11 results
#facial aging #aesthetic medicine #dermal fillers #facial fat pads #wrinkles #skin aging #nasolabial folds #tear trough
facial fat pads #wrinkles ... #skin aging #nasolabial
#facial aging #aesthetic medicine #dermal fillers #facial fat pads #wrinkles #skin aging #nasolabial folds #tear trough
facial fat pads #wrinkles ... #skin aging #nasolabial
Sclerodactyly: Diffuse thickening of the skin on the hands, in this case due to Scleroderma. 
Note
loss of normal wrinkles
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
disease Note the wrinkled
Pustular Skin Rash - Differential Diagnosis Algorithm
Pruritic / Scaly / Erythematous lesions, usually poorly demarcated
Acneiform -
periorbital & nasolabial
CENTRAL FACIAL / NASAL LESIONS
Bacteria:
 • Leprosy (saddle nose deformity)
 • Tuberculosis (lupus vulgaris)l
 • Endemic
Coccidioidomycosis (especially nasolabial
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
rash - spares nasolabial
Corneal Stroma Folds on Slit Lamp Ocular Examination

Patient with corneal folds at the level of the
Stroma #Folds #Wrinkles
Central CN7 Palsy: Stroke has affected this patient's left CN7. Note preservation of forehead movement bilaterally.
There
subtle loss of left nasolabial
Peripheral Left Cranial Nerve 7 (Bell's) Palsy: Picture on left demonstrates inability to raise left 
eyebrow
eyebrow or generate wrinkles