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Myobloc for Wrinkles : Techniques
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Brow Lift
Botulinum toxin can also be used to elevate the brows, resulting in a more youthful appearance. This has been referred to in the literature as a chemical brow lift. The technique of lifting the brow includes injection of the glabellar area as described in the brow furrow section.
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The patient's right eye (left in the picture) was injected using a V shaped injection pattern. The patient's left eye (right in the picture) was injected using a horizontal injection pattern with an additional injection site just above the left lateral portion of the brow.
Illustration from the textbook Baumann L. "Cosmetic Dermatology: Principles
and Practice" McGraw Hill, Philadelphia, March 2002.
After injecting the procerus muscle with 0.1cc (500 units) of Myobloc, the nasal bridge should be massaged laterally. This allows the Myobloc to affect the depressor supercilli portion of the corrugator muscle as shown in the figure.
Illustration from the textbook Baumann L. "Cosmetic Dermatology: Principles
and Practice" McGraw Hill, Philadelphia, March 2002.
Injecting 0.05cc of Myobloc (250 units) into the lateral brow depressor muscles as shown in the figure can raise the lateral aspect of the eyebrow. These techniques can be used to correct or improve assymetrical brows.
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