Technics for Sequelae of Facial Paralysis
cannot be treated
can be treated
in static view
-presence of naso labial furrow
in dynamic views
-presence of forehead wrinkles
only the middle square of the middle third local technique has to be treated
- vector is like always normal to the center of this square with 0.05 to 0.01 ml
- tensor has to have an angle of 60 grades with the horizontal, to redice the lower eyelid and to better close the eye .
The vector has to be always normal to the center of this middle square
- Quantity : 0.05 to 0.01 ml
- Dont inject other squares
The 2 tensors do an angle of 60 grades with the horizontal
- Quantity : 0.05 to 0.01 ml
- 2 tensors
- They need to be applied at the center of each external and internal border of the middle square
didactic diagram showing how to get angles at 60 grades with the horizontal
- Marking the naso labial fold of the paralyzed hemiface
- just select the middle square
- Quantity : 0.05 to 0.01 ml
- 2 tensors
- They need to be applied at the center of each external and internal border of the middle square
Main Vector for Brow Lift
- inject 0.1 ml for the main vector or the square ( eyebrow segment) which has to be higher than other eyebrow segments.
- inject 0.05 ml in other squares
- injections have to be done always at the center of each square, normal to the chosen muscles.( the syringe makes an angle of 90 grades with the muscular plan)
Main Tensor for Brow Lift
- inject 0.1 ml per tensor
- tensors are looking towards the point of maximum projection or lifting.
- injections have to be done always positioning the syringe on the arrow looking the maximum point of projection and pushing up.
- the syringe has to be in full contact with the skin.
Dynamic Treatment of M.TIZIANI for mouths corner drooping
- each cross corresponds to a vector where 0.05 to 0.15 ml must be injected depending of the case
Static Intra Oral Treatment of A.TENENBAUM for mouths corner drooping
- vectors are normal to the black circles , injecting 0.05 ml to 0.15 ml per vector according to the cases.
- tensors are marked thanks to the red arrows.Inject per tensor too same quantity as per vectors.
Static Extra Oral Tensors for mouths corner drooping
- tensors are marked thanks to the red arrows.
- tensors have to make an angle of 90 grades with the upper edge of the drooping upper lip.
TECHNIQUES FOR TREATING THE ,,healthy,, HEMIFACE in case of sequelae of facial paralysis
Semiology of the ,,Healthy,, Hemiface
