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Facial Nerve-Block Anesthesia in Cosmetic Dermatology

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Botulinum Toxins, Fillers and Related Substances

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Abstract

Sensory neural blockade of the face with local anesthetics is an important part of the management of cosmetic procedures, but it is not usually considered a simple approach. The facial sensory innervation is provided mainly by the trigeminal nerve, the largest and the most complex cranial nerve. The peripheral branches of the trigeminal nerve that may be accessible through percutaneous needle techniques are the supraorbital, supratrochlear, nasociliary, infraorbital, and mental branches. In addition to indications for general surgical anesthesia and treatment of painful clinical conditions, the local anesthetic blockade of the trigeminal nerve branches can be used to produce more patient tolerance on painful esthetics procedures, such as facial deep chemical peelings, laser, fillers, microneedling, and dermabrasion.

The main purpose of this chapter is to describe the techniques of blockade of the trigeminal nerve branches with local anesthetics by means of practical approaches, including relevant anatomical landmarks, possible complications and unwanted side effects.

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Author information

Authors and Affiliations

  1. Universidade Federal Fluminense (UFF), Niterói, RJ, Brazil

    Flavio Barbosa Luz

  2. Centro de Cirurgia da Pele, Rio de Janeiro, RJ, Brazil

    Flavio Barbosa Luz & Tadeu de Rezende Vergueiro

Authors
  1. Flavio Barbosa Luz
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  2. Tadeu de Rezende Vergueiro
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Correspondence to Flavio Barbosa Luz .

Editor information

Editors and Affiliations

  1. Universidade Federal Fluminense, Niterói, São Paulo, Brazil

    Maria Claudia Almeida Issa

  2. Lexbios Medica S/S, São Paulo, São Paulo, Brazil

    Bhertha Tamura

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Luz, F.B., de Rezende Vergueiro, T. (2019). Facial Nerve-Block Anesthesia in Cosmetic Dermatology. In: Issa, M., Tamura, B. (eds) Botulinum Toxins, Fillers and Related Substances. Clinical Approaches and Procedures in Cosmetic Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-319-20253-2_17-2

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  • DOI: https://doi.org/10.1007/978-3-319-20253-2_17-2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20253-2

  • Online ISBN: 978-3-319-20253-2

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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Chapter history

  1. Latest

    Facial Nerve-Block Anesthesia in Cosmetic Dermatology
    Published:
    31 December 2018

    DOI: https://doi.org/10.1007/978-3-319-20253-2_17-2

  2. Original

    Facial Nerve-Block Anesthesia in Cosmetic Dermatology
    Published:
    26 May 2017

    DOI: https://doi.org/10.1007/978-3-319-20253-2_17-1

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