Prevent and Treat Eyelid Ptosis from Neurotoxin Injections
Do You Fear Eyelid Ptosis and Other Complications from Neurotoxin Injections?
Learning Goals for Aesthetic Injectors to Mitigate and Manage Complications:
- Learn how to reduce the risk of eyelid ptosis
- Learn techniques and anatomy harmoniously to recognize how technology plays a role in outcomes
- Learn how to treat eyelid ptosis and reduce the symptoms
- Learn how to explain the diagnosis and the management plan to your patient to reduce stress and anxiety, creating a smooth transition to resolution.
Anatomy

For the neurotoxin to get to this highly protected area, the neurotoxin must pass through several layers of tissue.
- Hypodermis
- Orbicularis oculi
- Orbital septum
Injection Technique:
Diagnosis
Definitions
Levator Palpebrae Superiors (LPS)
Origin-Lesser wing of the sphenoid bone. The levator palpebrae superioris muscle arises from the inferior part of the lesser wing of the sphenoid bone, superior to the optic canal.
Insertion– Superior tarsus and skin of the upper eyelid.
Action– Elevates upper eyelid.
Innervation– Superior branch of the oculomotor nerve (CN III)
Arterial Supply– Ophthalmic and supraorbital artery
Mueller’s Muscle/Superior Tarsal Muscle (STM)
Origin-From underneath the levator palpebrae muscle
Insertion– On the tarsal plate of the upper eyelid
Action- Structural muscle that maintains the function of the upper eyelid’s ability to become elevated and maintain an elevated status. This muscle can also raise the eyelid an extra 2mm after the levator palpebrae’s original lift.
Innervation-From the sympathetic nervous system
Arterial supply-Supplied by the lateral muscular branch of the ophthalmic artery.


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MEET
Tara Delle Chiaie
MSN, FNP-BC, APRN, ABAAHP
Owner/Master Aesthetic Injector
My name is Tara and I am the owner of Delle Chiaie Cosmetic Medicine. I have been in medicine since 2002 as a Registered Nurse. In 2011 I graduated from the accelerated program at the University of New Hampshire (UNH) as an Advanced Practice Registered Nurse (APRN) and immediately became nationally recognized through the American Nurses Credentialing Center (ANCC) as a Board Certified Nurse Practitioner. I grew up in the beauty industry and found it was a great union to blend beauty with medicine. I have an astute sense of safety, while my experience guides my practice to produce beautiful and natural results. My goal is to continually fine-tune the art of bringing one’s inner beauty to the surface.


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