When working with patients older than 40, the risk of ptosis complications always increases. In order to make it easier for doctors in practice, we provide an overview of the report of Alexander Vasilievich, a surgeon of the highest category, Borodko, who is truly considered an authoritative expert in the field of botulinum toxin use.
Eyebrow ptosis – This is the displacement of the skin and subcutaneous tissue of the eyebrow down towards the lower eyelid. One of the causes of eyebrow ptosis may be the illiterate use of drugs based on botulinum toxin. Before carrying out the correction, it is necessary to carefully consult the patient and determine the safe areas for the administration of the drug.
To do this, we mark the forehead and draw a horizontal line through the frontal area, clearly dividing the forehead into two floors: upper and lower. This conditional line, clearly dividing the forehead horizontally in half, must be taken into account when performing the blockade of the forehead area lateral to the internal canthus.
"Dysport" most effective when applied intradermally
Intramuscular injection of "Dysport" can only be carried out at the level of the inner canthus, and a centimeter laterally, below the line dividing the forehead exactly in half, is strictly prohibited. "Dysport" effective when applied intradermally on the frontal muscle, and on the tails of corrugators, since the drug has a pronounced ability to & nbsp; diffusion.
Intramuscular administration of "Dysport" for, for example, the blockade of the tails of corrugators is unacceptable, since it is with this use of the drug that ptosis of the upper eyelid occurs. "Dysport" diffuses onto the levator muscle of the upper eyelid.
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