PRE- READING COURSE MATERIAL ADVANCED BOTOX AND DERMAL FILLERS Module 1

Size: px
Start display at page:

Download "PRE- READING COURSE MATERIAL ADVANCED BOTOX AND DERMAL FILLERS Module 1"

Transcription

1 PRE- READING COURSE MATERIAL ADVANCED BOTOX AND DERMAL FILLERS Module 1

2 OVERVIEW Principles of dermatology and the ageing face Principles of advanced facial anatomy

3 OVERVIEW Principles of dermatology and the ageing face Principles of facial anatomy

4 DERMATOLOGY

5 SKIN ANATOMY The skin is made up broadly of 3 layers: - Epidermis - Dermis - Subcutis

6 SKIN ANATOMY SKIN EPIDERMIS DERMIS SUBCUTIS Stratum Corneum Stratum Stratum Lucidum Spinosum Stratum Granulosum Stratum Basale Papillary Dermis Reticular Dermis

7 SKIN ANATOMY SKIN EPIDERMIS DERMIS SUBCUTIS Stratum Corneum Stratum Stratum Lucidum Spinosum Stratum Granulosum Stratum Basale Papillary Dermis Reticular Dermis

8 SKIN ANATOMY The epidermis is the outermost layer of the skin, and protects the body from the environment. The epidermis layer itself is made up of five sublayers that work together to continually rebuild the surface of the skin.

9 SKIN ANATOMY The Basal Cell Layer The basal layer is the lowest/ innermost layer of the epidermis and contains basal cells that continually divide. The Squamous Cell Layer The squamous cell layer is located above the basal layer. Here, basal cells are pushed upward, however these maturing cells are now called squamous cells, or keratinocytes. The Stratum Granulosum & The Stratum Lucidum Keratinocytes from the squamous layer are pushed up through two thin epidermal layers called the stratum granulosum and the stratum lucidum. As these cells move further towards the surface of the skin, they get bigger and flatter and adhere together, and then eventually become dehydrated and die. The Stratum Corneum The stratum corneum is the uppermost layer of the epidermis, and is made up of 10 to 30 thin layers of continually shedding, dead keratinocytes. The stratum corneum is sloughed off continually as new cells take its place, but this shedding process slows down with age. Complete cell turnover occurs every 28 to 30 days in young adults, while the same process takes 45 to 50 days in elderly adults.

10 SKIN ANATOMY SKIN EPIDERMIS DERMIS SUBCUTIS Stratum Corneum Stratum Stratum Lucidum Spinosum Stratum Granulosum Stratum Basale Papillary Dermis Reticular Dermis

11 SKIN ANATOMY The Dermis The dermis is located beneath the epidermis and is the thickest of the three layers of the skin (1.5 to 4 mm thick), making up approximately 90 percent of the thickness of the skin. The main functions of the dermis are to regulate temperature and to supply the epidermis with nutrient-saturated blood. The dermis layer is made up of two sublayers: The Papillary Layer The upper, papillary layer, contains a thin arrangement of collagen fibers. The papillary layer supplies nutrients to select layers of the epidermis and regulates temperature. The Reticular Layer The lower, reticular layer, is thicker and made of thick collagen fibers that are arranged in parallel to the surface of the skin. The reticular layer is denser than the papillary dermis, and it strengthens the skin, providing structure and elasticity. It also supports other components of the skin, such as hair follicles, sweat glands, and sebaceous glands.

12 SKIN ANATOMY SKIN EPIDERMIS DERMIS SUBCUTIS Stratum Corneum Stratum Stratum Lucidum Spinosum Stratum Granulosum Stratum Basale Papillary Dermis Reticular Dermis

13 SKIN ANATOMY The Subcutis The subcutis is the innermost layer of the skin, and consists of a network of fat and collagen cells. The subcutis is also known as the hypodermis or subcutaneous layer, and functions as both an insulator, conserving the body's heat, and as a shock-absorber, protecting the inner organs. It also stores fat as an energy reserve for the body. The blood vessels, nerves, lymph vessels, and hair follicles also cross through this layer.

14 SKIN ANATOMY During the aging process, there is an ongoing loss of collagen and elasticity in the skin, resulting in the skin becoming lax. Collagen loss causes tissue atrophy and thinning of the skin, with increased rhytid (wrinkle) formation. Younger skin Older skin

15 THE AGEING FACE Loss of the underlying fat causes descent of the overlying structures in the ageing face. This occurs most predominantly in the following areas;

16 THE AGEING FACE Over many years the changes in skin laxity lead to loss of the volume and curves of the cheeks, resulting in bony contours. Tissue descent also causes increased nasolabial and labiomandibular folds

17 Static wrinkles are seen at rest, even on relaxation of the muscle. THE AGEING FACE There are two types of wrinkles: dynamic wrinkles and static wrinkles. The dynamic wrinkle is caused by animation or muscle function. Dynamic wrinkles can be seen here with movement and purposeful contraction of the muscle. They disappear when the patient relaxes.

18 OVERVIEW Principles of dermatology and the ageing face Principles of advanced facial anatomy

19 FACIAL MUSCLES THE UPPER THIRD OF THE FACE Corrugator supercilii Depressor supercilii

20 FACIAL MUSCLES Frontalis Procerus Depressor supercilii Corrugator supercilii Orbicularis oculi

21 FRONTALIS MUSCLE Frontalis Procerus Depressor supercilii Corrugator supercilii Orbicularis oculi

22 FRONTALIS MUSCLE Contraction of these key muscles causes wrinkling of the overlying skin. Origin: galea aponeurotica along the coronal suture Insertion: into the dermis at the level of the eyebrows. No bony insertions.

