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 ...
What is Sculptra?
Sculptra is a type of injection that contains poly-L-lactic as its active ingredient. It is mainly used for treating facial wasting (medically known as lipodystrophy) related to acquired immune deficiency syndrome (AIDS) and human immunodeficiency virus (HIV). Apart from that, Sculptra is also used for the treatment of wrinkles and fine lines in the face, including nasolabial folds.
At the same time, Sculptra helps to correct facial volume loss while enhancing the thickness of the skin. After treatment, the skin appears dramatically healthier and younger. The innovative microscopic crystals in the formulation are able to induce inflammatory reactions under the skin, helping to stimulate collagen regeneration for increased facial volume. Plus, the crystals fill wrinkles and folds to create younger looking skin. Sculptra can also be used as a butt lift treatment, replacing conventional butt lifting procedures such as the Brazilian Butt Lift (which tend to cause longer ...
The earlobes are important facial features that form an integral part of the overall facial aesthetic. Because of this, deformed earlobes (such as asymmetrical earlobes or earlobes that are too large) are a major cause of concern. This article will discuss the anatomy of the earlobes, the common conditions associated with the earlobes, and the non-surgical procedures used to treat them.
Before treating the earlobes, it is important to understand the external ear anatomy. The external ear consists of the ear canal and pinna (also referred to as the auricle). The auricle is the visible part of ear that is comprised of skin-covered cartilage. The components of the auricle include the concha, tragus, lobule, antihelix, and helix. The human earlobe is made of adipose connective tissues and tough areolar, meaning that it lacks the elasticity and firmness of the auricle.
Essentially, there are 2 forms of earlobes: unattached (where the lower lobe is not connected to the chee ...
While some treatments, such as botulinum toxin, are fairly straightforward when it comes to standard dosing, there are no standard doses for cosmetic procedures like dermal fillers. The desired treatment outcome (and the volume of filler required) varies greatly among patients. Simply put, filler injections are more of an art form, while the administration of botulinum toxin is more scientific and technical in nature. In this article, we will discuss the doses of dermal filler used in the treatment of marionette lines and nasolabial folds. We will also discuss the different techniques for administering dermal fillers.
Marionettes lines and nasolabial folds
Marionette lines occur between the lips and the chin, while nasolabial lines occur between the nose and the mouth. Despite this difference in placement, they are quite similar. Often caused by the natural aging process, these lines and folds are formed when the soft tissue volume of the central face is lost. With this, ...
What are marionette lines?
Marionette lines are the vertical lines that run from the corner of the mouth down to the jawline along the chin. They get their name due to their resemblance to the chin of marionette dolls. On humans, these lines can make people appear old or even unhappy. As these lines usually develop due to aging, they can also be accompanied by dry and dull skin that further contributes to a tired, aged appearance. Due to their proximity to the mouth, these lines are often associated with the facial expressions we make, from smiling to pursing our lips, and are therefore often confused with smile or laugh lines.
What causes marionette lines?
There are many factors that contribute to the development of marionette lines in the skin. As previously mentioned, repeated facial movements—or, more specifically, movements with the lips and mouth—can play a role, as can sun exposure and environmental or lifestyle factors such as smoking and stress. However, th ...
Treating Glabellar Lines with Botox
Treating glabellar lines was the first FDA-approved nonmedical indication for Botox, and it is where most patients begin their cosmetic journey. Lines in the glabellar region (between the eyebrows) convey emotions that do not reflect the patient’s true frame of mind. It can easily make someone appear sad, tired, stressed out, or angry. Most patients complain of dynamic and static wrinkles in this region more than any other areas of the face.
In the Unites States, glabellar Botox injection is the most common entry procedure for physicians aiming to incorporate cosmetic treatments into their practice.1 The ever-increasing demand for anti-aging solutions using minimally invasive cosmetic methods propels the popularity of Botox worldwide.
Who would be interested in this treatment?
The ideal candidates for glabellar correction with Botox are patients with dynamic wrinkles at the central brow. Patients with frown lines visible a ...
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