Hypodermic Tissue Hypodermic Tissue BuildingBuilding

Conditions Requiring TreatmentConditions Requiring Treatment

EmaciationEmaciation

ConcavitiesConcavities

Injury or SurgeryInjury or Surgery

Equipment Equipment

SyringeSyringe

Needle: gaugeNeedle: gauge

PrecautionsPrecautions

1) avoid overfilling1) avoid overfilling 2) hidden point of injection2) hidden point of injection 3) tissue builder hardens quite quickly3) tissue builder hardens quite quickly 4) use solvent to clean the needle4) use solvent to clean the needle 5) when filling the syringe, expel any air5) when filling the syringe, expel any air

General ProceduresGeneral Procedures

1) single entry point1) single entry point 2) keep needle close to the surface2) keep needle close to the surface 3) carefully direct the needle3) carefully direct the needle 4) fingers may be used to determine 4) fingers may be used to determine

depth and position of the needledepth and position of the needle 5) inject slowly5) inject slowly 6) apply digital pressure to the skin6) apply digital pressure to the skin

General Procedures (cont’d)General Procedures (cont’d)

7) direct needle to adjacent areas without 7) direct needle to adjacent areas without removing it from the point of entryremoving it from the point of entry

8) repeat steps 5,6, & 7 until area is filled8) repeat steps 5,6, & 7 until area is filled 9) to refill the syringe, leave the needle in 9) to refill the syringe, leave the needle in

placeplace 10) pull back on the plunger when 10) pull back on the plunger when

removing the needleremoving the needle

General Procedures (cont’d)General Procedures (cont’d)

11) clean the needle and syringe using 11) clean the needle and syringe using solventsolvent

12) seal the puncture site12) seal the puncture site 13) wax and cosmetize the puncture site if 13) wax and cosmetize the puncture site if

necessary necessary

Recommended Points of EntryRecommended Points of Entry

EyeEye Supraorbital AreaSupraorbital Area TemplesTemples CheeksCheeks LipsLips HandsHands NeckNeck

Cosmetically Conceal Small Cosmetically Conceal Small DiscolorationsDiscolorations

small, localizedsmall, localized opaque cosmeticsopaque cosmetics ““bleach” the area then opaque cosmeticsbleach” the area then opaque cosmetics ““feather” the opaque cosmeticsfeather” the opaque cosmetics use opaque cosmetics sparinglyuse opaque cosmetics sparingly reinstate warm color areas and shadowsreinstate warm color areas and shadows

Methods of Cosmetic ApplicationMethods of Cosmetic Application

1) undercoat1) undercoat

2) cosmetize2) cosmetize

3) powder application3) powder application

Cosmetically Concealing Large Cosmetically Concealing Large DiscolorationsDiscolorations

Pre-embalmingPre-embalming EmbalmingEmbalming Post-embalming:Post-embalming:

surface packsurface pack cosmetize surrounding areacosmetize surrounding area slightly lighter shade of opaque cosmetic slightly lighter shade of opaque cosmetic ““feather” using a clean brushfeather” using a clean brush shading and highlightingshading and highlighting reinstate warm color areasreinstate warm color areas powderpowder

Tissue PreparationTissue Preparation

Prior to RestorationPrior to Restoration

Receive written permission if major Receive written permission if major restoration to be performed.restoration to be performed.

Tissue must be firm and dry.Tissue must be firm and dry. Embalming concerns:Embalming concerns:

Post-embalming concerns:Post-embalming concerns:

Large Cavity and Excision Large Cavity and Excision RestorationsRestorations

1) trim away dehydrated marginal tissue1) trim away dehydrated marginal tissue 2) undercut the margin2) undercut the margin 3) chemically dry the deep tissues3) chemically dry the deep tissues 4) apply liquid sealer to the deep tissues4) apply liquid sealer to the deep tissues 5) use a deep filler (wound filler) to fill the 5) use a deep filler (wound filler) to fill the

cavity to within ¼ “ from the surfacecavity to within ¼ “ from the surface

Large Cavity and Excision Large Cavity and Excision Restorations (cont’d)Restorations (cont’d)

6) suture the margin with basketweave6) suture the margin with basketweave 7) apply wax into the cross-stitches7) apply wax into the cross-stitches 8) apply additional wax to contour and 8) apply additional wax to contour and

taper wax over the margintaper wax over the margin 9) reproduction of pores and wrinkles9) reproduction of pores and wrinkles 10) cosmetize10) cosmetize

Wax and CosmeticsWax and Cosmetics

Cosmetics under: undercoat to cover Cosmetics under: undercoat to cover discolorationsdiscolorations

Cosmetics mixed with wax: to match the Cosmetics mixed with wax: to match the complexion colorcomplexion color

Cosmetics over wax: usually cream Cosmetics over wax: usually cream cosmetic cosmetic

Skin TextureSkin Texture

Pores: stipple brushPores: stipple brush

gauzegauze

paper towelpaper towel

Furrows: shallowFurrows: shallow

deepdeep