23 FRONTALIS MUSCLE CONTRACTION

24 GLABELLA COMPLEX Frontalis Procerus Depressor supercilii Corrugator supercilii Orbicularis oculi

25 GLABELLA COMPLEX Procerus Muscle Origin: tendinous fibres from the fascia overlying the nasal bone and upper part of the lateral nasal cartilage Insertion: lower medial forehead Corrugator supercilii Origin: Medial end of the superciliary arch of the frontal bone Insertion: Skin beneath the middle of the eyebrow Depressor supercilii Origin: midline of the frontal bone approximately 1cm above the medial canthal tendon Insertion: Skin and subcutaneous tissue beneath the eyebrow

26 GLABELLA COMPLEX MUSCLE CONTRACTION

27 ORBICULARIS OCULI Frontalis Procerus Depressor supercilii Corrugator supercilii Orbicularis oculi

28 CROW S FEET The orbicularis oculi muscle is a thin flat sphincteric muscle that originates from the frontal bone near the medial canthus. It consists of three parts: 1) Pars orbitalis or the orbital part of orbicularis oculi is the bulkiest among the three. Coarse fibers surround the entire orbit. It has two origins: the frontal bone and the maxilla. The insertion circles around the orbit. It contracts to close the eyes tight. 2) Pars palpebralis or the palpebral part covers the eyelid itself. It also encases the lacrimal sac and canaliculi. Compared to the pars orbitalis, it is made up of fine fibers. It originates from the medial palpebral ligament and inserts into the zygomatic bone, specifically at the lateral palpebral ligament. It acts to close the eyes gently. 3) Pars lacrimalis or the lacrimal part of the orbicularis oculi is responsible for anchoring the lacrimal canal towards the eye surface. Its origin is the lacrimal bone and its insertion is the lateral palpebral raphe.

29 CROW S FEET The medial portion of the orbicularis is a medial brow depressor and contributes to the glabella lines. It runs superficial to the depressor supercilii. The lateral portion of the orbicularis oculi is a lateral brow depressor and creates the wrinkling pattern known as crow s feet. The orbicularis oculi muscle interdigitates with the dermis of the skin throughout its course such that botulinium toxin injections need only be intradermal or very superficial to achieve the desired effects.

30 ORBICULARIS OCULI CONTRACTION

31 FACIAL MUSCLES THE MID AND LOWER THIRD OF THE FACE

32 FACIAL MUSCLES THE MID AND LOWER THIRD OF THE FACE Zygomaticus minor A small thin muscle that is present in only one third of people, it passes from the zygoma medial to the zygomaticus major and inserts into the orbicularis oris muscle just medial to the modiolus. Zygomaticus major Origin: inferior aspect of the body of the zygoma Insertion: into the modiolus at the corner of the mouth. It lifts the corner of the mouth up and laterally.

33 CONTRACTION: ZYGOMATICS MAJOR

34 FACIAL MUSCLES THE MID AND LOWER THIRD OF THE FACE Levator labii superioris Origin: medial infraorbital margin and zygoma. Insertion: Medial part of the orbicularis oris Action: Elevation of the lip Levator labii superioris alequae nasi Origin: nasal process of the maxilla Insertion: medial orbicularis oris and the nasal ala. Contraction causes the central lip to elevate, the alae to flare, and the medial nasolabial fold to deepen.

35 CONTRACTION: ZYGOMATICS MINOR AND LEVATOR LABII SUPERIORIS

36 FACIAL MUSCLES THE MID AND LOWER THIRD OF THE FACE Nasalis This muscle consists of the pars alaris and the pars transversa. The pars alaris originates from the maxilla above the incisor teeth and inserts into the alar cartilage. Contraction dilates the nostrils. The pars transversa originates from the maxilla above the pars alaris and inserts into the cartilage of the nasal dorsum. Contraction brings the ala medially and contributes to the bunny lines on the side of the nose

37 CONTRACTION: ALAR PART OF NASALIS AND LEVATOR LABII SUPERIORIS ALAEQUE NASII

38 CONTRACTION: PROCERUS AND TRANSVERSE PART OF NASALIS

39 FACIAL MUSCLES THE MID AND LOWER THIRD OF THE FACE Depressor septi This is a small muscle under the nose which pulls the tip of the nose inferiorly during smiling. Origin: from the nasal spine of the maxilla Insertion into the lower lateral cartilages.

40 FACIAL MUSCLES THE MID AND LOWER THIRD OF THE FACE Orbicularis oris The orbicularis oris is a sphincter-like muscle that surrounds the mouth Insertion: into the modiolus at the mouth corners. Action: Pursing and opening of the lips. Essential for articulation. Contraction contributes to vertical lip lines, which can be improved with tiny quantities of botulinum toxin injected superficially about 5mm from the vermilion border and symmetrically.

41 CONTRACTION: ORBICULARIS ORIS

42 FACIAL MUSCLES THE MID AND LOWER THIRD OF THE FACE Depressor anguli oris Origin: inferior border of the mandible just lateral and superficial to the depressor labii inferioris muscle, which is the main depressor of the central lower lip. Action: draws down the corners of the lips Depressor labii inferioris Origin: oblique line of the mandible, continuous with the fibres of the platysma muscle Insetion: deep to the skin of the lower lip, blending in with theorbicularis oris muscle Action: draws down the lower lip

43 CONTRACTION: DEPRESSOR ANGULI ORIS

44 CONTRACTION: DEPRESSOR LABII INFERIORIS

45 FACIAL MUSCLES THE MID AND LOWER THIRD OF THE FACE Mentalis Origin: periosteum of the mentum Insertion: dermis overlying the chin. Contraction causes the chin to depress and multiple indentations to become visible (chin dimpling) One or two injections of botulinium toxin into the mentalis muscle can smooth out the chin dimpling appearance.

46 CONTRACTION: MENTALIS

47 FACIAL MUSCLES THE MID AND LOWER THIRD OF THE FACE The risorius is a muscle of facial expression which arises in the fascia over the parotid gland and passes horizontally forward, super:icial to the platysma and inserting onto the skin at the angle of the mouth

48 CONTRACTION: RISORIUS

49 FACIAL MUSCLES THE MID AND LOWER THIRD OF THE FACE Platysma Origin: clavicles, first rib and dermis of the chest Insertion: mandible. The muscle is very superficial along its course and intimately related to the dermis. Fibres decussate as they approach the mandible, either close to the mandible or more inferiorly at the level of the hyoid bone. In about 10%, the platysma does not decussate and stays separate throughout its course. The posterior part of the platysma muscle passes superiorly and over the mandible towards the modiolus and depressor anguli oris muscle. This pulls the sides of the mouth down during grimacing. Sometimes fibres insert into the dermis just lateral to the mouth and creases become evident in the skin.

