How to avoid ptosis of the upper eyelid when using botulinum toxin preparations? When working with patients older than 40 years, the risk of this complication is especially high. Therefore, in the report of the surgeon of the highest category, Alexander Vasilyevich BORODO, special attention was paid to the peculiarities of introducing the drug into the near-orbital muscle and preventing sagging of the eyelid.

Ptosis of the upper eyelid – this is the drooping of the upper eyelid. Ptosis of the upper eyelid occurs when trying to block the tail of the corrugator, by performing a deep intramuscular injection, & nbsp; for penetration directly into the muscle of the drug "Dysport". "Dysport" is a highly diffusible drug and can pass to the muscle that lifts the upper eyelid, as a result of which it is lowered. The internal overhang of the upper eyelid, as a rule, is combined with the expansion of the bridge of the nose and the omission of the interbrow part of the soft tissue of the forehead on the nose.

How to prevent upper eyelid ptosis with Dysport injection

To avoid ptosis of the upper eyelid, by blocking the belly of the corrugator, it is necessary to inject not clearly into the belly of the corrugator, but along the upper inner border of the belly of the corrugator with active muscle contraction. Thus, the diffusion of the drug just affects the abdomen, without diffusing below, that is, without descending to the bridge of the nose, preventing sagging of the upper eyelid.

Why you can't completely block the circumorbital muscles

When administering "Dysport" along the upper inner border of the belly of the corrugator with active muscle contraction, the corrugator may not be sufficiently blocked.  But if the injection has to be done on a "heavy" face, it is better to block the abdomen or tail insufficiently, leaving at least some activity, while maintaining minimal mobility and muscle tone. The older a person is, the more he needs to be active  periorbital muscles were not switched off. In thick, puffy-prone people, a complete blockage of the muscles is fraught with swelling. & nbsp; In thin people, with a complete blockage of the circumorbital muscles, inelastic skin can collect into small wrinkles like newsprint.

Secrets of using botulinum toxin for patients over 40 years old (Part 1) You can read HERE.

 

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