New Anatomical Insights for Safe Injectable Treatments: Facial Artery Course and Branching Patterns

Dr Michelle Westcott 

These findings are critical for practitioners administering injectable treatments in these areas. According to the study, the facial artery was found in the vicinity of the nasolabial fold in 93.3% of cases, crossing the fold in 33.9% of cases. This intricate vascular network increases the risk of iatrogenic complications, making it essential for practitioners to be aware of the precise location of the artery during treatments.

For example, the facial artery was located an average of 3.2 mm from the ala of the nose and 13.5 mm from the oral commissure, important metrics that practitioners can use to safely navigate injectable procedures.

Clinical Implications: Reducing Risks in Nasolabial and Nasojugal Injections

Injectable treatments to the nasolabial fold and nasojugal groove often involve the use of dermal fillers, which enhance facial aesthetics by reducing wrinkles and restoring volume. However, due to the proximity of the facial artery, these areas are particularly vulnerable to complications such as arterial occlusion, which can result in tissue necrosis or blindness.

The study emphasizes the need for practitioners to account for the branching patterns of the facial artery when performing these procedures. In 30% of cases, the facial artery exhibited detoured branches that could increase the risk of complications if not carefully considered. These branches can form the angular artery, traveling along the inferior border of the orbicularis oculi and ascending towards the forehead—areas commonly targeted in aesthetic treatments.

Implications for Training at Dr. Michelle Westcott Aesthetic Academy

At our academy, we incorporate these critical anatomical insights into our training programs. Our hands-on courses ensure that students understand the detailed vascular anatomy of the face, allowing them to perform treatments with precision and confidence. By mastering the complex course of the facial artery, delegates can reduce the risk of complications during dermal filler injections.

Our training emphasizes the importance of ultrasound guidance and other advanced techniques to identify the facial artery’s course in real-time, further enhancing the safety of aesthetic procedures.

Supporting Literature and References

The study by Yang et al. builds on a robust body of research exploring the anatomical complexity of the facial artery. Key references that have informed this field of study include:

  • Dupoirieux et al. (1999) explored the facial artery musculomucosal flap for oral reconstruction, providing a foundation for understanding the clinical applications of the artery’s anatomy .

  • Kwak et al. (2008) and Nakajima et al. (2002) highlighted the clinical significance of arterial patterns in the medial pterygoid muscle and upper lip, respectively, both of which have implications for injectable treatments in adjacent areas .

  • Park et al. (2011) and Marmur et al. (2009) focused on the safety and complications of hyaluronic acid fillers, a common injectable material for nasolabial fold correction .

  • Rubin et al. (1989) provided valuable insights into the anatomy of the nasolabial fold, an essential area for aesthetic injections .

Enhancing Patient Safety

The findings from these studies inform our approach to teaching at Dr. Michelle Westcott Aesthetic Academy. We are dedicated to equipping practitioners with the knowledge and skills necessary to perform injectable treatments with the highest level of safety. As the anatomy of the facial artery can vary significantly between patients, understanding these variations is critical to minimizing risks and achieving optimal aesthetic outcomes.

By staying at the forefront of anatomical research, we ensure that our delegates leave our academy with the confidence and expertise to perform injectable treatments safely and effectively, delivering the best results for their patients.

If you're interested in advancing your skills in facial injectables, contact us today to learn more about our courses and how we integrate the latest anatomical insights into our training programs.