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: The upper face is usually a high demand zone and simultaneously one of the most complicated area. We believe we are well aware of the principles of synergy and antagonism of facial muscles. Besides, we rarely consider what kind of compensation we can get as the result of our injections.

Introduction: The upper face is the area of most commonly therapy with botulinum toxin. With seeming simplicity, working with compensations and asymmetry in this zone can lead to a number of undesirable phenomena, including glabella and eyebrows ptosis and ptosis or pseudoptosis of the upper eyelid. In our injections we have to consider not only synergy and antagonism of upper facial muscles, but additionally a ratio between them.

Materials / method: A review and analysis of my clinical experience of past 10 years have been conducted. Botulinum therapy was undertaken in order to correct the dosage of toxin in golden ratio due to the principle of using relativity of doses.

Results: Doses were higher or lower depending on the levators activity. In managing conditions of the upper face, consideration of the synergy and antagonism of the muscles and their portions guarantees safe aesthetic correction of this zone due to the principle of using relativity of doses.

Conclusion: Patient faces with difficult proportions can be corrected successfully too. It is necessary to follow the principle of relativity of doses. Compensatory reactions during botulinum toxin therapy are variants of natural biological reactions that nervous system develops in response to any damages. The most important thing is emotional aspect of human mimic especially with upper face. We can manage this process with target injections in facial muscles, which work in certain patterns. Any compensatory reactions from facial muscles after our therapy must benefit to patients with improving positive

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

Objectives: Correction of facial oval: young versus elderly patients . Is there any challengies
To improve there face oval - that is the main what mature patients are looking for. Anyway nowdays even young patients often ask for face reshape – to recreate, restore a beautiful zygomatic area and precise jawline line.
We may not agree with this, but there is a specific trend for a certain type of the face nowdays especially when we deal with young patients. Most of them ask to improve the cheeks, chin, and mandibulla angle.

Introduction: Correction of the zygomatic area, as a rule, does not present any callengies. While deep injections for mandibullar angle improvement can cause hypertonus of masseter muscle (bruxism). And it is very important to respect the proportions so that the emphasis on a clear oval does not lead to a muscular face
Chin correction via needle seems quite save procedure, anyway we observe two cases of art. mentalis centralis embolisation. So that's why we have to change our preferences of entry points and technology of injections

While treating mature patients on one hand we should observe the type of aging (tyed, heavy) on the other - keep in mind individual bone structures, fat compartments expression, the tonus of the muscle (m.masseter, DAO, platysma) and skin quality. All this would help to creat the individual treatment plan (fillers, BoTN, HiFU, thread lifting)
for mature patient

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