Anti Wrinkle Injections for Bunny Lines
Bunny lines are wrinkles that appear on the bridge of the nose. The lines often become more prominent when smiling and can convey a false appearance of distaste.
Bunny lines are also called nasal sidewall “scrunch lines”.
The “bunny lines” are worsened by contraction of the transverse part of the Nasalis muscle.
Bunny Lines
Bunny lines are wrinkles that appear on the bridge of the nose. The lines often become more prominent when smiling and can convey a false appearance of distaste.
Bunny lines are also called nasal sidewall “scrunch lines”.
The “bunny lines” are worsened by contraction of the transverse part of the Nasalis muscle.
The Nasalis muscle is highlighted in the image below.
TREATMENT - WHAT TO EXPECT
The patient sits back on a bed with the backrest up.
The area is cleaned.
The skin overlying the muscles to be injected is marked out with a skin marker.
The injections are placed high up on the nose, to the sides of the bridge of the nose and into the area of maximum wrinkling.
The depth of the injection is placed very superficial, into the skin overlying the Nasalis muscle. The Botox then diffuses down into the Nasalis muscle.
Care must be taken not to inject to laterally (to the sides) or inferiorly (down), to avoid affecting the Levator Labii Superioris Alaeque Nasi muscle that runs down the side of the nose to the upper lip.
The muscles are injected.
It takes about 30 seconds.
Light pressure is applied to the area to prevent bruising.
The skin marker marks are wiped off.
Anti Wrinkle Injection DOSAGE FOR ORBICULARIS ORIS MUSCLEINJECTION (HIGHLIGHTED IN THE IMAGE ABOVE) FOR SMOKERS LINES:
females: 2-6 units per side
males: 4-8 units side
Aftercare:
Slight bruising can occur, but can be concealed with make-up. It resolves in a few days.
The effect will kick in after 7-10 days and last between 2 and 7 months, depending on the dosage used and the patients physiology.
Some patients dissolve Anti Wrinkle injections faster than other patients.
First time patients will sometimes be requested to return after 2-3 weeks for a check-up and top-up if required.
Most patients have the injections repeated 3-4 times a year.
Anti Wrinkle injections for Dimpled Chin
The chin can develop an excessively dimpled, pebbly or orange peel (peau d’orange) look.
The orange peel (peau d’orange) appearance of the chin gets worse whenever the Mentalis muscle (chin muscle) contracts.
Anti Wrinkle injections FOR AN DIMPLED CHIN (ORANGE PEEL CHIN)
The chin can develop an excessively dimpled, pebbly or orange peel (peau d’orange) look.
The orange peel (peau d’orange) appearance of the chin gets worse whenever the Mentalis muscle (chin muscle) contracts.
The two Mentalis muscles are highlighted in the image below.
TREATMENT WHAT TO EXPECT
The patient sits back on a bed with the backrest up.
The area is cleaned.
The skin overlying the muscles to be injected is marked out with a skin marker.
Care is taken not to inject too laterally (to the sides), to avoid weakening the Depressor Labii Inferioris muscle.
Care must also be taken not to inject too superiorly (closer to the lip) to avoid weakening the Orbicularis Oris muscle that surround the mouth.
The muscles are injected.
It takes about 30 seconds.
Light pressure is applied to the area to prevent bruising.
The skin marker marks are wiped off.
DOSAGE
for Mentalis muscle injection (highlighted in the image above) for orange peel chin:
in females: 2 units per muscle
in males: 3-5 units per muscle
AFTERCARE:
Slight bruising can occur, but can be concealed with make-up. It resolves in a few days.
The effect will kick in after 7-10 days and last between 2 and 7 months, depending on the Botox dosage used and the patients physiology. Some patients dissolve Anti Wrinkle injections faster than other patients.
First time patients will sometimes be requested to return after 2-3 weeks for a check-up and top-up if required.
Most patients have the injections repeated 3-4 times a year.
Anti Wrinkle Injections for Marionette Lines
Marionette lines are grooves or furrows that run from the corners of the mouth downwards towards the jawline.
Often the corners of the mouth are turned downwards as well, leading to a sad, dissatisfied or scornful look.
Anti Wrinkle Injections FOR MARIONETTE LINES AND SAD MOUTH-CORNERS
Marionette lines are grooves or furrows that run from the corners of the mouth downwards towards the jawline.
Often the corners of the mouth are turned downwards as well, leading to a sad, dissatisfied or scornful look.
We usually use a combination of Anti Wrinkle injections and Dermal Fillers to treat Marionette lines.
