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allied
academies
Dermatol Res Skin Care 2017 | Volume 1 Issue 1
World
Dermatologist Summit and Skin Care Expo
October 30-31, 2017 | Toronto, Canada
Background:
Until now, the concept of facial rejuvenation
was based only on volume augmentation concept (fillers).
This concept can be seen in a different way, by projecting a
chosen facial areawithout any volumeaugmentation, keeping
the same tissular mass as volume, just by repositioning the
muscles by chemical myoplasty and myopexy.
Aim:
To achieve the projection on a facial area without
volume augmentation, a 3D muscles repositioning is needed
to lift, tighten, and project muscular visco elastic units
considered as elastomers.
Methods:
A patented mixture of carbolic acid and peanut oil
acid (arachidonic acid) is used. Concentration of carbolic acid
is 5%.The basic technique consists in injecting perpendicular
to the plan of the muscle (vector) 0.05 ml of this mixture
each cm and same in the perpendicular plan (tensor) to the
precedent following the direction and the sense to obtain
the wished deformation of the muscle using criss cross-
technique. Syringhes 1 ml luer lok as needles 30 g1/2 are
used.
Results:
Over the last 16 years, I have treated hundreds of
patients in this way. Results are satisfactory for patients and
physicians. Concerning 1/3 medium of the face, the naso
labial furrow is less deep and shorter. The malar area is more
projected and the tightening effect is evident. Concerning
the 1/3 inferior of the face, static: the mandible contour gets
a better definition – The infra mandibular area gets concave
–the saddy low jowls disappear dynamic: the inaesthetisms
of mouth depressors as marionette lines become quite
invisible without any muscular paralysis. The effectiveness of
this treatment increases with the number or the repetition
of the procedures because the basic muscular tone will be
thus increasingly high on the scale of the tension of this last.
The treatment can be ineffective in 8% of the cases (bad
technique). The only complications met are only transitory,
like oedema and ecchymosis which never exceeds 10 days in
worst cases without medications.
Conclusion:
The techniques of chemical myoplasty and
myopexy open possibilities to facial plastic surgeons as
cosmetic dermatologists enabling them to complete and/
or maintain a face lift and to propose an alternative to the
surgery. Such techniques are too an alternative to fillers and
botulinum for facial rejuvenation using projection without
paralysis without volume augmentation.
e:
alaintenenbaum@aol.comTissue repositioning and rejuvenation of the face and neck by chemical myoplasty and myopexy
Alain Tenenbaum
ENT & Facial Plastic Surgeon, Switzerland