Las Vegas – At the fall Cosmetic Bootcamp (CBC), Shelia Anderson, RN, CANS, discussed periocular variations that affect treatment decisions with neuromodulators such as Botox.
“The eyes are the windows to the soul.” The skin and underlying structures around them frame the eyes and guide treatment decisions, she added. For example, hyperdynamic muscles around one eye could signify that a patient had had Bell’s palsy on the other side.
Additionally, natural lid ptosis does not only affect older people, but can be seen even in teenagers. “Any time you see a lot of fluid around the eyes (puffiness), there is no room for a neuromodulator. They need that muscle contraction in order to move interstial fluid into the lymphatic system.” Similarly, “When I see scleral show, I know as an injector that I need to conduct a snap-back test to evaluate for lower-lid laxity. Using a neuromodulator in the patients could make ‘dry eyes’ worsen temporarily.”
Ms. Anderson is a Seattle-based aesthetic nurse.
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