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By Goldman M.P., Sadick N.S., Weiss R.A.

Compiled through pro specialists within the box, this reference offers transparent information at the simple rules, approaches, and issues focused on complicated dermatologic surgery-offering precise assurance of filling elements, fats move thoughts, and the most recent laser applied sciences.

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Extra resources for Advanced Techniques in Dermatologic Surgery

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All patients are advised to remain upright for two hours and to exercise the treated muscles as much as possible for the first four hours (38). Patients must be advised strictly to avoid rubbing or massaging the injected area for two hours following the treatment. , in patients with low-set brows, mild brow ptosis, and patients over the age of 50 years) (38). It is important to remember that the brow shape can be changed, and lack of expressivity may be caused by injection of the frontalis lateral to the mid-pupillary line.

Goodacre TLE, Sanders R, Watts DA, Stoker M. Split skin grafting using topical local anaesthesia (EMLA): a comparison with infiltrated anaesthesia. Br J Pl Surg 1988; 41:533–538. 18. Arendt-Nielsen L, Bjerring P. Laser-induced pain for evaluation of local analgesia. Anesth Analg 1988; 67:115–123. 19. Hernandez E, Gonzalez S, Gonzalez E. Evaluation of topical anesthetics by laser-induced sensation. Lasers Surg Med 1998; 23:167–171. 20. Friedman PM, Fogelman JP, Nouri K, Levine VJ, Ashinoff R. Comparative study of the efficacy of four topical anesthetics.

Medial brow depressors include the corrugator supercilii, procerus, and the medial portion of the orbicularis oculi, while the lateral depressor is the lateral portion of the orbicularis oculi. Treating the glabellar lines often results in an elevation of the brow (13). Huilgol et al. (23) report treating the brow depressors alone to elevate the brow while preserving its natural shape (21). One injection of 7 to 10 U BTX-A in the glabella at the midline (immediately below the line joining the eyebrows), followed by one injection on each side into the supralateral eyebrow (where the orbicularis curves infralaterally, outside the bony orbital rim) resulted in a modest brow elevation (mean, 1 mm) in five out of seven patients.

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