50 CONTRACTION: PLATYSMA

51 SUMMARY Principles of dermatology and the ageing face Principles of advanced facial anatomy

52 NOTES

HOW IS DONE (Techniques, Surgical anatomy, Indications) Chemical denervation, Dermal fillers

HOW IS DONE (Techniques, Surgical anatomy, Indications) Chemical denervation, Dermal fillers HOW IS DONE (Techniques, Surgical anatomy, Indications) Chemical denervation, Dermal fillers Constantinos Laskarides DMD, DDS, PharmD, FICD ORAL & MAXILLOFACIAL SU RGERY A s s o c i ate P r o fessor, T

More information

The venue Dragonfly Nail and Beauty Academy, The Studio, Tower Park Ennerdale Road, Shrewsbury SY1 3TD. Please see directions on the next page.

The venue Dragonfly Nail and Beauty Academy, The Studio, Tower Park Ennerdale Road, Shrewsbury SY1 3TD. Please see directions on the next page. Thank you for booking the Indian Head Massage Course. Please read the attached A&P documents before attending the course. Please note: Students work on each other, if there is any reason why you feel you

More information

Making Faces. Chris Landreth CSC2529, Session 3 24 January 2011

Making Faces. Chris Landreth CSC2529, Session 3 24 January 2011 Making Faces Chris Landreth CSC2529, Session 3 24 January 2011 FACS: The Facial Action Coding System Created by Paul Ekman and Wallace Friesen in 1976 Based on the distinct muscles in the human face Each

More information

SKABT4v2 Improve And Maintain Facial Skin Condition

SKABT4v2 Improve And Maintain Facial Skin Condition Overview This unit is about improving and maintaining facial skin condition using a variety of treatments. These treatments include: skin exfoliation, skin warming, extraction, facial massage, mask treatments

More information

A4M FELOWSHIP IN AESTHETIC ANTI-AGING MEDICINE

A4M FELOWSHIP IN AESTHETIC ANTI-AGING MEDICINE A4M FELOWSHIP IN AESTHETIC ANTI-AGING MEDICINE COURSE AGENDA HANDS-ON MODULE 4 (Botox, Fillers, PRP) October 17-18 2014 IMA & Aesthetica Clinic, Dubai, UAE (Dubai Healthcare City) PRACTICE Under Expert

More information

New Filler Approvals Refyne, Defyne, Vollure, Revanesse. Karol A Gutowski, MD, FACS Hot Topics

New Filler Approvals Refyne, Defyne, Vollure, Revanesse. Karol A Gutowski, MD, FACS Hot Topics New Filler Approvals Refyne, Defyne, Vollure, Revanesse Karol A Gutowski, MD, FACS Hot Topics Disclosures Merz - Advisory Board Suneva Medical - Instructor Will use brand names due to lack of distinguishing

More information

ACCEPTABLE OPERATIVE REPORT # 2

ACCEPTABLE OPERATIVE REPORT # 2 ACCEPTABLE OPERATIVE REPORT # 2 This operative report follows the standards set by the JCAHO and AAAHC for sufficient information to: identify the patient support the diagnosis justify the treatment document

More information

National Occupational Standards

National Occupational Standards What this unit is about This unit is about improving and maintaining facial skin condition using a variety of treatments. These treatments include: skin exfoliation, skin warming, extraction, facial massage,

More information

Upper lid blepharoplasty

Upper lid blepharoplasty Upper lid blepharoplasty Remove nasal fat only if removal needed When upper eyelid cosmetic surgery is undertaken, a curved incision is made through the upper eyelid crease above the eyelashes and a crescent-shaped

More information

TARGET ACHIEVED: SMOOTH AND YOUNG SKIN FOR LONGER V.5

TARGET ACHIEVED: SMOOTH AND YOUNG SKIN FOR LONGER V.5 TARGET ACHIEVED: SMOOTH AND YOUNG SKIN FOR LONGER V.5 WHAT ARE EXPRESSION WRINKLES? Expression wrinkles (or dynamic wrinkles) are a particular type linked to repeated muscular contraction They are the

More information

Periorbital Rejuvenation

Periorbital Rejuvenation Outline Periorbital Rejuvenation Daniel Straka, MD Oculofacial Plastic Surgery Plastic Surgery Ohio/Ophthalmic Surgeons and Consultants What happens as we age? What is considered beautiful or youthful?

More information

Unit-3-A Anatomy & Physiology of Skin

Unit-3-A Anatomy & Physiology of Skin In The Name of God (A PROJECT OF NEW LIFE HEALTH CARE SOCIETY, KARACHI) Unit-3-A Anatomy & Physiology of Skin Shahzad Bashir RN, BScN, DCHN, MScN (Std. DUHS) Instructor New Life College of Nursing Updated

More information

Facial Fat Compartments: A Guide to Filler Placement

Facial Fat Compartments: A Guide to Filler Placement Facial Fat Compartments: A Guide to Filler Placement Safa E. Sandoval, M.D., 1 Joshua A. Cox, B.A., 2 John C. Koshy, M.D., 1 Daniel A. Hatef, M.D., 1 and Larry H. Hollier, Jr., M.D., F.A.C.S. 1 ABSTRACT

More information

FAQs DERMAL FILLERS. 1 P age

FAQs DERMAL FILLERS. 1 P age Dermal fillers (also called soft tissue fillers) are a non-surgical injectable treatment used to restore facial volume, create youthful facial contours, add volume to lips, and smooth out and reduce the

More information

Sirtaz S. Sibia, D.O., FAOCO Austin Coleman, D.O., FAOCO Scottsdale, Arizona May 2016

Sirtaz S. Sibia, D.O., FAOCO Austin Coleman, D.O., FAOCO Scottsdale, Arizona May 2016 Sirtaz S. Sibia, D.O., FAOCO Austin Coleman, D.O., FAOCO Scottsdale, Arizona May 2016 Approach To The Cosmetic Patient Anatomic areas of concern to the patient Give the patient a mirror and have them point

More information

Silhouette Sutures for Treatment of Facial Aging: Facial Rejuvenation, Remodeling, and Facial Tissue Support

