CPD: Identifying Facial Danger Zones

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Using reliable surface landmarks for localising important facial neurovascular structures, as well as their corresponding depth to the skin, plays a crucial role in minimising injury risk and rate of complications. This is particularly important when injecting neuromodulating agents and soft tissue fillers. Most of these structures follow a reliable trajectory that can be identified by either a vertical or a curved line.
Surface landmarks are key in planning and completing injectable treatments effectively and safely. In this article, we describe a simple method of identifying these key anatomical points.
This vertical line, drawn through the medial canthus of the eye, crosses the location of two important landmarks of the upper and middle face.
The supratrochlear neurovascular bundle exits the superomedial orbit through a supratrochlear notch or foramen, at approximately 2cm (1.7-2.2cm) from the midline of the face. The skin landmarks…

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