Las Vegas – At the fall Cosmetic Bootcamp (CBC), Shelia Anderson, RN, MSN, CANS, discussed the intricacies of evaluating and treating the midface with neuromodulators such as Botox. She is a Seattle-based aesthetic nurse.
The midface can be a “gray area” that needs careful assessment, she said. “Always assess with animation.” For one patient with hyperdynamic mid-facial muscles, Ms. Anderson took a “worm’s eye view,” looking upward from under the chin. “It shows you the masseter development – 90% of us are not symmetrical, especially in the lower face. We chew more on one side; we’ve got more volume on one side. It’s up to you as an injector to identify that.”
And even if you’re not injecting in the area of the nasal dorsum and columella, “You need to know if there are any asymmetries, if there’s something going on that may affect the lower face before injecting Botox or other neuromodulators.”
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