Microdrop Botox Technique for Dynamic Wrinkles in the Upper Face

Li, Si L; Wang, Yong Q; Song, Tao; Hu, Jin T

doi:10.1007/s00266-022-02789-8

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Intradermal injection can also reduce the sebaceous and sweat gland secretions, shrink pores, relax the surface fibers of facial muscles more effectively, and reduce fine wrinkles as well. 13 , 14 To improve the wrinkle removal effect of botulinum toxin, we adopted multi-point and microdrop injection combined with partial point intradermal injection 12 ; this technique increases the pain and discomfort during the treatment process, which urged us to improve the facial nerve block technique (Fig. 5 ).…”

Section: Discussionmentioning

confidence: 99%

“…This prospective randomized controlled study included 100 patients (men: 13, women: 87) who received microdrop Botox technique of the middle and upper face 12 at our hospital from May 2021 to December 2022. Exclusion criteria were hypersensitivity to local anesthetics or Botox, infection, or inflammation in the injection area, history of facial surgery in the past 6 months, scar constitution, pregnancy or lactation, and noncompliance with treatment.…”

Section: Methodsmentioning

confidence: 99%

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Three-point Method Nerve Block for Relieving Pain of Microbotox Injection in Middle and Upper Face

Liu,

Su,

Chai

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: With the popularity of microbotox, pain caused by multiple microdroplets and subcutaneous injection of botulinum toxin is increasing. This study presents a new, refined, three-point nerve block technique that provides effective pain relief during minimally invasive injection therapy targeting the middle and upper face. Methods: Fifty volunteers underwent facial ultrasonography to measure the locations of the supraorbital and infraorbital foramen. Following microdrop Botox injection of the middle and upper face, 100 patients underwent a self-controlled study to analyze whether a three-point nerve block surpasses topical anesthesia for reducing injection pain. The visual analog scale pain score, the time of the three-point method and botulinum toxin injection, and side effects were recorded. Results: Among the volunteers, the location of the supraorbital and infraorbital foramen showed no statistical difference between the left and right sides. For the 100 patients (13 men, 87 women) who underwent the three-point nerve block, the visual analog scale pain scores on the experimental side were significantly lower than those on the control side, except in the frontotemporal region (2.46 ± 0.50, 2.42 ± 0.47, P > 0.05). The duration of the unilateral three-point nerve block was 74.8 ± 5.64 seconds. The total injection time was 189.86 ± 26.79 seconds (range 148–286 s). Conclusions: The three-point method exerted prominent analgesic effects during middle and upper facial treatments, with benefits including a precise block region, high satisfaction, and simple operation technique. Therefore, clinicians can easily master and apply this method.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Three-point Method Nerve Block for Relieving Pain of Microbotox Injection in Middle and Upper Face

Liu,

Su,

Chai

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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“…Botulinum toxin type A is widely used to treat wrinkles in the forehead and glabellar area due to its natural-looking results with few side effects 1–3 . However, the injection process can cause discomfort due to multiple intradermal injections 2,3 .…”

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confidence: 99%

Nerve Block Guided by Anatomic Landmarks Only Reduces Pain in Botulinum Toxin Type A Treatment for Glabellar and Forehead Wrinkles

Chen,

Zhou,

et al. 2024

Ann Plast Surg

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Background Botulinum toxin type A is widely used to treat glabellar and forehead wrinkles, but the pain caused by multiple injections often deters patients from receiving long-term treatment. Despite several methods used to alleviate this pain, consistency and effectiveness remain a challenge. Therefore, this study aimed to evaluate the effectiveness and safety of nerve block guided by anatomic landmarks only in reducing pain associated with botulinum toxin type A injections. Patients and Methods Between 2018 and 2022, the study enrolled 90 patients divided into 3 groups: the nerve block group (n = 30), the lidocaine cream group (n = 30), and the control group (n = 30). In the nerve block group, a landmarks-based technique was used to perform the nerve block. The study collected general information and comorbidities, and recorded pain at each point and time spent on preparation and treatment for each patient's forehead and glabellar area on each side. Patient-reported outcomes and complications were followed up at 2, 4, and 12 weeks after the injections. Results The nerve block group had significantly lower total pain scores in all regions compared to the lidocaine cream and control groups (P < 0.01). There were no significant differences in patient-reported outcomes between the groups at any follow-up point. Additionally, the complication rates related to injection were low and comparable among the 3 groups. Conclusions Nerve block guided by anatomic landmarks only is a safe, effective, and consistent approach to reduce pain during botulinum toxin type A treatment for glabellar and forehead lines. This technique may offer advantages over other methods used to alleviate the pain associated with these injections.

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Comparison of dual‐plane micro‐drop injection of botulinum toxin type A with two traditional methods for treating hypertrophic scars in the tension zone: A long‐term clinical application study

Jiang,

Zhang,

Yang

et al. 2024

J of Cosmetic Dermatology

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BackgroundPatients with hypertrophic scarring tend to experience recurrence after treatment, which often occurs in areas of the body with high skin tension.AimsTo evaluate better treatments aimed at reducing the risk of scar recurrence in areas of high skin tension.MethodsPatients were randomly divided into the following three treatment groups: botulinum toxin type A (BTA) via dual‐plane micro‐drop injections, triamcinolone acetonide (TAC) suspension, and CO2 via fractional CO2 laser. Interventions were implemented in all three groups once a month for three consecutive sessions. After the final treatment, scarring was evaluated at 1, 3, 6, 12, and 24 months using the Patient and Observer Scar Assessment Scale (POSAS).ResultsThe 3‐month POSAS score for each scar indicator in the treatment groups was significantly lower than that in the preoperative groups (p < 0.001). The scar score in the TAC group decreased at 3 months and increased thereafter. For other groups, the scar score continually decreased at all time points according to the Patient Scar Assessment Scale. Based on the Observer Scar Assessment Scale, the scar score continuously decreased at all time points in the BTA group; in the TAC group, it decreased at 1 month and increased thereafter; and in the CO2 group, the scar score decreased at 3 months and subsequently stabilized.ConclusionsAll three treatment methods were effective. However, the BTA group experienced a reduced risk of scar recurrence and maintained long‐term treatment effects.

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Microdrop Botox Technique for Dynamic Wrinkles in the Upper Face

Cited by 3 publications

References 4 publications

Three-point Method Nerve Block for Relieving Pain of Microbotox Injection in Middle and Upper Face

Three-point Method Nerve Block for Relieving Pain of Microbotox Injection in Middle and Upper Face

Nerve Block Guided by Anatomic Landmarks Only Reduces Pain in Botulinum Toxin Type A Treatment for Glabellar and Forehead Wrinkles

Comparison of dual‐plane micro‐drop injection of botulinum toxin type A with two traditional methods for treating hypertrophic scars in the tension zone: A long‐term clinical application study

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