Hyperkinetic Patients

In this group, patients have no concordance between muscular contraction and the emotion to be expressed. In general, the muscle cycles more

Fig. 2.ioa,b. Hyperkinetic patients have stronger muscles and the result after the first injection can be almost complete removal of wrinkles. However, they normally need repeated doses or higher doses to obtain perfect results. After treatment the patient still presents some muscle contraction at the glabella area that may be reinjected with BNT-A to obtain optimal results

Fig. 2.ioa,b. Hyperkinetic patients have stronger muscles and the result after the first injection can be almost complete removal of wrinkles. However, they normally need repeated doses or higher doses to obtain perfect results. After treatment the patient still presents some muscle contraction at the glabella area that may be reinjected with BNT-A to obtain optimal results rapidly than the desired emotion or the contraction may appear without the willing of emotional expression. For example, a speaker is doing a presentation in front of an audience and is talking slowly and the muscles in the forehead move without the desire of expressing surprise or even concern. The m. frontalis and the m. corrugator contract in repeated cycles independently and excessively. The interlocutor, instead of paying attention to what is said, keeps his eyes fixed on the mimics. Hyperkinetic patients are victims of their muscular contraction: the muscle contracts involuntarily during speech and/or at a faster rate, not necessarily expressing the emotion of preoccupation or angriness, pertinent to the glabella area, for example. Vertical and/or horizontal dynamic lines are of a moderate degree but are not present at static positions. For these patients, the results may last from 4-6 months, sometimes even less. Patients return for treatment twice or three times a year. This is the most common group for BNT-treatment. Patients and injectors are pleased with the result although the former may wish it could last a little bit longer. When the effect starts to fade, they quickly come back for another injection. It is quite common for these patients to come back for an extra dose to improve the results (Fig. 2.ioa,b).

Hyperkinetic patients are victims of excessive muscular contraction. In general, they do not wait for total muscular recovery to get another shot.

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