ILLUSTRATED ATLAS for PDO Thread and Botulinum Toxin

Preface

First and foremost, I would like to thank Dr. Hyoung-Joo Kim for organizing critical clinical information and invaluable tips on thread lifting and botulinum toxin injection procedures. I also wish to thank Dr. Jung-Hyun Yoon for his insightful thread-lifting techniques that allowed for new, creative clinical procedure information featured in this book. Lastly, I send infinite thanks to Prof. Kwan-Hyun Youn for providing all of the visual artistry for this book. I believe that Prof. Youn has raised the field of medical illustration to a world class level. Many thanks to the effort of the MedArt team, Ms.  Hyewon Hu and Mr. Hyeong-Seok Choi led by Prof. Youn to create such clear, simple, and creative visual contents. I would like to express my gratitude to In-young, Heo for her enthusiasm on the initial planning and final editing of this book.

Nowadays, there has been a fundamental shift in the relationship between our understanding of anatomy and application of clinical procedures, where all clinical procedures certainly presupposes clinical anatomy. Previously, anatomy has been an essential discipline for learning the basics of medicine and dentistry, and current anatomy has been transformed into a discipline that is fundamental to clinical procedures. The foundation for success clinical outcomes are based on the understanding of complex anatomical relationships, normal variations, and misunderstanding how side effects can be encountered and avoided.

This book has been written with the basis in the anatomical illustrations with focus in clinical techniques and procedures of thread lifting and botulinum toxin injection.  For the utmost clearest comprehension, the structures of the face and neck by each

individual layer is demonstrated. Each figure is meticulously labeled with the thread insertion and botulinum toxin injection points for easy cross-reference with other resources. Furthermore, the injection depth data based on our anatomy publications and clinical experiences are provided in each illustration, and multiple layered illustrations of the face and upper neck are prsented for in-depth anatomica knowledge

The chapters follow a logical progression through the clinical anatomy of the face and neck, providing clinical information useful for thread lifting and botulinum toxin injection procedures becoming an extremely valuable resource for aesthetic physicians. This book consists of 4 chapters with anatomical illustrations merging the basic and clinical sciences. The basics of the face and neck anatomy are explained in chapters 1 and 2 and detailed descriptions and demonstrations of the clinical procedures for each clinical indication, based on the clinical anatomy of the face and neck, are explained in chapters 3 and 4.

The authors hope that this book will be a useful guidebook for beginners as well as experts performing the aesthetic non-invasive procedures Great anatomy will be forever…

April, 2020

Hee-Jin Kim, Anatomy Professor of Yonsei University On the behalf of the authors,

Contents

01 Preface

04 AUTHORS’S INTRODUCTION

05 TECHINIQUES INRTODUCTION

10 Chapter 1.

NERVE BLOCK INJECTION : How to perform a successful procedure?

15 Chapter 2.

OVERRALL THICKNESS OF THE FACIAL SKIN AND SUBCUTANEOUS FAT LAYER :

How deep? Which layer is safe and efficient?

18 Chapter 3.

ESSENTIAL CLINICAL ANATOMY OF RHE FACE AND NECK

34 Chapter 4

Art and science of PDO THREAD AND Botulinum toxin injection techniques for rejuvenation

FOREHAEAD 01

35 Eyebrow lifting

36 Forehead horizontal line

FOREHAEAD 02

42 Frontal frown line

FOREHAEAD 03

45 forehead tightening

FOREAHEAD 04

48 Glabellar frown line

49 Glabellar frown lines

MID FACE 05

52 Nasolabial Fold

53 Crow’s feet

MID FACE 06

59 Nasolabial Fold

MID FACE 07

65 Jowl

MID FACE 08

71 Infraorbital wrinkle

MID FACE 09

75 Crow’s feet

MID FACE 10

77 Tear trough

MID FACE 11

80 Malar area tightening

MID FACE 12

86 Nasal dorsum augmentation, Nasal tip elevation and Nostril reduction

89 Bunny line, Nasal flare, Nadal tip ptosis

LOWER FACE 13

92 Marionette line

LOWER FACE 14

98 Marionette line

LOWER FACE 15

101 Jaw line

LOWER FACE 16

104 Marionette line

LOWER FACE 17

107 Submandibular line

LOWER FACE 18

110 Lower facial contouring (masseter & parotid gland)

LOWER FACE 19

113 Smoker,s line

114 Mouth corner drooping & Cobble stone chin

LOWER FACE 20

117 Necklace wrinkles

LOWER FACE 21

SF(Step ladder and Fan shape) technique

[Author introduction]

