Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of perioral rhytids specifically manifesting as marionette lines. Patient reports progressive deepening of the melomental folds, contributing to a "sad" or "tired" facial appearance. Duration of concern is [X] years. Patient denies previous surgical intervention in the lower face. Goals include volume restoration and skin laxity improvement.
Clinical Examination Findings
Examination of the lower face reveals Grade [1-4] melomental folds (marionette lines) under dynamic and static conditions. Assessment shows moderate to severe loss of subcutaneous fat volume in the pre-jowl sulcus and perioral region. Skin laxity is noted with positive pinch test. No evidence of active dermatological inflammation or infection in the treatment area.
Treatment Protocol
Treatment plan involves the administration of [Product Name/Dermal Filler] via [Cannula/Needle] technique to the melomental folds and pre-jowl sulcus. Total volume: [X] mL. Injection depth: Subdermal/Supraperiosteal. Post-procedure: Application of cold compress, avoidance of strenuous activity for 24 hours, and massage instructions as indicated.