Malar Edema After Botox
Malar edema often varies in severity. Festoons and malar mounds are terms used to describe skin folds and swelling of the lower eyelid and cheek.
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Festoons and malar mounds can also become much more noticeable after having fillers placed in the face.
Malar edema after botox. Pessa and garza67 reported their findings after performing 18 fresh cadaver dissections. Using dye injections histological evaluation and gross anatomical dissection they identified a fascial structure of the lower eyelid and cheek that they. The first is that fillers placed in the face can generally cause swelling to occur in the face and some of this swelling can find its way into the area of the festoon.
This causes the condition to worsen. The reason for this is twofold. Next i will mark out the malar edema and this is a no go area.
Festoons also called malar festoons develop when the muscles below the eye particularly the orbicularis oculi muscle which closes the eye begin to weaken and degenerate. Festoons along with lower eyelid bags can make patients appear tired or sick even when they feel energetic and alert. However malar edema is also a known complication of facial aesthetic procedures especially facial fillers used in the under eye and cheek region.
It may be more noticeable after a salty meal and sometimes has a slight bluish discoloration. I have also seen patients who developed malar edema after facial procedures that produced significant facial swelling. Redness and swelling after botox is injected in your skin you may experience redness and swelling at the injection site.
2 the presence of pitting on examination is evidence of edema. I am now marking off a line in her medial limbus and about 1 cm below the inferior orbital rim in line with the medial limbus is her infraorbital foramen. Patients with this condition often report that others think they are perpetually tired.
Some patients reported the peri orbital swelling and diplopia following the fillers treatment with hyaluronic acid based dermal fillers. It is vital not to inject any product underneath this mound or we may cause a worsening of the malar edema. I have seen it develop in patients after deep laser treatments facelifts.
The distinguishing factor is the permanent presence of excess tissue and soft tissue bulge. The transition between malar edema and malar mounds can be subtle. The loss of muscle action causes the soft tissues in the area to slide downwards pulling the skin.
The phenomenon of malar edema can be explained by an understanding of the anatomy of the lower eyelid. Sometimes there is a tiny pink dot where the needle was inserted but this mark goes away after a few minutes. Chronic soft tissue swelling or bulge over the malar eminence situated between the infraorbital rim and midcheek.
The swelling in the lower eye lid can occur due to the migration of the filler from the malar region. Although these two cases involved caha malar edema arising from injections with hyaluronic acid ha has also been seen in clinical practice.
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