Muscles Involved in Treatment Using Botulinum Toxin

Tables 5.1, 5.2, and 5.3 and Figs. 5.3 and 5.4 depict the muscles involved in treatment with botulinum toxin [13].
Fig. 5.3. Illustration of upper facial muscles involved in the expression of frowning
Fig. 5.3. Illustration of upper facial muscles involved in the expression of frowning
 
Fig. 5.4. Anatomic consideration of the face for the treatment with botulinum toxin A
Fig. 5.4. Anatomic consideration of the face for the treatment with botulinum toxin A
     
 
Table 5.1. Anatomic considerations: upper face

  Muscle   Function
  Frontalis   Raises the eyebrows and produces transverse wrinkles of the forehead
  Corrugator   Brings the eyebrows toward each other
  Procerus   Pulls the glabellar skin in an inferior direction and causes a transverse rhytid
  Depressor supercilii   Depresses the eyebrow
  Orbicularis oculi   Functions as the sphincter of the eye
 
     


     
 
Table 5.2. Anatomic considerations: mid and lower face

  Muscle   Function
  Risorius   Draws the corners of the mouth laterally
  Orbicularis oris   Sphincter of the mouth
  Levator labii superioris   Raises the upper lip
  Depressor anguli oris   Depresses the corner of the mouth
  Depressor labii inferioris   Lowers the lower lip
  Modiolus   Wagon wheel of muscle situated just lateral to the external commissure of the mouth; the muscles of perioral and lip expression insert into here, allowing graded symmetrical perioral expression
 
     
     
 
Table 5.3. Anatomic considerations: neck

  Muscle Function
  Platysma Lowers the jaw and lip; tenses the neck; forms vertical bands and causes horizontal lines