MUSCLES INVOLVED IN DOWNTURNED MOUTH CORNERS AND MARIONETTE LINES:
Depressor Anguli Oris. This is the muscle highlighted in the image. The muscle attaches to the corner of the mouth. Excessive muscle tone will pull the corners of the mouth down, resulting in a sad look and also accentuate the so-called Marionette lines.
TREATMENT - WHAT TO EXPECT
The patient sits back on a bed with the backrest up.
The area is cleaned.
The injection point is about 1cm above the angle of the jaw, in line with the Depressor Anguli Oris muscle.
Care is taken not to inject too medially (towards the chin), to avoid weakening the Depressor Labii Inferioris muscle.
Care must also be taken not to inject too superiorly (closer to the lip) to avoid weakening the Orbicularis Oris muscle that surround the mouth.
The muscles are injected.
It takes about 30 seconds.
Light pressure is applied to the area to prevent bruising.
BOTOX DOSAGE:
Depressor Anguli Oris muscle (highlighted in the image above) Anti Wrinkle injections for down-turned mouth-corners and Marionette lines:
in females: 2 units per side
in males: 2-4 units per side
AFTERCARE:
Slight bruising can occur, but can be concealed with make-up. It resolves in a few days.
The effect will kick in after 3-10 days and last between 2 and 7 months, depending on the dosage used and the patients physiology. Some patients dissolve product faster than other patients.
First time patients will sometimes be requested to return after 2-3 weeks for a check-up and top-up if required.
Most patients have the injections repeated 3-4 times a year.
Anti Wrinkle injections for Forehead Lines
Forehead lines or wrinkles run from side to side on the forehead. Forehead lines can involve the whole forehead or be worse in certain parts of the forehead.
Often the lateral (outside) part of the forehead is involved in isolation. During ageing the brow starts to sag. The forehead then tries to compensate for the saggy brow by contracting to hold the brow up. This contraction of the forehead muscle causes wrinkles on the sides of the forehead.
Anti Wrinkle injections FOR FOREHEAD LINES
Forehead lines or wrinkles run from side to side on the forehead. Forehead lines can involve the whole forehead or be worse in certain parts of the forehead.
Often the lateral (outside) part of the forehead is involved in isolation. During ageing the brow starts to sag. The forehead then tries to compensate for the saggy brow by contracting to hold the brow up. This contraction of the forehead muscle causes wrinkles on the sides of the forehead.
MUSCLES INVOLVED IN WORSENING FOREHEAD LINES:
Frontalis muscle. This is the big muscle, highlighted in the image, that covers the forehead. The Frontalis muscle accentuates horizontal forehead lines when it contracts.
MUSCLE INVOLVED WHEN DOING A LATERAL BROW LIFT:
The Orbicularis Oculi muscle is the ring shaped muscle around the eye. When the Orbicularis oculi is injected at the spot marked with the blue question mark in the image below, the outside edge of the eyebrow will lift a bit. This is known as a lateral (outside) eyebrow lift. A lateral eyebrow lift is often combined with injections of the brow and forehead.
TECHNIQUE
The patient sits back on a bed with the backrest up.
The area is cleaned.
The skin overlying the muscles to be injected is marked out with a skin marker.
The exact placing of the injection points are different between people and depends on the muscle action observed when wrinkling the forehead.
Injections of the horizontal forehead lines are always combined with injections of the brow, because injecting the forehead without the brow might lead to heaviness or even slight sagging of the eyebrows.
The muscles are injected.
It takes about 1-2 minutes.
Light pressure is applied to the area to prevent bruising.
The skin marker marks are wiped off.
DOSAGE:
Procerus muscle injection (highlighted in the image above) for forehead lines:
in females: 10-20 units
in males: 16-40 units
Orbicularis oculi muscle injection, marked with the blue question mark in the image above, for a lateral eyebrow lift:
in females: 2 units
in males: 3-4 units
AFTERCARE:
Do not go to sleep or massage the forehead, because this might displace the product toward the upper eyelids, leading to a heavy feeling of the eyelid or even a slightly droopy eyelid. Should this happen, Iopidine eyedrops will counteract the effect until it resolves spontaneously in 7-21 days.
Some patients experience a slight headache that can be relieved with Paracetamol.
Slight bruising can occur, but can be concealed with make-up.
It resolves in a few days.
The effect will kick in after 7-10 days and last between 2 and 7 months, depending on the dosage used and the patients physiology.
Some patients dissolve product faster than other patients.
First time patients will sometimes be requested to return after 2-3 weeks for a check-up and adjustment if required.
Anti Wrinkle injections for Frown Lines
Frown lines are excessive vertical and/or horizontal lines or wrinkles between the eyebrows. Sometimes these lines area present even when not frowning, leading to an angry or scowling look.
