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The SMAS is clinically important in facial plastic surgery for rhytidectomy (facelift procedure).During this procedure, the SMAS is accessed through an arch-shaped incision anterior to the ear; a portion of the SMAS is then excised and the remaining SMAS is stretched by drawing it posterior-ward and suturing it, thus making the skin of the face which overlies the SMAS taut.
The facial muscles are just under the skin (subcutaneous) muscles that control facial expression. They generally originate from the surface of the skull bone (rarely the fascia), and insert on the skin of the face. When they contract, the skin moves. These muscles also cause wrinkles at right angles to the muscles’ action line. [2]
Botulinum toxin, or botulinum neurotoxin (commonly called botox), is a neurotoxic protein produced by the bacterium Clostridium botulinum and related species. [24] It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction, thus causing flaccid paralysis. [25]
According to the American Society of Plastic Surgeons, Botox procedures for people ages 20 through 29 have increased by 28% since 2010, perhaps due to the rise of social media and Zoom calls ...
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Facial rejuvenation procedures experienced the most growth, as 2013 marked the highest number of botulinum toxin type A injections to date, with 6.3 million injections. [7] A significant upward trend on the number of facial rejuvenation procedures is predicted, [ 5 ] and could be due to the following factors:
A facelift, technically known as a rhytidectomy (from the Ancient Greek ῥυτίς (rhytis) 'wrinkle', and ἐκτομή (ektome) 'excision', the surgical removal of wrinkles), is a type of cosmetic surgery procedure intended to give a more youthful facial appearance. There are multiple surgical techniques and exercise routines.
The procerus muscle arises by tendinous fibers from the fascia covering the lower part of the nasal bone and upper part of the lateral nasal cartilage.It is inserted into the skin over the lower part of the forehead between the two eyebrows on either side of the midline, its fibers merging with those of the frontalis muscle.