Phosphatidylcholine/deoxycholate lipolysis and hyaluronic acid augmentation to enhance nonsurgical lower facial contouring using botulinum toxin type A

Wong, Garsing Roger; Chen, Wen-Pei

doi:10.1111/j.1473-2165.2011.00549.x

Cited by 10 publications

(8 citation statements)

References 6 publications

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“…A PubMed review of the English-language medical literature conducted with the search terms “hyaluronic acid filler,” “botulinum,” “face,” “facial,” “Asia,” “Asian,” “Korea,” “Korean,” “China,” “Chinese,” “Thailand,” “Singapore,” “Indonesia,” “Japan,” and “Philippines” was completed before the meeting. Due to the paucity of prospective, randomized, comparative, controlled studies of botulinum toxin and HA fillers in Asian patients (with only one English-language paper on their combination use in Asians [ 25 ] being found), no formal process of evaluating the published clinical evidence could be conducted. The process used to develop the consensus statements presented here has been described [ 12 ].…”

Section: Methods Of Consensus Developmentmentioning

confidence: 99%

“…Combined treatment results in synergistic improvement compared to individual use of these agents and is used as “age-prevention” treatment in younger patients [ 20 ]. Although numerous papers describing these techniques in Western populations have been published [ 20 – 24 ], only one English-language paper that describes combination injectable treatment in Asians could be found in PubMed [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

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Consensus on Current Injectable Treatment Strategies in the Asian Face

Wu¹,

Liew²,

Chan

et al. 2016

Aesth Plast Surg

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BackgroundThe desire for and use of nonsurgical injectable esthetic facial treatments are increasing in Asia. The structural and anatomical features specific to the Asian face, and differences from Western populations in facial aging, necessitate unique esthetic treatment strategies, but published recommendations and clinical evidence for injectable treatments in Asians are scarce.MethodThe Asian Facial Aesthetics Expert Consensus Group met to discuss current practices and consensus opinions on the cosmetic use of botulinum toxin and hyaluronic acid (HA) fillers, alone and in combination, for facial applications in Southeastern and Eastern Asians. Consensus opinions and statements on treatment aims and current practice were developed following discussions regarding pre-meeting and meeting survey outcomes, peer-reviewed literature, and the experts’ clinical experience.ResultsThe indications and patterns of use of injectable treatments vary among patients of different ages, and among Asian countries. The combination use of botulinum toxin and fillers increases as patients age. Treatment aims in Asians and current practice regarding the use of botulinum toxin and HA fillers in the upper, middle, and lower face of patients aged 18 to >55 years are presented.ConclusionsIn younger Asian patients, addressing proportion and structural features and deficiencies are important to achieve desired esthetic outcomes. In older patients, maintaining facial structure and volume and addressing lines and folds are essential to reduce the appearance of aging. This paper provides guidance on treatment strategies to address the complex esthetic requirements in Asian patients of all ages.Level of Evidence VThis journal requires that the authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Section: Methods Of Consensus Developmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Consensus on Current Injectable Treatment Strategies in the Asian Face

Wu¹,

Liew²,

Chan

et al. 2016

Aesth Plast Surg

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“…Existing published recommendations cannot be applied directly to Asians. Furthermore, relatively few published papers cited in PubMed describe the use of botulinum toxin and HA fillers in Asians, and only one paper describes their combined use in the Asian face [ 16 ]. Unfortunately, data from clinical trials are often not relevant to real-world practice because typically only one standardized treatment intervention is studied in one facial area; however, esthetic treatment is usually multimodal and individualized.…”

Section: Introductionmentioning

confidence: 99%

Consensus on Changing Trends, Attitudes, and Concepts of Asian Beauty

Liew¹,

Wu²,

et al. 2015

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Background Asians increasingly seek non-surgical facial esthetic treatments, especially at younger ages. Published recommendations and clinical evidence mostly reference Western populations, but Asians differ from them in terms of attitudes to beauty, structural facial anatomy, and signs and rates of aging. A thorough knowledge of the key esthetic concerns and requirements for the Asian face is required to strategize appropriate facial esthetic treatments with botulinum toxin and hyaluronic acid (HA) fillers.MethodsThe Asian Facial Aesthetics Expert Consensus Group met to develop consensus statements on concepts of facial beauty, key esthetic concerns, facial anatomy, and aging in Southeastern and Eastern Asians, as a prelude to developing consensus opinions on the cosmetic facial use of botulinum toxin and HA fillers in these populations.ResultsBeautiful and esthetically attractive people of all races share similarities in appearance while retaining distinct ethnic features. Asians between the third and sixth decades age well compared with age-matched Caucasians. Younger Asians’ increasing requests for injectable treatments to improve facial shape and three-dimensionality often reflect a desire to correct underlying facial structural deficiencies or weaknesses that detract from ideals of facial beauty.ConclusionsFacial esthetic treatments in Asians are not aimed at Westernization, but rather the optimization of intrinsic Asian ethnic features, or correction of specific underlying structural features that are perceived as deficiencies. Thus, overall facial attractiveness is enhanced while retaining esthetic characteristics of Asian ethnicity. Because Asian patients age differently than Western patients, different management and treatment planning strategies are utilized.Level of Evidence VThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266.

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“…However, retreatment may be needed to maintain the desired aesthetic correction because HA degrades over time. The efficacy and safety of HA have been established for facial aesthetic indications, 16–23 but information on nasal treatments is limited; clinical experience 7,9–12,14,15 and data from 2 small studies 8,13 and 1 retrospective case series 24 have been described. Here, the author presents his clinical experience of nasal treatments with HA during 15 years, with case descriptions to illustrate the use of HA as an alternative or complement to primary and secondary rhinoplasty.…”

mentioning

confidence: 99%