Silhouette Sutures for Treatment of Facial Aging: Facial Rejuvenation, Remodeling, and Facial Tissue Support Silhouette Sutures for Treatment of Facial Aging: Facial Rejuvenation, Remodeling, and Facial Tissue Support Nicanor Isse, MD KEYWORDS Suspension lift Silhouette lift Thread lift Face During facial aging,

More information

PERFECT FILLERS TECHNIQUES FOR PHYSICIANS SWISS QUALITY

PERFECT FILLERS TECHNIQUES FOR PHYSICIANS SWISS QUALITY PERFECT FILLERS TECHNIQUES FOR PHYSICIANS SWISS QUALITY OUR MISSION Suisselle is a privately owned company located in a biotech hub, Yverdon-les-Bains, Switzerland. Operating to the highest standard of

More information

Injectable Soft Tissue Fillers: Practical Applications. Karol A Gutowski, MD, FACS

Injectable Soft Tissue Fillers: Practical Applications. Karol A Gutowski, MD, FACS Injectable Soft Tissue Fillers: Practical Applications Karol A Gutowski, MD, FACS Disclosures Instructor for Suneva (Bellafill) Will describe off-label uses Will use brand names Injectable Tissue Filler

More information

S UPPLEMENT. The Anatomy of the Aging Face: Volume Loss and Changes in 3-Dimensional Topography

S UPPLEMENT. The Anatomy of the Aging Face: Volume Loss and Changes in 3-Dimensional Topography The Anatomy of the Aging Face: Volume Loss and Changes in 3-Dimensional Topography Sydney R. Coleman, MD; Rajiv Grover, BSc, MB BS, MD, FRCS (Plast) Dr. Coleman is Assistant Professor of Plastic Surgery

More information

: An organ - two or more tissues functioning

: An organ - two or more tissues functioning 2 INTEGUMENTARY SYSTEM - CHAPTER 5 : An organ - two or more tissues functioning sq. m, 9-11 lbs, 7% of body weight mm thick Two layers & A.Epidermis protective layer w/o B.Dermis tissue fibrous & passes

More information

Aesthetics & Skin Clinic

Aesthetics & Skin Clinic Aesthetics & Skin Clinic These ground breaking non surgical procedures can enhance & rejuvenate your natural facial appearance. Book your free no obligation consultation today at www.crowdedhousebury.co.uk

More information

Myomodulation with Injectable Fillers: An Innovative Approach to Addressing Facial Muscle Movement

Myomodulation with Injectable Fillers: An Innovative Approach to Addressing Facial Muscle Movement Aesth Plast Surg (2018) 42:798 814 https://doi.org/10.1007/s00266-018-1116-z ORI GIN AL A RTI CLE NON-SURGICAL AESTHETIC Myomodulation with Injectable Fillers: An Innovative Approach to Addressing Facial

More information

SAMPLE COPY SAMPLE COPY SAMPLE COPY

SAMPLE COPY SAMPLE COPY SAMPLE COPY The Integumentary and Skeletal Systems EXPERIMENT 3.1: A CLOSER LOOK AT THE SKIN Supplies: Microscope Prepared slide: human skin (not the one with follicles or hairs) Purpose: To examine the dermis and

More information

Presentation by Dr Venkataram. facelift

Presentation by Dr Venkataram. facelift Presentation by Dr Venkataram facelift What is facelift? Face lift is a procedure to lift sagging skin Why does skin sag? Skin sags due to several reasons which may intrinsic or extrinsic. Intrinsic factors

More information

OREON Lifescience Co.,Ltd. Safe Long lasting Effective

OREON Lifescience Co.,Ltd. Safe Long lasting Effective OREON Lifescience Co.,Ltd. Safe Long lasting Effective Skin Aging INSTRINSIC Intrinsic aging obviously occurs to anyone with the passing of time. It occurs as damage in components in our body is accumulated

More information

TECHNIQUE FOR PRESERVATION OF THE TEMPORAL BRANCHES OF THE FACIAL NERVE DURING FACE-LIFT OPERATIONS. By RAUL LOEB

TECHNIQUE FOR PRESERVATION OF THE TEMPORAL BRANCHES OF THE FACIAL NERVE DURING FACE-LIFT OPERATIONS. By RAUL LOEB TECHNIQUE FOR PRESERVATION OF THE TEMPORAL BRANCHES OF THE FACIAL NERVE DURING FACE-LIFT OPERATIONS By RAUL LOEB Plastic Surgery Department, Escola PauIista de Medicina, S~o Paulo, Brazil IN general, papers

More information

HOW WOULD YOU DEFINE BEAUTY?

HOW WOULD YOU DEFINE BEAUTY? HOW WOULD YOU DEFINE BEAUTY? F HOW WOULD YOU DEFINE BEAUTY? We believe that every woman is beautiful. Beauty is not just about physical standards but also self-esteem, harmony, elegance, and inner well-being.

More information

Foreheadplasty. Multimedia Health Education. Disclaimer

Foreheadplasty. Multimedia Health Education. Disclaimer Disclaimer This movie is an educational resource only and should not be used to make a decision on or any facial surgery. All decisions about or any facial surgery must be made in conjunction with your

More information

Patients who seek surgical treatment for facial COSMETIC. Some Anatomical Observations on Midface Aging and Long-Term Results of Surgical Treatment

Patients who seek surgical treatment for facial COSMETIC. Some Anatomical Observations on Midface Aging and Long-Term Results of Surgical Treatment COSMETIC Some Anatomical Observations on Midface Aging and Long-Term Results of Surgical Treatment John Q. Owsley, M.D. Christa L. Roberts, M.D. San Francisco, Calif. Background: Controversy exists as

More information

Through non-surgical procedures we can target facial concerns such as fine lines and wrinkles, lost volume, skin laxity, sun damage and scarring.

Through non-surgical procedures we can target facial concerns such as fine lines and wrinkles, lost volume, skin laxity, sun damage and scarring. Guide Through non-surgical procedures we can target facial concerns such as fine lines and wrinkles, lost volume, skin laxity, sun damage and scarring. From the foundations of underlying skin structure

More information

Cinderella Beauty Protocol with SCENAR Devices. by Irina Kossovskaia, MD, P.HD., D.N.M.

