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Orbicularis Oculi Botulinum

Fig. 5.25. Injection points for brow lift (technique 2). Fig. 5.26. Injection points for brow lift (technique 3). Here the central forehead region is treated Here the lateral brow is treated with three injection points

Fig. 5.25. Injection points for brow lift (technique 2). Fig. 5.26. Injection points for brow lift (technique 3). Here the central forehead region is treated Here the lateral brow is treated with three injection points

Lateral Brow Lift

Technique 1

• One injection point approximately 0.5 cm above the orbital rim (Figs. 5.24 and 5.28)

- Dysport: 10-12 U per point

Technique 2

- Botox: mm. corrugatores: 3-5 U per point, m. procerus: 3-5 U, medial m. frontalis fibers : 2-6 U (two points)

- Dysport: mm. corrugatores: 10-15 U per point, m. procerus: 10-15 U, medial m. frontalis fibers 6-15 U (two points)

Technique 3

- Three to five injection points approximately 0.5 cm above the orbital rim (Figs. 5.26-5.33)

- Dysport: 3 U per point

The results may vary from patient to patient and the purpose of eyebrow lifting should always be taken into consideration. Technique 1 is suitable for mild lateral eyebrow lifting when the opponent elevating lateral fibers of the m. frontalis are strong enough to promote the lifting effect with the antagonist blocking (Fig. 5.34a,b). Technique 2 presents a good performance when only the lateral aspect of the eyebrow needs elevation and there are not many horizontal fibers in the forehead, only in the midline (Fig. 5.35a,b). Technique 3 is undoubtedly the most appropriate for medial, intermediate and lateral eyebrow lifting, but must be conducted only by experienced injectors (Fig. 5.36a,b).

Fig. 5.27. Injection points for brow lift (technique 3). Here the total brow is treated with five injection points

Inject Botox For Brow Lift Diagram
Fig. 5.28. This single injection point is useful for blocking the depressor effect of the upper lateral fibers of the m. orbicularis oculi pars orbitalis (technique 1). Care should be taken not to affect the laccrimal gland pump mechanism

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