Hello, Dr. Gina here and in today's video I want to show you a ultrasound guided bulin toxin injection but of the corrugator muscle. And why is that?
0:1212 secondsBecause the corrugator muscle is not only a small muscle but it has a very special position. It is in between like a sandwich two very important mimic
0:2222 secondsmuscles. The one on top is the frontalus muscle and the one down is the pop levator pop superior muscle. And in the
0:3131 secondscase that you end up having a diffusion to any of those, you're going to have complications like upper eyelid pytosis
0:4040 secondsor even the downwards movement, the fall of the eyebrow, specifically the head of the eyebrow. So let's do a one by one
0:4949 secondsstep of how to do this injection with using your high frequency ultrasound.
0:5454 secondsFirst you have to identify the muscle and in order to do that I'm using inside the aesthetics the parameter for
1:011 minute, 1 secondforehead and temple. You can choose to use AI as well or not. So first I find
1:091 minute, 9 secondsthe muscle with uh the movement of frowning. So I
1:161 minute, 16 secondsask the patient to frown for me. Can you frown for me?
1:221 minute, 22 secondsCan you frown for me again? Mhm.
1:301 minute, 30 secondsRelax again.
1:341 minute, 34 secondsOkay. And there you go. I found the muscle.
1:411 minute, 41 secondsNow using the needle enhancer parameter right here.
1:501 minute, 50 secondsIt will help me see the middle and you can inject right into
1:581 minute, 58 secondsthe corugador muscle and right there see the expansion of the muscle when you put the low dosage
2:072 minutes, 7 secondsof bolinum toxin and that's one side h I will do now the other side as well this
2:152 minutes, 15 secondsway you can prevent the complications that we normally with the injection of bottlene toxin on
2:232 minutes, 23 secondsthe corrugator muscle. So this is it for today. Thank you for watching. Hope to see you soon. Bye-bye.