Cinderella Beauty Protocol with SCENAR Devices. by Irina Kossovskaia, MD, P.HD., D.N.M. Cinderella Beauty Protocol with SCENAR Devices by Irina Kossovskaia, MD, P.HD., D.N.M. The Aging Skin Aging is an issue of mind over matter. If you don t mind, it doesn t matter. Mark Twain Inside every

More information

Zeolight RF manual. Introduction. 2 Getting Started 3 Operation. 4 Operation Steps 5 Skin care after treatment 9 Maintenance of machine 9

Zeolight RF manual. Introduction. 2 Getting Started 3 Operation. 4 Operation Steps 5 Skin care after treatment 9 Maintenance of machine 9 Zeolight RF manual Introduction. 2 Getting Started 3 Operation. 4 Operation Steps 5 Skin care after treatment 9 Maintenance of machine 9 Introduction Radio Frequency is one of the most exciting treatments

More information

Collagen

Collagen Collagen Injectable fillers are one of the most popular facial rejuvenation techniques. As we age, the underlying tissues that keep our skin looking youthful and firm begin to break down due to the effects

More information

Microbotox of the Lower Face and Neck: Evolution of a Personal Technique and Its Clinical Effects.

Microbotox of the Lower Face and Neck: Evolution of a Personal Technique and Its Clinical Effects. NEUROTOXINS Microbotox of the Lower Face and Neck: Evolution of a Personal Technique and Its Clinical Effects Woffles T. L. Wu, MBBS, FRCS(Edin), FAMS(Plastic Surg) Singapore Summary: Microbotox is the

More information

Scientific Forum. Minimal Incision Rhytidectomy (Short Scar Face Lift) with Lateral SMASectomy: Evolution and Application

Scientific Forum. Minimal Incision Rhytidectomy (Short Scar Face Lift) with Lateral SMASectomy: Evolution and Application (Short Scar Face Lift) with Lateral SMASectomy: Evolution and Application Daniel C. Baker, MD Background: The evolution of the author s technique for minimal incision rhytidectomy is reviewed. Objective:

More information

Beyond the Book. FOCUS Book

Beyond the Book. FOCUS Book FOCUS Book Use arts and crafts materials to build a 3-D model of the layers of the human skin. Choose materials that will represent the properties of each layer on the basis of what you learned in this

More information

Rebuild the structure of your skin from within

Rebuild the structure of your skin from within Rebuild the structure of your skin from within New Generation Promoitalia Dissolvable Threads Revitalize your skin s natural contours Rebuild your skin s support scaffolding Create new firmness Improve

More information

Skin Care Tips and Facts

Skin Care Tips and Facts Skin Tips and Facts * Your skin is your body's largest organ! The of the average woman weighs kilograms, while that of the average weighs five. * What's the secret to? Not surprisingly, the state of our

More information

Redistributions of documents, or parts of documents, must retain the FISWG cover page containing the disclaimer.

Redistributions of documents, or parts of documents, must retain the FISWG cover page containing the disclaimer. Disclaimer: As a condition to the use of this document and the information contained herein, the Facial Identification Scientific Working Group (FISWG) requests notification by e-mail before or contemporaneously

More information

H-Anim Facial Animation

H-Anim Facial Animation H-Anim Facial Animation Los Angeles, CA, USA Jung-Ju Choi (Ajou University) and Myeong Won Lee (The University of Suwon) The face in H-Anim (4.9.4) There are seven _joint s rooted at skullbase l_eyeball_joint

More information

OFFICE COPY. Facial Aging and Regional Enhancement With Injectable Fillers Joe Niamtu III, DMD

OFFICE COPY. Facial Aging and Regional Enhancement With Injectable Fillers Joe Niamtu III, DMD Facial ging and Regional Enhancement With Injectable Fillers Joe Niamtu III, DMD Minimally invasive cosmetic facial surgery has entered into the forefront of contemporary rejuvenation. Cosmetic surgery

More information

CARE OF THE SKIN: GUIDELINES FOR ENSURING SKIN INTEGRITY LESSON PLAN

CARE OF THE SKIN: GUIDELINES FOR ENSURING SKIN INTEGRITY LESSON PLAN CARE OF THE SKIN: GUIDELINES FOR ENSURING SKIN INTEGRITY LESSON PLAN Lesson overview Time: One Hour This lesson discusses the structure, functions, aging processes, and care of the skin. Learners will

More information

PDO&PLLA threads for skin revitalisation and lifting

PDO&PLLA threads for skin revitalisation and lifting PDO&PLLA s for skin revitalisation and lifting NewU s were created as a non- -surgical way to restore youth They produce spectacular effects without requiring any surgery. PDO&PLLA s provide a possibility

More information

A brighter smile. A younger looking you.

A brighter smile. A younger looking you. A brighter smile. A younger looking you. Facial cosmetic treatments, DENTO-FACIAL AESTHETICS delivered by your dentist. AVAILABLE EXCLUSIVELY TO KEYS DENTAL PATIENTS ONLY COSMETIC NON-SURGICAL REJUVENATION

More information

Genesis Biosystems DermaFrac TM Training Test

Genesis Biosystems DermaFrac TM Training Test How to submit: 1. Complete the Answer Sheet and Contact Information document (DFR-EXA-002 Revision A) by: a. Print out, fill in manually and signing, OR b. Fill in electronically, print out and signing.

More information

The ART of Rendering FACIAL EXPRESSIONS

The ART of Rendering FACIAL EXPRESSIONS Level: Beginner to Advanced Flesch-Kincaid Grade Level: 9.4 Flesch-Kincaid Reading Ease: 51.4 Drawspace Curriculum: 6.3.R2-6 Pages and 14 Illustrations The ART of Rendering FACIAL EXPRESSIONS Create believable

More information

Eyelidpedia. Anterior lamella The area of the eyelid comprising the skin, subcutaneous tissue and the orbicularis muscle.

