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Zyderm/Zyplast for Wrinkles :: Techniques :: Oral Commissures
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Before beginning...
- Review with the patient the indication to be treated.
- Cleanse the treatment area.
- Be sure the patient is sitting in an upright position.
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1. Before treatment.
2. The triangle technique is made up of three injection paths that resemble a triangle (as shown above.)
3. Injection A: Beginning at the distal end of the commissure, inject Zyplast Collagen Implant toward the corner of the mouth at a 45 degree angle to the skin's surface using a serial puncture technique. A slightly delayed blanch will be observed with proper placement.
4. Injection B: To form the second side of the triangle, begin at the distal end of the commissure and inject at approximately 30 degree lateral angle to inection A. Inject toward the lower lip using a serial puncture technique.
5. Injection C: To complete the triangle, begin injecting into the vermilion border of the lower lip at a 10 degree angle to the skin's surface using a linear threading technique. Massage by pinching the treated area to form a ridge or defined border.
6. Full correction.
Note: In some cases of deep oral commissures, the triangle method may leave a small indentation in the center of the triangle. If this should happen, inject Zyplast into the center of the triangle at a 45 degree angle to the skin's surface, using a serial puncture method. One to three injections is typical.
Points to remember:
- Massage each treated area after every 2-5 injections.
- Correction of 100% is recommended when using Zyplast; do not overcorrect.
- Overcorrection of 200% is recommended when using Zyderm I Collagen Implant.
- Overcorrection of 150% is recommended when using Zyderm II Collagen Implant.
- The ADG needle is recommended for accurate depth control and for maximum results when using the layering technique.
- Optimal correction of nasolabial lines may require more than 1.0cc of Zyderm and/or Zyplast Collagen Implant.
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