Corduff Niamh
Cosmetic Refinement Clinic, Geelong, Victoria, Australia.
Plast Reconstr Surg Glob Open. 2021 Aug 25;9(8):e3755. doi: 10.1097/GOX.0000000000003755. eCollection 2021 Aug.
Physicians using neuromodulators need to develop an in-depth and holistic understanding of the facial musculature as a single, large, functional structure that does not work in isolation. In this Special Topic, I review the anatomy of the continuous fibromuscular layer of the face, discuss how certain age-related indications develop as a consequence of imbalances to this unified structure, and propose considerations for neuromodulator-based interventions of the upper, mid, and lower face. I provide evidence-supported recommendations on the most optimal applications of neuromodulators to help rebalance the musculoaponeurotic layer for more natural outcomes. Through outcomes of my patients, I show how the facial mimetic muscles can be modulated with careful placement of botulinum toxin, without causing unnatural facial expressions, to achieve an expressive, well-balanced face that reflects health, vitality and happiness.
使用神经调节剂的医生需要对面部肌肉组织有深入全面的了解，将其视为一个单一的、大型的、非孤立运作的功能结构。在这个专题中，我回顾了面部连续纤维肌肉层的解剖结构，讨论了某些与年龄相关的指征是如何因这种统一结构的失衡而产生的，并提出了对上、中、下面部基于神经调节剂干预的考虑因素。我提供了关于神经调节剂最优化应用的循证建议，以帮助重新平衡肌筋膜层，从而获得更自然的效果。通过我的患者的治疗结果，我展示了如何通过小心注射肉毒杆菌毒素来调节面部表情肌，而不会导致不自然的面部表情，从而实现一张富有表现力、平衡良好的脸，体现出健康、活力和幸福。