Eyelidpedia. Anterior lamella The area of the eyelid comprising the skin, subcutaneous tissue and the orbicularis muscle. Eyelidpedia A Alloderm Type of tissue used as a graft for various types of reconstructive surgery, such as eyelid reconstruction, facial reconstruction, oral surgery, and breast reconstruction. The tissue

More information

Pins and Needles: Minimally Invasive Office Techniques for Facial Rejuvenation

Pins and Needles: Minimally Invasive Office Techniques for Facial Rejuvenation Pins and Needles: Minimally Invasive Office Techniques for Facial Rejuvenation Corey S. Maas, M.D., 1 and Sumit Bapna, M.D. 1 ABSTRACT The desire for minimally invasive facial rejuvenation has continued

More information

Revisional Neck Surgery

Revisional Neck Surgery Panel Discussion Revisional Neck Surgery Gerald Pitman, MD; Sherell J. Aston, MD; Joel J. Feldman, MD; Keith LaFerriere, MD Dr. Pitman is Clinical Professor of Plastic Surgery, New York University School

More information

RESTYLANE clinical hints

RESTYLANE clinical hints BACKGROUND Beauty is characterised by A youthful face Facial attractiveness with regards to symmetry and harmony Curves in appropriate places on the face to create interest and light reflection Healthy,

More information

direct brow lift Lift your spirits procedure using the fixation device

direct brow lift Lift your spirits procedure using the fixation device direct brow lift procedure using the fixation device Lift your spirits What is upper eyelid rejuvenation? In general, aging around the eyes is exhibited in two areas: The eye lids and the eyebrows. The

More information

Demystifying Skin Care for Massage Therapists Chapter 3

Demystifying Skin Care for Massage Therapists Chapter 3 1 Skin Concerns - FACE Demystifying Skin Care for Massage Therapists Chapter 3 Created by Nina Howard, Founder and Master Trainer Adapted and Edited by Kathryn Myers, CEO Bellanina Institute BELLANINA

More information

LESSON ASSIGNMENT. Anatomy and Physiology of the Integumentary System. After completing this lesson, you should be able to:

LESSON ASSIGNMENT. Anatomy and Physiology of the Integumentary System. After completing this lesson, you should be able to: LESSON ASSIGNMENT LESSON 1 Anatomy and Physiology of the Integumentary System. LESSON ASSIGNMENT Paragraphs 1-1 through 1-5. LESSON OBJECTIVES After completing this lesson, you should be able to: 1-1.

More information

Substantial and rapid change typifies the field COSMETIC

Substantial and rapid change typifies the field COSMETIC COSMETIC Advances in Facial Rejuvenation: Botulinum Toxin Type A, Hyaluronic Acid Dermal Fillers, and Combination Therapies -Consensus Recommendations Jean D. A. Carruthers, M.D. Richard G. Glogau, M.D.

More information

Facial anatomy and the application of fillers and botulinum toxin Part I

Facial anatomy and the application of fillers and botulinum toxin Part I 195 Facial anatomy and the application of fillers and botulinum toxin Part I Anatomia da face aplicada aos preenchedores e à toxina botulínica Parte I Continued Medical education ABSTRACT The use of botulinum

More information

Endoscopic Foreheadplasty

Endoscopic Foreheadplasty Disclaimer This movie is an educational resource only and should not be used to make a decision on Endoscopic Foreheadplasty or any facial surgery. All decisions about Endoscopic Foreheadplasty or any

More information

Anatomy of Skin and its Defense, Breakdown, and Fortification

Anatomy of Skin and its Defense, Breakdown, and Fortification Anatomy of Skin and its Defense, Breakdown, and Fortification Copyright 2011 All rights reserved. The content of this presentation may not be copied, replaced, Healthy Skin Human skin is a remarkable organ,

More information

Combined Techniques of Cosmetology in Face Rejuvenation

Combined Techniques of Cosmetology in Face Rejuvenation Combined Techniques of Cosmetology in Face Rejuvenation By Constantin STAN, M.D. The MEDICAL SERVICE Clinic - Romania Giovanni BOTTI, M.D. VILLA BELLA Clinic - Italy WHAT IS A BEAUTIFUL FACE? WHAT WE CAN

More information

Thomas T. Jeneby, M.D Wurzbach Suite 801 San Antonio, TX /

Thomas T. Jeneby, M.D Wurzbach Suite 801 San Antonio, TX / Microdermabrasion is one of the most popular non-invasive cosmetic procedures performed today. Over time, factors such as aging, genetic factors, sun damage, acne, scarring, and enlarged pores can contribute

More information

Redistributions of documents, or parts of documents, must retain the FISWG cover page containing the disclaimer.

Redistributions of documents, or parts of documents, must retain the FISWG cover page containing the disclaimer. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Disclaimer: As a condition to the use of this document and the information contained herein, the Facial Identification

More information

Treatment of the Full Obtuse Neck

Treatment of the Full Obtuse Neck Editor s Note: My thanks to the moderator, Timothy J. Marten, MD (board-certified plastic surgeon and ASAPS member, San Francisco, CA); and to panelists Bruce F. Connell, MD (board-certified plastic surgeon

More information

The effects of the aging process on the soft COSMETIC

The effects of the aging process on the soft COSMETIC COSMETIC Suture Suspension Malarplasty with SMAS Plication and Modified SMASectomy: A Simplified Approach to Midface Lifting R. Barrett Noone, M.D. Philadelphia and Bryn Mawr, Pa. Background: The elements

More information

Dermal Fillers Information Guide

Dermal Fillers Information Guide Professionally trained in aesthetic procedures Dermal Fillers Information Guide What are Dermal Fillers? As the skin ages, it gradually loses some of its collagen and fat. These are the things that prevent

More information

FILLERS IN DENTISTRY. Created and Presented by Sky Naslenas

FILLERS IN DENTISTRY. Created and Presented by Sky Naslenas FILLERS IN DENTISTRY Created and Presented by Sky Naslenas About the Speaker: Dr. Sky Naslenas Orthodontic certification in 2005 from the University of Toronto Masters Degree in 2005 (Hospital for Sick

More information

In previous articles in this series,1,2 I have discussed

In previous articles in this series,1,2 I have discussed A Practical Primer for Dysport Part 3: Putting It All Together Strategies for Success with Integrative Rejuvenation of the Upper Face In-depth understanding of the aging process and appreciation of the

More information

Discussion. Surgical Anatomy of the Ligamentous Attachments of the Lower Lid and Lateral Canthus. Surgical Anatomy of the Midcheek and Malar Mounds