Hee-Jin, Kim DDS, Ph.D  Anatomist, Professor

Hee-Jin, Kim is a Professor in the Division of Anatomy & Developmental Biology, Department of Oral Biology, Yonsei University College of Dentistry, Seoul, Korea Professor Kim obtained his DDS from the Yonsei University College of Dentistry in 1991, and his Ph.D from the  Yonsei University Graduate School in 1996. He was appointed as a Professor in the Division of Anatomy & Developmental Biology in 1996 and gradually rose in the ranks, obtaining his current appointment of full Professor since 2010.  Now, he is working as an Editor-in-Chief of Anatomy and Cell Biology.  In addition, as an Associate Editors of “Clinical Anatomy”, “Surgical & Radiologic Anatomy” and “European J Clinical Anatomy”. Professor Kim has authored or co-authored 17 textbooks and more than 250 articles, that have been published in peer-reviewed journals. Based on his career in clinical anatomy fields, he travels to many countries to teach about non-invasive procedures and to do lectures in international scientific meetings.

Hyoung-joo,Kim M.D.,Dermatologist

The well Dermatology Clinic

Hyoung-Joo, Kim is a Korean dermatologist, who has been providing dermatological treatment for 20 years in his clinic which was founded on 2001. As an adjunct professor of the dermatology department at Chungnam University College of Medicine. He is educating students and also attending to many conferences in Korea, such as AAD, EADV, ASLMS and the world congress of dermatology He has been active on the board of directors of the Korean Dermatology Medical Association for 10 years, and is a board member of many academic societies such as the Society of Cosmetic Skin Surgery, The Society for Hair Treatment, The Society for Cosmetic Therapy, and The Korean Association of Cosmetic Dermatology. He has also presented at many academic conferences clinical and laser experiences in Asia, Europe and the United States. He has made serial announcements as a key doctor for a number of laser and pharmaceutical companies such as CynoSure, Allergan, Daewoong, Janssen, N-Finders and GTG Wellness. Currently, he is a president director of The Wel Dermatology.

Jung-Hyun, Yoon M.D., Cosmetic surgeon

(Yonsei Fams Clinic)

Cosmetic surgeon Dr. Jung-Hyun, Yoon published a book in 2011 titled ‘PDO Thread lift’ as the lead author, and was the co-translator for the book ‘Cosmetic Injection Technique’ in 2015. Dr. Yoon also published the book ‘Introduction to laser for beginners’ as a co-author in 2018, He conducted pre-human trials research with monofilament PDO thread, and gave lectures about their findings in many conferences in Korea and overseas. Dr. Yoon also published his research in the article ‘Tissue changes over time after polydioxanone thread insertion: An animal study with pigs’ in the Journal of Cosmetic Dermatology Dr. Yoon has been in the use of PDO threads, filler, BTX-A, and laser treatment fields, and he was appointed as the 9th president of ‘The Korean Society Korean Cosmetic Surgery and Medicine’. He is currently the Chairman of ‘The Korean Aesthetic Surgery and Laser Society’, Senior Director of ‘The Korean Association of Laser, Dermatology and Trichology’, and also a professor at ‘The Korean College of Cosmetic Surgery’. Dr. Yoon is also the main doctor at the “Yonseï Fams Dermatology, Obesity, and Aesthetics network’

Kwan-Hyun Youn Ph.D Medical illustrator  Professor

Professor Kwan-Hyun, Youn is a medical illustrator He graduated from Hong-Ik University, where he majored in fine art. His career in anatomical ilustration began with his appointment as a teaching assistant (TA) in the Department of Anatomy at the Yonsef University College of Medicine in 1997 He actively participated in facial anatomy research proiects at the Yonsei University College of Dentistry, and obtained his PhD in Anatomy & Cell Biology from the Hanyang University Department of Medicine.  Professor Youn was also the founder and CEO of a Medical Illustration Studio named MedArt in 2010.  Currently, he is a professor of Biomedical Art, at the Incheon Catholic University Graduate School, which trains medical artists. Professor Youn, is also a founding member and General Secretary of the Korean Association of Medical Visualization Artists, which actively promotes the development of medical art and illustration in Korea.