Anti Wrinkle injections FOR FROWN LINES
Frown lines are excessive vertical and/or horizontal lines or wrinkles between the eyebrows. Sometimes these lines area present even when not frowning, leading to an angry or scowling look.
MUSCLES INVOLVED IN FROWN LINES:
Procerus muscle. This is the big fan shaped muscle in the middle of the brow marked with the red crosses in the image below. The Procerus muscle causes horizontal frown lines.
Corrugator Supercilii muscles. These are the muscles stretching out above the eyebrows marked with the green ticks in the image below. The Corrugator Supercilii muscles cause vertical frown lines.
Depressor Supercilii muscles. These are the muscles on the sides of the Procerus muscle, although some people see these muscles as part of the Procerus muscle.
TREATMENT
The patient sits back on a bed with the backrest up.
The area is cleaned.
The exact placing of the injection points are different between people and depends on the muscle action observed when frowning.
The muscles are injected.
It takes about 1-2 minutes.
Light pressure is applied to the area to prevent bruising.
DOSAGE
Females: 15-28 units
Males: 25-40 units
AFTERCARE
Do not go to sleep or massage the forehead, because this might displace the product toward the upper eyelids, leading to a heavy feeling of the eyelid or even a slightly droopy eyelid. Should this happen, Iopidine eyedrops will counteract the effect until it resolves spontaneously in 7-21 days.
Some patients experience a slight headache that can be relieved with Paracetamol.
Slight bruising can occur, but can be concealed with make-up.
It resolves in a few days.
The effect will kick in after 7-10 days and last between 2 and 7 months, depending on the dosage used and the patients physiology.
Some patients dissolve product faster than other patients.
First time patients will sometimes be requested to return after 2-3 weeks for a check-up and top-up if required.
Most patients have the injections repeated 3-4 times a year.
Anti Wrinkle Injections for Smoker's Lines
Smokers lines or lipstick lines are fine wrinkles and lines on the upper and or lower lip that radiates out from the red lip border.
These lines are more prevalent on the upper lips.
Anti Wrinkle injections FOR SMOKERS LINES AROUND THE MOUTH
Smokers lines or lipstick lines are fine wrinkles and lines on the upper and or lower lip that radiates out from the red lip border.
These lines are more prevalent on the upper lips.
While they are sometimes called smoker’s lines, most individuals develop the lines for reasons other than smoking.
Smokers lines are also known as perioral rhytides or “pucker lines”.
The “smokers lines” are worsened when the mouth is puckered by the contraction of the Orbicularis Oris muscle that surrounds the mouth like a purse string.
The lines are a result of loss of volume that occurs with age, along with repetitive bunching of the tissue from muscular activity.
These lines can contribute to lipstick bleeding, hence the name 'lipstick lines'.
The Orbicularis Oris muscle is highlighted in the image below.
Lipstick lines are usually treated with advanced dermal fillers, Anti Wrinkle Injections or a combination of both. The depth of the lines and extent of puckering will influence treatment modalities. It is very common to use Anti Wrinkle injections to treat lipstick lines regardless of the depth of the lines. Treatment will have a couple of positive effects on the lines over time. First, it will help relax the lines, which tends to eliminate the more permanent etching that may have occurred. Secondly, it will help extend the longevity of the advanced dermal fillers. Anti Wrinkle injections are generally placed at certain points in the orbicularis oris muscle which surrounds the mouth, including the area of the vermilion border of the lips.
If the lines are a little deeper, then Dr. Kelleher will place a soft, smooth dermal filler along the lines to help fill them. Also Dr. Kelleher may place a denser dermal filler underneath and horizontal to the lines to help elongate the area and stimulate collagen growth. This will help with the puckered look, as well as diminishing the furrowed lines.
Adding some bulk to the lips with dermal fillers will also have a positive effect on the lipstick lines by further elongating the lip that has contracted over the years. Additionally, this treatment will help with lines on the lips themselves.
WHAT TO EXPECT IN YOUR TREATMENT
The patient sits back on a bed with the backrest up.
The area is cleaned.
The injections are placed in the area where the smokers lines are, close to the red border (vermillion border) of the lip.
The injections sometimes also cause a slight eversion of the border of the lip, i.e. the lip can look slightly fuller.
The muscles are injected.
It takes about 30 seconds.
Light pressure is applied to the area to prevent bruising.
BOTOX DOSAGE FOR ORBICULARIS ORIS MUSCLEINJECTION (HIGHLIGHTED IN THE IMAGE ABOVE) FOR SMOKERS LINES:
females: 1-2 units per injection spot
males: 1-3 units per injection spot
AFTERCARE:
Slight bruising can occur, but can be concealed with make-up.
