Restorative Art: Mouth, Eyes & Other Facial Markings

Lacerated Eyelids

-after arterial injection, dry the laceration, apply soft wax to cover the line of closure and laceration -last resort to remove eyelid and replace with an artificial wax. Eyelashes can be removed from the natural eyelid or artificially made or made from individual hairs

Absence of Teeth

-close mouth normally being cautious not to over tighten -natural form and contour can be recreated using cotton or mortuary mastic -a mouth former can be used to help keep mouth closed and formed -lips can be glued shut by putting glue behind the weather line. Wax can be used to help keep the lips together without gluing

If Lips are to be Closed Completely

-close the mouth normally with sutures or needle injector, lips should be closed before arterial injection -use a mouth former to help keep lips closed -stretch the lips and glue them shut being careful not to have residue on the outside of the lips -extracting relevant teeth needs the family's permission. Last resort -keep the lips moist with massage cream or lip wax to prevent them from drying and cracking which will result in shrinkage

Cementing Lips

-commonly known as gluing -lips should be dry, moist lips will not adhere to adhesive -apply product behind the weather line of lip -allow to slightly dry before closing lips -excessive adhesive can be removed with a solvent

Wrinkled Eyelids

-cover with wax and reproduce natural lines/wrinkles -excise the area and create new with wax -massage with massage cream and electric spatula

Discolored Eyelids

-external bleaching compress -hypodermic injection of bleaching agent -cover with opaque cosmetic -all three options

Dental Prognathism

-lips do not naturally come together -showing teeth does not look natural -family permission/advice as to show or not to show -are teeth white/clean? will sides of the lips stay closed? -clean teeth that are visible -duplicate the presence of moisture on natural teeth with clear nail polish -close the mouth normally with suture or needle injector where it will NOT be visible -sections of mouth should be glued or sutured to stay closed

Separated Eyelids

-perforated eye cap. Friction will hold lids closed -lid can be glued -stretched to fit, levator papebrae superioris muscle can be excised to loosen tissue around eyelid -surgically remove the lid and recreate out of wax

Protruding Eyes

-swollen eyeball: pressure with warm water compress, gravity -trocar into the nares of the nose, through the CRIBRIFORM PLATE OF THE ETHMOID BONE to aspirate excess fluid -eyeball can be aspirated and then covered with cotton/putty/cap -surgical removal of the eyeball....Yikes!

Sunken Eyes

-these can be a result of weight loss, dehydration, disease or illness -most popular treatment: inject tissue builder into the inner canthus behind the bottom of the socket, eyeball and eyelid will raise up

9

How many natural facial markings are there

Line of Eye Closure

Line that forms when the two eyelids are closed. Upper eyelids cover 2/3 of eye socket, lower lid covers 1/3. The two lids abut when closed but do not overlap

Buckteeth

What is dental prognathism

Eyes and Mouth

Which parts of the face do mourners tend to focus their attention on

Winkle (Furrow/sulcus)

a crevice in the skin bordered by adjacent elevations

Groove

an elongated depression on a relatively level plane or surface

Fold

an elongated prominence adjoining a surface

Natural Facial Markings

consist of the NINE markings present at birth

Supercilium

eyebrows. hair grows up and outward and is unequal in length. it is denser near the glabella

Cilia

eyelashes, irregular in length, spacing. Upper lid turn up, lower lid turn down

Vertical Lines of the Mucous Membrane

fine vertical lines located on the mucous membrane

Labial Sulci

furrows of age; the vertical furrows of the lips extending from within the mucous membranes into the integumentary lips. Acquired facial marking

Dehydrated Inner Canthus

gluing the lids together, cover the area with soft wax or lip wax

11

how many acquired facial marking are there

Inferior Palpebrae (lower eyelid)

narrower and thinner than upper lid. Follows curve of eyeball and inclines from the line of closure. The upper lid overlaps the lower lid at the lateral end of the lower lid

Eye

organ of vision, which occupies the anterior part of the orbital cavity

Prognathism

projection of the jaw or jaws

Superior Orbital Area

region between the supercilium and superior palpebrae. Muscle and fat, deepest near root of the nose

Oblique Palpebral Sulcus

shallow, dark, curving groove below medial corner of the eyelid. Moves inferior and laterally. Natural facial marking

Inner Canthus

small elevation extending medially and obliquely from the medial corner of the superior palpebral. There are no eyelashes here

Alveolar

sockets of the teeth are inclined

Supraorbital Margin

superior rim of the eye socket on the frontal bone

Facial Markings

the "characteristic" lines, wrinkles, grooves, cords and dimples of the face and neck

