Cadaveric Assessment of Lip Injections: Locating the Serious Threats

Tansatit, Tanvaa; Apinuntrum, Prawit; Phetudom, Thavorn

doi:10.1007/s00266-016-0755-1

Cited by 30 publications

(39 citation statements)

References 12 publications

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“…This is seen by the frequency of bruising on injecting either around the eyes and the mouth. In the perioral area, the large vessels of the inferior and superior labial arteries along with the mental and submental all are potential embolic targets 8,9 . These tend to run either just superior or inferior to the muscles of the perioral region.…”

Section: Discussionmentioning

confidence: 99%

Why we should be avoiding periorificial mimetic muscles when injecting tissue fillers

Goodman

Al‐Niaimi

McDonald

et al. 2020

J of Cosmetic Dermatology

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Background Tissue fillers are generally safe and well tolerated by patients. However, complications do occur and may be very severe, such as intravascular injection (with occasional residual tissue loss, visual and neurological sequelae) and late nodularity and swelling. Methods to lessen the likelihood of complications have been the subject of much recent literature. Depth of injection has been identified as a key safety consideration. Patients/Methods The role of injection of facial filler into the muscular layer of the face is explored in this article. Literature was explored using available search facilities to study the role of injections in or around this layer in the production of significant adverse reactions. Results A body of literature seems to suggest that injection into mimetic musculature of the face especially the musculature in the periorbital and perioral regions is prone to adverse reactions. Conclusions Injection of agents into the perioral and periorbital mimetic muscular layer may produce, product clumping, displacement, and tendency to late nodularity and swelling. It also risks intravascular injection as compared to injection of other layers of the face. Injection into the mimetic muscles especially the sphincteric muscles should be avoided to minimize the risk of complications.

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Section: Discussionmentioning

confidence: 99%

Why we should be avoiding periorificial mimetic muscles when injecting tissue fillers

Goodman

Al‐Niaimi

McDonald

et al. 2020

J of Cosmetic Dermatology

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show abstract

“…Additionally, a total volume of 0.5 ml may also be applied for the augmentation of the entire lip. 51 The needle is used for this procedure, but a cannula may also be used. Cannula use requires the formation of an entry point in the mouth corner.…”

Section: Resultsmentioning

confidence: 99%

Expert Consensus on Hyaluronic Acid Filler Facial Injection for Chinese Patients

Moon

Gao

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Background: Beauty standards vary by race and region, which must be accounted for in creating beauty. Chinese have unique features, including a depressed nose, flat midface, and small chin, and have different cosmetic concerns. We performed a consensus study on filler injections based on the Chinese standard of beauty due to a lack of such study. Methods: We organized the YVOIRE Consensus Group, including 5 plastic surgeons. We discussed common problematic areas seen in Chinese and described techniques based on our experience with hyaluronic acid fillers, while considering peer-reviewed articles, followed by multiple consensus-developing sessions. Results: Chinese faces are characterized by retruded forehead, chin, and low nasal bridge, with certain features believed to bring good fortune. Therefore, profiles of the forehead, nose, lip, and chin have substantial effects on attractiveness. The demand for cosmetic procedures is high among the young generation who particularly desire nose and chin augmentation. Attractive Chinese facial shapes are characterized by a long, slender facial shape and pointed chin. Lips are narrow and thick. When injecting fillers for Chinese, it is necessary to apply special methods that produce results consistent with these characteristics. Conclusions: Understanding the concept and demand of beauty depending on race and region is important. Patients should be evaluated before aesthetic procedures. Maintaining hygiene during the procedure is crucial. Moreover, methods for preventing pain are essential. Fillers should be injected into the correct anatomical site and layer to minimize side effects and maximize effectiveness.

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“…The authors recommend that cannula or needle should not be inserted in the submucosa to evert the vermilion because both the SLA and ILA are located in the submucosa of the medial and middle segments of the vermilion. 14 In lower lips, ILA types 2, 4, and 5 are obviously more vulnerable to arterial injury during filler injection. Ultrasonography revealed a depth of 6 mm and an arterial position at the vermillion border as the dangerous injection plane.…”

Section: Safety Concerns For Filler Injections On the Lipsmentioning

confidence: 99%

Lip enhancement and mouth corner lift with fillers and botulinum toxin A

Wollina

Goldman

2020

Dermatologic Therapy

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Beautiful lips are responsible for facial attractiveness and a youthful appearance. During aging process, lips become thinner and the red lips borders get poor defined. Downturn of the corners of the mouth suggests negative emotions. Lip surgery and underlying pathology may result in asymmetries and lip incontinence. Minor invasive procedures with hyaluronic acid fillers and botulinum toxin A are versatile tools to improve appearance of the lips, restore function and improve psycho-social wellbeing. In this review, we discuss anatomy, safety concerns, injections techniques as well as esthetic and medical indications.

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Cadaveric Assessment of Lip Injections: Locating the Serious Threats

Cited by 30 publications

References 12 publications

Why we should be avoiding periorificial mimetic muscles when injecting tissue fillers

Why we should be avoiding periorificial mimetic muscles when injecting tissue fillers

Expert Consensus on Hyaluronic Acid Filler Facial Injection for Chinese Patients

Lip enhancement and mouth corner lift with fillers and botulinum toxin A

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