NEW BOTOX PATTERN: Dr Tim analyses much-talked-about new glabella pattern [Aesthetics Mastery Show]

In April 2021 Professor Sebastian Cotofana published an important new paper exploring an alternative botulinum toxin injection pattern for glabella treatments, with the goal of avoiding medial brow ptosis.

In this week's Aesthetics Mastery Show, Dr Tim explores the potential pros and cons of the new 3-point technique, including the alternative angle of entry, and asks whether injectors should abandon the licenced doses altogether.

More useful links:

#dermalfiller #medicalaesthetics #aesthetics

[susanfrenz]

My Goodness! I have been using this "new pattern" since 1998. I find I must always explain to the client that my technique is different than most others in town. I have had no droops. Great video. Thank you

[luvfiona]

I am a new injector (first client scheduled tomorrow!), I am soaking up as many of your videos as I can. I like your conservative and anatomical approach and am so thankful for all of your instruction and wisdom!

[wiamhaddani]

this man is fantastic. I don't understand how he is not on that BBC doc for non-surgical procedures

[thetruth]

HE is a hot candidate for the Nobel Prize for the detailed and inimitable contribution of modern aesthetic medicine

[jjam]

Medicine is always a dynamic discipline. You should embrace new findings and not be scared of it

[glodownunda]

Thank you so much for this continuing education that you are so generous to share with this community. I love your explanations and you always seem to find new and interesting information to share! You're the best!

[Facetimegirl]

I've never been afraid of going blind etc until I started watching a bunch of videos!

[emmasmart]

Definitely not miss out the second corrugator. Seen loads of practitioners do it and you can see strange pulls after. Always do all the corrugator, it’s easy to avoid lid complications if you are taught what to look for and what to do.

[millerfreiheit]

It would be so helpful to show more hands on demonstration rather than dialog. Personally I need to see to learn! Thanks

[nattbheee]

I absolutely love your content, i learn a lot (new injector here- from AUS). Miranda, your questions are so good- exactly what is on my mind and then you ask it! I would've loved it if Dr. Tim showed us the new technique on a model or dummy.

[dmrecco]

Thank you so much for sharing this!! I am a new injector and have only injected family members at this point! 😂. This video gives clear instructions, which I need! I’m a fan of 90 degree injecting so this technique really speaks to me. I am a big fan! Thank you 🙏🏻

[nidiacheeld]

Thank you for your time, great video, before and after pictures would be great so we can see the different.

[HarrietRusby]

Excellent. I'm your new biggest fan. . I find your holistic and ethical direction to integrate aesthetics within well being medicine really quite fantastic. 👋👋👋.

[elizabethlavoie]

I think we need to still assess the mvt of the patient and the goal of the treatment. I have been using this intermittently and it’s not always a success.
Often at the follow up, we need to address the tail of the corrugator.
As well on occasion I’ve had to skip treating the procerus. But it’s always nice to hear outcome of new studies and it’s application. I’m a big fan of prof Cotofona and you two actually ;)

[alekjfisher]

Dr Pierce- What is the difference in terms of the injection angle with the 3-point technique? I asked this question a while back in a previous comment but never got a response. I would be oh so grateful to hear a quick answer to this!! Love your videos.

[nursecane]

I really enjoy the content you put out and all the educational material (including the incredible posters for sale on your website). You and Miranda really care about your audience (and patients) and it really translates in your work. Thank you both.

[p]

Hi you2. I absolutely enjoy your show. I my self have many years of practice as an injector and your tips gives me moments of dejaveau and aha experiences in combination with giving me new perspectives of my work. Thank you very much. Been to Korea lately and learned about the Korean facelift technique with Dysport(small molecule)and Botox(big molecule)in combination which I have had much pleasure working with. Something to take up in the show🙏🏽🙏🏽🙏🏽👍🏼👍🏼👍🏼

[TheUrbanAesthete]

I am 38 (soon to be 39) and began Botox around 33. I had moderately heavy horizontal lines on the upper forehead, but my main issue was the "11" wrinkles between the brows on top of what feels like a "dent" in the actual bone between my eyes, which will visually go away depending on where I have toxin injected. I say visually because if you rub the area, you can still FEEL the dent. I've found that each injector I've gone to has different explanations for the "dent" and how to treat it, with only an injection straight into it actually ever temporarily solving the problem. I'll literally ask for Botox (or Dysport, which I prefer, but I cycle between the two) to be injected into the dent but I am often told no...if we do that, the toxin will drift. So I'll be injected at other various spots which help the 11s but not the "dent". Lame. Secondarily, I have noticed a very subtle drop to my brows in that area (the "11"s area) which I dislike, as well as gentle "humps" above my eyebrows in that same area which I have been told are muscles over compensating due to toxin in the upper forehead. Say what?! This area of study fascinates me, and I'm grateful to have people like Tim and Miranda to explain anatomy and so much more for the layperson, because I'm beginning to feel my best course of action is to stop allowing injectors to do what they see fit and to be educated (and brave) enough to simply ask for injections in specific spots. Great content.

[ydeburw]

I really enjoy you and your wife! Thank you so much for offering your pearls.

[WeightlossandAesthetics]

I have been using this pattern for the same reasons you explained for many many years. Excellent!