Aesthetic plastic surgery · 2025
A Combined Treatment Proposal for the Empty Deep Pyriform Space.
СтатьяНазвание и аннотация: Перевод в очереди
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Ramos Helena Hotz Arroyo, Amaral Virginia Marcia, de Oliveira Afonso Luanda Pinheiro, Giovanella Michelle, Freitas Maxrose Ferreira Moura, de Freitas Lima Valcilene Alves, Schmidt Viviane Bruno, Muzy Guilherme
Аннотация
BACKGROUND: Deepening of the nasolabial fold (NLF), drooping of the nasal tip, and facial expressions perceived as angry face, are common esthetic concerns. However, no studies have correlated this set of signs and symptoms with common anatomical causes. We review anatomical considerations of the region and propose a combined treatment modality.
METHODS: We performed a retrospective analysis of cases treated with combined botulinum toxin (abobotulinumtoxinA) using an injection pattern encompassing the nasal muscles and hyaluronic acid (HA) fillers in the deep pyriform space. Photographs were taken at rest and during motion (frontal and oblique views), before and after treatment.
RESULTS: Results demonstrated effacement of the NLF, improved nasal tip positioning during smiling, and generally more favorable facial expressions.
CONCLUSIONS: Combined treatment with HA in the deep pyriform space and abobotulinumtoxinA in the nasal muscles can improve angry expression and aging stigma in patients with deep empty pyriform space, both in the static and dynamic conditions of facial mimic.
LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: We performed a retrospective analysis of cases treated with combined botulinum toxin (abobotulinumtoxinA) using an injection pattern encompassing the nasal muscles and hyaluronic acid (HA) fillers in the deep pyriform space. Photographs were taken at rest and during motion (frontal and oblique views), before and after treatment.
RESULTS: Results demonstrated effacement of the NLF, improved nasal tip positioning during smiling, and generally more favorable facial expressions.
CONCLUSIONS: Combined treatment with HA in the deep pyriform space and abobotulinumtoxinA in the nasal muscles can improve angry expression and aging stigma in patients with deep empty pyriform space, both in the static and dynamic conditions of facial mimic.
LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .