Restorative Art CH-10H Hypodermic Tissue Building

Eyes

*Between the lid at the inner canthus or medial corner.* Direct the needles along the bony part of the cavity until it reaches the fatty pad beneath the eyeball.

Chin

-Behind earlobe -Lower center of the chin If using lower center of the chin use a small needle because it is a visible point

Cheeks

-Behind the wing of the nose -Corners of the mouth -Outside the ear behind the lobe -Inside the ear behind the tragus -Angle of the jaw -Need attention is nasolabial fold (use flat instrument; bottom of aneurysm hook) to apply pressure at the point where the fold and the nasolabial sulcus meet

Back of hand

-Between the closest knuckles -Wrists

Sides

-Between the thumb and index finger -baby finger at knuckle

Nose

-Bridge of the nose -Inside nose

Hands

-Fingers -Back of hand -Sides

Forehead

-In the eyebrow -The hair

Neck

-Inside the ear -Angle of the jaw Often overlooked for tissue building. May be necessary to use both points

Lips

-Lateral corners of the mouth -Behind the medial lobe (be careful not to over inject. This is the most noticeable feature of the face for determining natural appearance. Add a little at a time) Generally more effective to inject each side separately. *The lateral corner behind the weather line*

Ear

-Lobe -Behind the top of the helix

Temples

-Outer edge of the eyebrow -Hairline above the temple -Behind the top of the ear -Sideburn (when present) -Large enough to require radiating the needle into different points of the sunken area

Humectant

Chemical that increases the ability of embalmed tissue to retained moisture

Acessory chemical

Chemicals used in addition to vascular (arterial) and cavity fluid

Supraorbital area

Eyebrows Be sure to observe the puffy area below the eye for any tissue building liquid that may leak (causes swelling). Digital pressure will reduce swelling

Formaldehyde

HCHO; colorless, strong smelling gas that is a powerful preservative when used in solution

Hypodermis tissue building

Injection of a special tissue building liquid into the tissues through the use of a syringe and needle to restore natural contour

Syringe

Instrument used to inject or aspirate fluids

Contour

Outline or surface form

Dehydration

Partial loss of moisture content

Arterial fluids

Preservative embalming chemical injected into the arterial system during vascular embalming

What option is hypodermic tissue building considered?

Second option. First option being arterial injection to build up dehydrated tissues

Tissue builder

Substance used to elevate sunken (emaciated) tissue to normal level by hypodermic injection

Gelatinous

Texture of jelly

General tissue building

-Select injection point -Insert needle; some embalmers recommend inserting and injecting deep first to make a foundation of tissue filler, then inject close to the surface. Other embalmers prefer one injection closer to the surface -Insert the needle to the end of the area to be tissue built. Start injecting as the needle is slow withdrawn -For large areas, radiate the needle in different directions, while using the same point of entry -Slowly inject until the surface is elevated slight more than the surrounding skin -Smooth the area with digital pressure until it returns its normal contour

Fingers

-Sides of fingers -Between knuckles

Equipment and materials for hypodermic tissue building

-Syringe -Needles -Tissue building liquid (form a gelatinous substance when in contact with moisture) -Solvent (Cleans the needle) There are two types of tissue building liquid: with formaldehyde and without formaldehyde *with formaldehyde* with building and firm

Most common areas that require tissue building

-Temples -Eyes -Cheeks -Lips -Hands -Supraobital area -Mouth -Neck -Forehead -Chin

Points of entry

-There are recommended points (mostly hidden) -Some embalmers use small needles -Some embalmers use rapid solidification tissue builder (to prevent leakage) -Small drops of glue can be used as sealer

Causes for tissue building

-loss of moisture content or adipose tissue. -Dehydration usually occurs due to illness and old age Postmortem: refrigeration or a hot, dry environment

Solvent

A substance capable of dissolving something

Point of entry

A place at which acess inner positions may be had; a place at which a hypodermic needle may be inserted

When is hypodermic tissue building administered?

After embalming

Hypodermic

Applied or administered under the skin