Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Learn the importance of periorbital analysis

Introduction: The periorbital area is of great importance for rejuvenation procedures, both surgical and non-surgical. It is also an area that has many pitfalls and risk. Missing these may result in both poor results and disasters. Examples include severe ectropion after surgery and blindness after HA injections.

Materials / method: Understanding limitations and possibility with different treatments is necessary for success. Thus a proper diagnosis must be done, this involves the position of the eyebrow, the activity of the corrugator, procerus, orbicularis occuli and frontalis muscles. Upper eyelid diagnosis should always consider ptosis, volume loss and skin excess, never forgetting how important the eyebrow position is for the appearance of the upper eyelids. Lower eyelid diagnosis involves tonus, fat excess, skin excess, depression along the tear trough and palpable malar groove but also very importantly the position

Results: When the periorbital area has been examined in a correct way treatment alternatives should be discussed with the patient and preferably this is done both in front of the mirror but also based on photographic documentation of the area. Treatment selection depends on patient desires but also the biological conditions. When rejuvenating the periorbit with fillers and neurotoxins a combination of these gives the most favourable outcome.

Conclusion: When treating the tear trough it is important to consider volumization of the midface as this will shorten the lower lid and improve the palpebromalar groove and the tear trough. Elevation of tear trough deformity to create a rejuvenated lower lid appearance or counteract congenital appearances here should involve diagnosis of the tightness of the tear trough ligament which can be done by so called push and pull test. In this presentation diagnosis and treatment techniques will be presented.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: In aesthetic practice complications like eyelid ptosis can occur even when we have done everything in a right way. When the pupil is covered in any degree, it is a true ptosis. The case when we can see asymmetry between two orbital apertures without the cover of the pupil is called pseudoptosis. It is important to assess correctly, what kind of complication received in order to understand its aetiology. Prevention and treatment of pseudoptosis can be proposed due to the right assessment, diagnosis and using the right technic.

Introduction: Nowadays we should take into consideration that long and repetitive denervation of orbital portion of orbicularis oculi m. with aesthetic purposes leads to increasing activity of its palpebral portion. Antagonism between palpebral portion and upper eyelid levator m. works in the favor of much stronger depressor and can induce pseudoptosis. In cases if we don't pay attention to the patient’s dynamic
asymmetry, genetic unilateral weakness of the upper eyelid levator m., enophtalm or don't notice neurological pathology, the situation can develop in a high progress

Materials / method: A review and analysis of 12 own clinical cases with symptoms of unilateral pseudoptosis were conducted. The ways of solution of this complication have been found with the help of botulinum toxin injections into palpebral portion of the orbicularis oculi muscle.

Results: After unsatisfactory aesthetic correction with symptoms of unilateral pseudoptosis were used low doses of botulinum toxin. Botulinum toxin was injected in the palpebral portion of the orbicularis oculi muscle (12 patients). In all cases, this therapy was successful.

Conclusion: In some cases (cases with eyebrow and eye apertures asymmetry; cases of genetic weakness of the levator palpebrae superioris; cases of long and repetitive denervation of the orbital portion of the orbicularis oculi m. with increase in the activity of its palpebral portion) we can receive symptoms of unilateral pseudoptosis. Partial denervation of the palpebral portion of the orbicularis oculi m. enables an increase of the m.levator palpebrae superioris activity and recovery of eye apertures symmetry.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
Yes
Please specify date...: Applying for the patents are in the process status
and status : Aspects of using botulinum toxin A in cases pseudoptosis in aesthetic practice

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability