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  • It is currently Sat May 25, 2013 7:21 am

Settling a "discussion" *LOL* on a botox matter :)

This section of the forum is dedicated to discussions on various surgical techniques for facial rejuvenation, including fat transfer/fat grafting, browlift, blepharoplasty (cosmetic eyelid surgery), facelift, etc. Also, this category includes questions on hand rejuvenation via fat grafting. (Of note, Dr. Lam does not perform body rejuvenation except for hand fat grafting)
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Settling a "discussion" *LOL* on a botox matter :)

Postby Mysteryagain » Wed Mar 04, 2009 10:32 am

One of my coworkers was / is considering botox and the subject of its use for nose ptosis came up (therefore the question I made last week).

Now, there is something she understood from what her doc says and I am not so sure she understood right OR if the doc said things as they are.
She said the doc suggested it for the nose tip and after reading and then asking you, I told her it would help, but to not have too high expectations about it (same with restylane use for that purpose). Ok.

Today, what came up is that she thinks botox it would help her with the nose ptosis -period. I thought from what I had read (not sure where, not sure if you said it or if I read it elsewhere) that it worked for nose ptosis in *dynamic* nose ptosis, not with the ptosis with the nose "at rest". Should I warn her about helping with the drooping when she'd smile only? Or am I the one to be wrong?
Mysteryagain
 
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Re: Settling a "discussion" *LOL* on a botox matter :)

Postby dr. lam » Wed Mar 04, 2009 6:01 pm

my initial thoughts were that it would help only dynamic ptosis but more current thinking is that it will help both static and dynamic because just like a "botox browlift" when you block the depressor septi muscle, the levator nasi and alaeque nasi muscles pull in opposite direction to lift the nose. think of two men doing a tug of war and one of them let's go. the only one pulling will move the rope in his direction (not to mention fall down! JK) :)
sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
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Re: Settling a "discussion" *LOL* on a botox matter :)

Postby Mysteryagain » Wed Mar 04, 2009 10:11 pm

How interesting!
In other words, would that mean that when two or more muscles work at once (agonist/antagonists) to keep "something" in a given position in our body, blocking the action of one or more that work in one direction will make the action of the antagonist muscles more evident and stronger?

I would have thought that blocking certain muscles would only put their "antagonist" muscles' action at rest, but I guess muscles whichs functioning is not blocked will still tend to do their "job"? (as if they still were still pulling the cord ;) and struggling with the muscles responsible of the opposite action/movement ...?

In the nose, could the elevator (???? sorry if I am making up words :o ) muscles of the nose work and kind of pull the tip up "more" just because the depressor (????) muscles are not working, **even if the muscles that raise something would work against the normal action of gravity**?

Wow, what a passionating topic... :geek:
That example you gave made me laugh :lol:!
Mysteryagain
 
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Re: Settling a "discussion" *LOL* on a botox matter :)

Postby dr. lam » Wed Mar 04, 2009 11:45 pm

i really can only speak for the areas of the brow, lip depressors, and smile lines. yes, when the antagonizing muscle is blocked, the other one pulls.
best,
sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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Joined: Wed Oct 03, 2007 10:51 am
Location: Dallas Texas
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