It resolves in a few days.
The effect will kick in after 3-10 days and last between 2 and 7 months, depending on the Botox dosage used and the patients physiology.
Some patients dissolve Botox faster than other patients.
First time patients will sometimes be requested to return after 2-3 weeks for a check-up and top-up if required.
Most patients have the injections repeated 3-4 times a year.
Anti Wrinkle injections for Gummy Smiles
The condition known as “gummy smile,” when a person’s smile reveals far more of the gums than is considered attractive.
A lot of things may cause the condition: small teeth, too much gum tissue, and a thin upper lip can each be a cause. In all cases of gummy smile, genes are at fault.
Anti Wrinkle injections FOR A GUMMY SMILE
The condition known as “gummy smile,” when a person’s smile reveals far more of the gums than is considered attractive.
A lot of things may cause the condition: small teeth, too much gum tissue, and a thin upper lip can each be a cause. In all cases of gummy smile, genes are at fault.
The rule of thumb when smiling is two millimeters of gum showing is ideal. Anything over three to four millimeters of gum showing starts to look ‘gummy’.
About 7% of men and 14% of women have this type of smile.
Cosmetic surgery; either a crown lengthening procedure, which takes away gum tissue, or severing certain muscles that lift the upper lip, so that it reveals less of the gums; was the only option previously. This can be very expensive and painful.
In certain circumstances Anti Wrinkle injections can now be used to fix gummy smile. It only works if the lip is the problem. If the bone is the issue, then orthognathic surgery is still required to fix it and the simpler treatment can’t help.
MUSCLES INVOLVED GUMMY SMILE
Elevator muscles of the upper lip. To decrease upper lip retraction in people with so-called “gummy smiles”, by weakening the Levator Labii Superioris Alaeque Nasi muscle.This inhibits its ability to rise all the way, blocking out more of the gums and eliminating a gummy smile.
TREATMENT - WHAT TO EXPECT
The patient sits back on a bed with the backrest up.
The area is cleaned.
The Levator Labii Superioris Alaeque Nasi muscles are injected.
It takes about 60 seconds.
Light pressure is applied to the area to prevent bruising.
BEFORE AND AFTER GUMMY SMILE
BOTOX DOSAGE:
To decrease upper lip retraction in people by weakening the Levator Labii Superioris Alaeque Nasi muscle. Botox injection for gummy smile:
in females: 2-3 units per side
in males: 2-4 units per side
AFTERCARE:
Slight bruising can occur, but can be concealed with make-up. It resolves in a few days.
The effect will kick in after 7-10 days and last between 2 and 7 months, depending on the Botox dosage used and the patients physiology. Some patients dissolve product faster than other patients.
First time patients will sometimes be requested to return after 2-3 weeks for a check-up and top-up if required.
Most patients have the injections repeated 3-4 times a year.
Anti Wrinkle Injections for Crow's Feet
Crows feet are the fan shaped lines and wrinkles that radiate out from the outside corner of the eye.
Crows feet are worsened when smiling, laughing or squinting.
Anti Wrinkle Injections FOR CROWS FEET
Crows feet are the fan shaped lines and wrinkles that radiate out from the outside corner of the eye.
Crows feet are worsened when smiling, laughing or squinting.
MUSCLES INVOLVED IN CROWS FEET LINES AND WRINKLES
• Orbicularis Oculi muscle. This is the big ring shaped muscle, highlighted in the image below, that surrounds the eye. The Orbicularis Oculi muscle contracts like a purse string around the eye which then accentuates the crows feet.
TREATMENT TECHNIQUE
The patient sits back on a bed with the backrest up.
The area is cleaned.
The exact placing of the injection points are different between people and depends on the muscle action observed when wrinkling the forehead.In some people the crows feet radiates upwards, in some equally upwards and downwards and in some people mostly downward.
The muscles are injected.
It takes about 1-2 minutes.
Light pressure is applied to the area to prevent bruising.
DOSAGE:
Orbicularis Oculi Muscle
Orbicularis Oculi muscle Botox injection (highlighted in the image above) for crows feet:
in females: 6-9 units
in males: 9-16 units
AFTERCARE:
Some patients experience a slight headache that can be relieved with Paracetamol.
Slight bruising can occur, but can be concealed with make-up. It resolves in a few days.
The effect will kick in after 3-10 days and last between 2 and 7 months, depending on the dosage used and the patients physiology. Some patients dissolve product faster than other patients.
First time patients will sometimes be requested to return after 2-3 weeks for a check-up and an adjustment if required.
Most patients have the injections repeated 3-4 times a year.