Discussion. Surgical Anatomy of the Ligamentous Attachments of the Lower Lid and Lateral Canthus. Surgical Anatomy of the Midcheek and Malar Mounds Discussion Surgical Anatomy of the Ligamentous Attachments of the Lower Lid and Lateral Canthus by Arshad R. Muzaffar, M.D., Bryan C. Mendelson, F.R.C.S.Ed., F.R.A.C.S., F.A.C.S., and William P. Adams,

More information

We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors

We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,500 108,000 1.7 M Open access books available International authors and editors Downloads Our

More information

Jeffrey Rapaport, MD, PA

Jeffrey Rapaport, MD, PA PRP: WHERE ARE WE? Jeffrey Rapaport, MD, PA Fellow, American Academy of Dermatology Fellow, American Society for Dermatologic Surgery AAD Presenta9on Hand Outs 2.17.2018 Large Volume/Double Spin/Complex

More information

Advanced Skin Rejuvenation Wrinkle Enhancement and Skin Resurfacing Procedures

Advanced Skin Rejuvenation Wrinkle Enhancement and Skin Resurfacing Procedures Advanced Skin Rejuvenation Wrinkle Enhancement and Skin Resurfacing Procedures Note: Prior to reading this section, you should have read Parts I and II of this book, in particular, the section beginning

More information

FISWG grants permission for redistribution and use of all publicly posted documents created by FISWG, provided the following conditions are met:

FISWG grants permission for redistribution and use of all publicly posted documents created by FISWG, provided the following conditions are met: Disclaimer: As a condition to the use of this document and the information contained herein, the Facial Identification Scientific Working Group (FISWG) requests notification by e-mail before or contemporaneously

More information

Cosmetic Treatments at NSC NSCclinics

Cosmetic Treatments at NSC  NSCclinics www.nscclinics.co.uk 0800 917 9334 Cosmetic Treatments at NSC Clinics nscclinicsuk @nsc_news @nscclinics NSCclinics Welcome to National Slimming and Cosmetic Clinics Michelle Nicholls, director of NSC

More information

Needle Free Meso Therapy Instrument 塑料箱无针美塑

Needle Free Meso Therapy Instrument 塑料箱无针美塑 Needle Free Meso Therapy Instrument 塑料箱无针美塑 Thank you for your purchase; Please read the instructions carefully before using the normal operation, after reading it you should keep for at any view; the

More information

Your guide to SKIN CONCERNS

Your guide to SKIN CONCERNS Your guide to SKIN CONCERNS I am passionate about skin and fuss-free beauty. I have put together this brief guide of some of the most popular skin and aesthetic concerns which I see regularly in clinic.

More information

SHAW ACADEMY NOTES. Diploma in Beauty

SHAW ACADEMY NOTES. Diploma in Beauty SHAW ACADEMY NOTES Diploma in Beauty Diploma in Beauty Part 1 Lesson 1 Optimize Skincare for your Skin Type Beauty means something different to everyone and you ll find that everyone has different tastes

More information

LESSON ASSIGNMENT. Positioning for Additional Skull Procedures. After completing this lesson, you should be able to:

LESSON ASSIGNMENT. Positioning for Additional Skull Procedures. After completing this lesson, you should be able to: LESSON ASSIGNMENT LESSON 6 Positioning for Additional Skull Procedures LESSON ASSIGNMENT Paragraphs 6-1 through 6-6. LESSON OBJECTIVES After completing this lesson, you should be able to: 6-1. Identify

More information

PROTEIN-RICH SKIN SERUM. Vitamin A. with

PROTEIN-RICH SKIN SERUM. Vitamin A. with PROTEIN-RICH SKIN SERUM Vitamin A with THE POWER OF VITAMIN A, THE SCIENCE OF RETRIDERM FIGHT THE VISIBLE SIGNS OF AGEING AND SUN DAMAGE WITH CLINICALLY PROVEN RETRIDERM OUR SKIN AND HOW IT WORKS Our skin

More information

COSMETIC EYELID PROCEDURES

COSMETIC EYELID PROCEDURES COSMETIC EYELID PROCEDURES www.aucklandeye.co.nz BLEPHAROPLASTY Blepharoplasty surgery involves the removal or redistribution of eyelid tissue. These tissues include skin, muscle and fat, all of which

More information

History Clinical Evaluation Preoperative workup Analysis of face Anatomy SMAS Facelift Deep Plane/Composite Facelift S-Lift Complications

History Clinical Evaluation Preoperative workup Analysis of face Anatomy SMAS Facelift Deep Plane/Composite Facelift S-Lift Complications History Clinical Evaluation Preoperative workup Analysis of face Anatomy SMAS Facelift Deep Plane/Composite Facelift S-Lift Complications Few early historical details Early 20 th century: Germans/French

More information

Hydryalix Advantages. Composition. Hydryalix

Hydryalix Advantages. Composition. Hydryalix 2409 Hydryalix Hydryalix (Gentle / Volume / Deep / Ultra Deep / Lips) is an injectable, sterile, apyrogenic gel intended for soft tissue augmentation. It is composed of cross-linked hyaluronic acid from

More information

Microdermabrasion

Microdermabrasion Microdermabrasion Microdermabrasion is one of the most popular non-invasive cosmetic procedures performed today. Over time, factors such as aging, genetic factors, sun damage, acne, scarring, and enlarged

More information

Rejuvenation of Myself

Rejuvenation of Myself Rejuvenation of Myself Katsuya Takasu, M.D. Nagoya, Japan Face Lift My forehead has deep wrinkles. The jaw is sagging. I have a double chin. The cheeks are also sagging. What can I do to improve my facial

More information

MID FACE VOLUMIZING 6/30/2015 DISCLOSURES. No Industry Disclosures

MID FACE VOLUMIZING 6/30/2015 DISCLOSURES. No Industry Disclosures MID FACE VOLUMIZING Heather D. Rogers Clinical lassistant Professor of Dermatology UW School of Medicine Seattle, WA DISCLOSURES No Industry Disclosures Generic names when possible Trade name when necessary

More information

TEST 2. Modules 3 & 4

TEST 2. Modules 3 & 4 TEST 2 Modules 3 & 4 Questions from the GVLS website 1. What are the structures of the layers of the skin and how does the shape of each contribute to its function? 2. What are the general functions of