Superior Integumentary Lip

the area between the base of the nose and the superior margin of the superior mucous membrane

Inferior Integumentary Lip

the area between the inferior margin of the inferior mucous membrane and the mental eminence

Mouth

the cavity in which mastication takes place. The beginning of the alimentary canal

Nasolabial Fold

the eminence or projection on the cheek adjacent to the corners of the mouth. Extends from the superior part of the posterior margin of the wings of the nose to the side of the mouth. Natural facial marking

Mandibular Sulcus

the furrow beneath the jawline, which rises vertically on the cheek. Acquired facial marking

Inferior palpebral Sulcus

the furrow of the lower attached border of the inferior palpebral. Acquired facial marking

Nasolabial Sulcus

the furrow originating at the superior border of the wings of the nose and extending to the side of the mouth. Acquired facial marking

Optic Facial Sulci (crow's feet)

the furrow radiating from the lateral corners of the eyes. Acquired facial marking

Superior Palpebral Sulci

the furrows of the superior borders of the upper eyelid. Acquired facial marking

Optic Facial Sulci (crow's feet)

the furrows radiating laterally from the lateral corner of the eye. Acquired facial marking

Transverse Frontal Sulcus

the furrows that cross the forehead, caused by the actions of the occiptofrontalis muscle. Acquired facial marking

Angulus Oris Sulcus

the groove at each end of the line of closure of the mouth. Natural facial marking

Angulus Oris Sulci

the groove at the end of the line of closure

Super Palpebral Solcus

the groove or furrow of the inferior border of the inferior palpebral. Acquired facial marking

Mandibular

the inferior jaw protrudes

Submental Solcus

the junction of the base of the chin and the submandibular area, which may appear as a furrow. Natural Facial Marking

Labiolmental Sulcus

the junction of the lower integumentary lip and the superior border of the chin, which may appear as a furrow. Natural facial marking

Weather Line

the line of color change at the junction of the wet and dry portions of the mucous membrane. The area where adhesive is applied to keep the lips closed

Line of Closure

the line that forms between the two mucous membranes when the mouth is closed and the lips come in contact with each other. Usually located at the lower border of the upper teeth. Has the shape of the classic hunting bow.

Oblique Palpebral Sulcus

the shallow curving groove inferior to the medial corner of the eyelids, moving laterally downward. Natural facial marking

Dimples

the shallow depressions located on the cheek or chin, either rounded or vertical. Natural facial marking

Angulus Oris Eminence

the small convex prominence lateral to the end of the line of lip closure of the mouth. Natural facial marking`

Maxillary

the superior jaw protrudes

Medial Lobe

the tiny prominence on the midline of the superior mucous membrane

Platysmal Sulci

the transverse dipping furrows of the neck. Acquired facial marking

Superior Palpebrae (upper eyelid)

the upper lid is wider than the lower lid. Vertically, it is nearly 3 times as large as lower lid. When naturally closed, it covers the cornea. LOWER MARGIN FORMS LINE OF EYE CLOSURE

Superior Mucous Membrane of Upper Lip

the upper margin has the shape of the classic hunting bow. the medial lobe is found in the center of the membrane. Narrows laterally as it disappears before reaching the end of the line of closure. contains two high peaks slightly off center on either side of a dipping curve

Bucco-facial Sulcus

the vertical furrow of the cheek. Acquired facial marking

Labial Sulci

the vertical furrows on the lip extending from within the mucous membranes and into the integumentary lips

Philtrum

the vertical groove located medially on the upper lip located between the columna nasi and the medial lobe of the mucous membrane of the upper lip. Natural facial marking

Philtrum

the vertical groove located on the superior integumentary lip. The width, form and depth are different from person to person

Interciliary Sulci

the vertical or transverse furrows between the eyebrows. Acquired facial marking

Mucous Membrane

the visible red surfaces of the lips; the lining membrane of body cavities that open to the exterior

Inferior Mucous Membrane of Lower Lip

thicker than the superior mucous membrane. Lies posterior to the upper mucous membrane

Acquired Facial Markings

those markings the developed throughout lit as a result of repetitious use of certain muscles

Nasal Orbital Fossa

triangular concave depression superior to the medial portion of the superior palpebrae

Cords of the Neck

vertical prominences of the neck; may be long or short. Acquired facial marking

Swollen Orbital Pouch (bags under the eyes)

warm water compress, gravity, electric spatula, aspiration with hypodermic needle. (injecting phenol to dehydrate tissue)