A facelift is performed to ptosis of the platysma muscle ), increased redundancy of the nasolabial fold ( caused by a descent of cheek fat ) and the increased distance from the ciliary margin to the inferior-most point of the orbicularis oculi muscle ( caused by decreasing tone of the orbicularis oculi muscle ).
12.
Its outline follows the pre-auricular contours of the tragus and helix; goes around the sideburn, across the zygomatic arch, and into the lower eyelid-cheek junction; and then passes inferiorly along the nasal sidewall into the nasolabial fold and marionette line, around the chin and toward the submental crease.
13.
The authors described use of the device to decrease discomfort before procedures including supplementing anesthesia with the injection of triamcinolone acetonide into the proximal nail fold for psoriasis, decreasing discomfort during a Restylane injection of the nasolabial fold, making an intense pulsed light ( IPL ) facial treatment easier by reducing pain during the procedure, and throughout axillary hyperhidrosis treatment with botulinum toxin.
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