Lorena Martínez

Botulinum Toxin in the Nasal Area

Introduction: Botulinum toxin type A for aesthetic purposes has been used since 1987, proving to be one of the most popular procedures in aesthetics due to its effectiveness in softening dynamic wrinkles. Nasoglabellar lines or bunny lines:They are the result of the contraction of the nasal trans‐ versus. They can be primary or secondary, the latter as a result of muscle blockade in glabel‐ lar region, generating a compensatory contraction. Specific application Nasal tip ptosis: As people age the nasal tip tends to fall due to gravity forces and due to the kinetic action of the depressor of the septum muscle. The application of Botox in this area will only have positive results if the ptosis is of muscular cause. Nasal flutter: Physical or emotional stress causes the involuntary contraction of the anteri‐ or and posterior dilator naris. Also the injection in these muscles produces the stretching of nostrils of very wide noses, when these muscles are active (they can move the ala). Hyperhidrosis of nasal dorsum: The precise diagnosis of the areas is done through the Mi‐ nor test (iodinated alcohol and starch). The injection is done in the dermis until the skin turns white, 1– 2 UI per injection, separating them by 1cm. Multiple eccrine hidrocystomas: This papula-cystic lesion, described by Andrew Ross Rob‐ inson, has a transparent dome through which a blue color is seen, usually confused with blackhead. They originate in sweat ducts and come out associated with hyperhidrosis.

Simple Technique to Correct the Nasal Bone Dislocation After Lateral Osteotomy

Rhinoplasty is one of the most common procedures in cosmetic surgery, and a possible complication is the dislocation of the nasal bone. Therefore, we have established a simple technique to fixate the unstable bone fracture, which has given us excellent cosmetic results.