When developing a 3-D approach to lower face rejuvenation, tailoring treatment to the specific needs of the patient is crucial. Understanding where to look for age-related changes is indispensible to the diagnosis and integral to successful treatment outcomes.
Patients are rarely able to identify specific areas in their lower face that are responsible for the evidential signs of aging. They simply know that the area conveys a look of sadness, discontent, or fatigue that they would like changed Ultrasonic Scaler.
A hand mirror aids in allowing the patient to point to the areas of concern. It also gives the practitioner the opportunity to inform and demonstrate to the patient the collective etiology in the problem area.
It’s important to assess a patient’s motivation for injectable treatments. Research indicates that patients with internal motivations, such as the desire to feel better about their appearance, are more likely to be happy with their results than those with external motivations, which include patients primarily interested in some perceived reward, such as a more successful career or to please a significant other.8
The practitioner is obliged to discuss what can be accomplished with facial injectables and establish realistic expectations by the patient dental curing light. This requires educating the patient regarding areas that contribute to an aged appearance as well as the limitations of injectables, risks, possible adverse events (ie informed consent), and costs. Furthermore, the patient should be apprised of what might be best handled surgically and the proper referral made when injectables are not indicated.
A medical history review including relevant medications and any prior history of facial surgeries or prior treatment with facial injectables (including type, if known) is completed. The importance of quality pretreatment photographs cannot be overstated dental lab supplies australia.
Each facial third has its own focal point. In the upper face, it’s the eyes. In the middle third, it’s the nose. In the lower face, it’s the lips (Figure 6). When evaluating the lower third, most clinicians and patients place a high value on lip enhancement and neglect adjacent tissues.
These areas, which include the chin, oral commissures, prejowl sulcus, perimental hollows, marionette lines, and labiomental grooves, all contribute greatly to the aggregate aging presentation and remain untreated or undertreated by most practitioners.
The lower face and perioral region offers a relatively well-understood zone for the dentist new to the facial injectable world. Although not completely without risk, the anatomy of this area is familiar to the dentist and represents a lower risk of some of the more exigent adverse events.
The lips are absolutely vital to rejuvenation of the lower segment. However, treatment in isolation without addressing the perioral cutaneous tissues falls short of adequately addressing the senescent lower face.