More information

SWISS INNOVATION APPLIED TO BEAUTY. Ultimate. Intense volume

SWISS INNOVATION APPLIED TO BEAUTY. Ultimate. Intense volume SWISS INNOVATION APPLIED TO BEAUTY Ultimate Intense volume 3 ml syringe + exceptional volumizing power = immediate and durable results Injection areas Temporal region Charpy's pad Upper cheeks Nasogenian

More information

Secrets de Sothys Soin Excellence. Summary Charts

Secrets de Sothys Soin Excellence. Summary Charts Secrets de Sothys Soin Excellence Summary Charts Jan 2017 FUNCTION Treatment preparation Prepare 2 hot towels, Porcelain spoons in iced water, 2 x Instant heaters, Facial cleansing brush Scented linen

More information

Vocabulary: The Skin

Vocabulary: The Skin Vocabulary: The Skin organ a part of the body which has a special function sensation feeling e.g. numbness, pain, tingling shivering shaking of the body when a person is very cold sweat clear liquid which

More information

3d-lift. Radically New Approach for Anti-Aging Treatment.

3d-lift. Radically New Approach for Anti-Aging Treatment. What is 3d-lift? Embedding therapy needle with absorbable suture (PDO) Injecting several dozen of needles on cheeks one by one. After pulling needles out, the inserted suture stay into the skin. Stimulate

More information

The works of Skoog1 and Mitz and Peyronie2

The works of Skoog1 and Mitz and Peyronie2 VIDEO Baker Gordon Cosmetic Surgery Video Series Restoring Facial Shape in Face Lifting: The Role of Skeletal Support in Facial Analysis and Midface Soft-Tissue Repositioning (Baker Gordon Symposium Cosmetic

More information

Customer Satisfaction Customer Impressions & Feelings Customer Happiness. More precise and safe treatment

Customer Satisfaction Customer Impressions & Feelings Customer Happiness. More precise and safe treatment BE&BI Tech pursues the happiness of all customers as its top priority. Anti-aging Firm skin Customer Satisfaction Customer Impressions & Feelings Customer Happiness Face lifting Face rejuvenation Skin

More information

Using the body s own immune proteins for aesthetic revitalisation of the skin

Using the body s own immune proteins for aesthetic revitalisation of the skin Using the body s own immune proteins for aesthetic revitalisation of the skin Aesthetic treatment with a difference! The latest discovery in aesthetic treatment is the biostimulation of the skin with the

More information

Encouraged by the results of other less invasive face

Encouraged by the results of other less invasive face Operative Strategies Patrick Tonnard, MD; and Alexis Verpaele, MD The authors are Assistant Clinical Professors, Department of Plastic Surgery, Gent University, Gent, Belgium. The minimal access cranial

More information

PRACTICAL GUIDE TO CUPPING. How to Use Your Cups, Best Practices, Benefits and Modern Day Techniques

PRACTICAL GUIDE TO CUPPING. How to Use Your Cups, Best Practices, Benefits and Modern Day Techniques PRACTICAL GUIDE TO CUPPING How to Use Your Cups, Best Practices, Benefits and Modern Day Techniques WHAT IS CUPPING THERAPY? Cupping therapy was first discussed in old medical textbooks in the Western

More information

INFORMATION SHEET BOTOX, FILLERS, PEELS, ECT

INFORMATION SHEET BOTOX, FILLERS, PEELS, ECT INFORMATION SHEET BOTOX, FILLERS, PEELS, ECT INTRODUCTION This is an informal explanation of some of the common forms of treatment which people are wanting nowadays to improve their facial appearance.

More information

junction, from their deep location we can tell they are responsible of transmission of deep pressure. 2 P a g e

junction, from their deep location we can tell they are responsible of transmission of deep pressure. 2 P a g e 7 2 1 P a g e Sensory receptors: Sensory receptors are divided into 2 types. I. Sensory receptors which are surrounded by a capsule are called encapsulated sensory receptors, Examples: 1- Meissner s corpuscles,

More information

Cosmetic procedures for rejuvenation

Cosmetic procedures for rejuvenation Cosmetic procedures for rejuvenation SCBM 302 Regenerative neurobiology Lect. Somphong Narkpinit, M.D. Department of Pathobiology, Faculty of Science, Mahidol University E-mail : somphong.nar@mahidol.ac.th

More information

Skin Boosting Technique: A New Approach to Hyaluronic Acid Microinjection

Skin Boosting Technique: A New Approach to Hyaluronic Acid Microinjection Transcript Details This is a transcript of a continuing medical education (CME) activity accessible on the ReachMD network. Additional media formats for the activity and full activity details (including

More information

Research Article The Superficial Musculoaponeurotic System of the Face: A Model Explored

Research Article The Superficial Musculoaponeurotic System of the Face: A Model Explored Anatomy Volume 2013, Article ID 794682, 5 pages http://dx.doi.org/10.1155/2013/794682 Research Article The Superficial Musculoaponeurotic System of the Face: A Model Explored M. Broughton and G. M. Fyfe

More information

Facial squaring in the aging process

Facial squaring in the aging process 65 Facial squaring in the aging process Review article Quadralização facial no processo do envelhecimento ABSTRACT Structural alterations resulting from the aging process of the face are related to muscular

More information

Integument. Sweat glands. Oil glands. Hair Nails. Sudoriferous glands. Sebaceous glands

Integument. Sweat glands. Oil glands. Hair Nails. Sudoriferous glands. Sebaceous glands The Hypodermis Aka. Subcutaneous or superficial fascia Composed of Adipose Not really a part of the integument, but it is important in stabilizing the position of the skin in relation to underlying tissue

More information

Gregory S. Keller, MD, FACS, is and internationally known Facial Plastic Surgeon and a Clinical Professor, Division of Facial Plastic Surgery at

Gregory S. Keller, MD, FACS, is and internationally known Facial Plastic Surgeon and a Clinical Professor, Division of Facial Plastic Surgery at Gregory S. Keller, MD, FACS, is and internationally known Facial Plastic Surgeon and a Clinical Professor, Division of Facial Plastic Surgery at UCLA. Internationally-known, board certified facial plastic

More information