt lift
The Sculptra butt lift is an innovative treatment that helps to promote collagen regeneration through micro-injections underneath the skin. In contrast to fat grafting procedures, it is not associated with any downtime. For best results, use Sculptra butt lift in combination with a Silhouette butt ...
Botox for bladder
Botox is a popular botulinum toxin type A injectable that is most popular for its ability to temporarily reduce the appearance of crow’s feet, forehead lines, and glabellar lines. Unknown to many, Botox is also indicated for a range of medical conditions such as urinary incontinence (caused by overactivity related to neurologic conditions such as multiple sclerosis), cervical dystonia, and spasticity. Doctors also commonly use it for poorly-managed axillary hyperhidrosis (excessive sweating), strabismus, and blepharospasm (related to dystonia). Apart from that, Botox is also effective in treating overactive bladder (OAB). In fact, FDA included overactive bladder as 1 of the approved indications of Botox in 2013. Botox injections are able to provide symptomatic relief, helping to alleviate urinary frequency, urgency, and incontinence. It is especially useful in adult patients who respond inadequately (or are intolerant) to conservative treatments su ...
Chemical peels involve the use of chemical solutions to induce controlled destruction at specific levels of the skin. This leads to tissue regeneration and the sloughing of dead cells, thereby enhancing the skin health of the body and face.
Since 1950, chemical peels have been widely used in dermatology. Over time, this treatment has evolved greatly, with the advent of newer technologies such as alpha hydroxy acids (AHAs) and trichloroacetic acid (TCA), which are designed to penetrate different depths of the skin. In this article, we will outline the properties of various deep and medium chemical peels.
Classification of chemical peels
The classification of chemical peels is currently based on their depth of penetration. Deep chemical peels are able to penetrate into the reticular dermis, while medium peels can penetrate into the papillary dermis. In contrast, superficial chemical peels are able to penetrate into any depth of the skin in the epidermal layer, including ...
Periocular dermatochalasis is characterized by eye bags and an excessively loose skin. It often affects the upper eyelids, resulting in the loss of elasticity in the skin fold. Apart from that, it also causes hooding (i.e. where skin fold drops down and outwards).
Redundant or excessive subcutaneous tissue and upper eyelid skin may be formed due to hereditary factors or involutional age changes. For example, orbital fat prolapses (particularly in the medial fat pad in the upper eyelid) through the attenuated orbital septum may result in an unsightly bulge. Other causes of eyelid dermatochalasis include blepharochalasis (inflammation of the eyelids), elastolysis (a rare acquired or inherited connective tissue disorder characterized by inelastic skin), Cutis laxa (CL), xanthelasma, renal failure, and thyroid eye disease. In this article, we will discuss the main causes of sagging eyelids and the treatment options available.
Main symptoms of derma ...
Why use Botox?
For more than 20 years, botulinum toxin injections such as Botox have been used cosmetically for treating lines and wrinkles in adult patients. This includes moderate to severe glabellar lines associated with procerus or corrugator muscle activity, forehead lines related to frontalis muscle activity, and lateral canthal lines (otherwise known as crow's feet). Apart from Botox, many doctors are opting for other botulinum toxin brands, such as Xeomin and Dysport (which are similar but not interchangeable).
Clinically, botulinum toxin injections are prescribed for the treatment of spasticity related to or spinal injuries cerebral palsy, overactive bladder, blepharospasm secondary to dystonia, urinary incontinence (dur to detrusor overactivity related to neurologic diseases e.g. multiple sclerosis) and cervical dystonia. Additionally, they are effective in treating of hyperhidrosis (excessive sweating), including craniofacial hyperhidrosis (excessive sweating of the face ...
Reshaping the Nose without Surgery
Rhinoplasty, otherwise known as a “nose job,” is the third most common plastic surgery procedure among male and female patients. In fact, it is the most commonly performed facial operation of all. However, rhinoplasty is also 1 of the most technically challenging surgeries. And, it is a very invasive procedure with a long recovery period, making it an unattractive option for many patients. As such, there has recently been an increased demand for non-surgical nose reshaping procedures. With its heightened safety profile, non-surgical nose reshaping using dermal fillers is a popular choice—plus, it instantly delivers visible results.
Non-surgical and surgical nose reshaping can be used to treat a range of dimensional abnormalities, including inadequate or excessive radix projection, inadequate or excessive nasal tip projection, and inadequate or excessive nasal length. Apart from that, they also help to correct acquired o ...
The aging process of the perioral area
There are a number of factors involved in the aging process of the perioral area, which is located around the mouth. Generally, this area is greatly affected by the loss of hyaluronic acid and collagen in the skin, which is a result of intrinsic aging. In addition, this area may be disturbed by the natural loss of subcutaneous fat, which can reduce overall volume, as well as the loss of supportive bone density in the mandible. Extrinsic factors, such as UV exposure and smoking, also play an important role in skin aging, causing damage to the skin’s texture, elasticity, and structure.
Main concerns of patients
One of the main concerns in the perioral area is buccal fat descent, which subsequently causes marionette folds. Additionally, patients are concerned about perioral lip lines, which could arise from the constant pursing of the lips. Apart from that, patients are also often bothered by nasolabial folds, smoker’s lines, barcode l ...
In Asia, it is very common to use botulinum toxin to treat masseter hypertrophy and augment the lower face. Asian women, in general, prefer an ovoid facial shape than the square one. In this article, we will discuss masseter hypertrophy, and the effectiveness of bruxism and masseter hypertrophy treatments. In particular, we will discuss about the role of botulinum toxin in the non-surgical treatment of masseter hypertrophy, and the use of botulinum toxin type A as an adjunctive therapy of bruxism.
Being one of the main principle muscles of chewing (mastication), the masseter muscle is vital to adequate mastication. Masseter muscles play an important role in the overall aesthetics of the face. Hypertrophied, enlarged masseter muscles can alter the facial lines, negatively affecting the overall facial aesthetics. Masseter hypertrophy can potentially cause a square facial shape and asymmetry. A square facial shape is often regarded as a masculine feature and general ...
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