S1 guideline aesthetic botulinum toxin therapy

Imhof, Matthias; Sommer, Boris

doi:10.1111/ddg.12195

Cited by 7 publications

(5 citation statements)

References 103 publications

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“…Several expert consensus statements have also been published from various parts of the world including Europe, Pan-Asia, and the Americas [ 28 , 33 , 34 , 35 , 38 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ]. The results are shown in Table 1 , Table 2 and Table 3 and in the supplementary table (Table S1) .…”

Section: Discussionmentioning

confidence: 99%

Cosmetic Treatment Using Botulinum Toxin in the Oral and Maxillofacial Area: A Narrative Review of Esthetic Techniques

Hong

2023

Toxins

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Botulinum toxin (BoNT) is an anaerobic rod-shaped-neurotoxin produced by Clostridium botulinum, that has both therapeutic and lethal applications. BoNT injection is the most popular cosmetic procedure worldwide with various applications. Patients with dynamic wrinkles in areas such as the glabella, forehead, peri-orbital lines, nasal rhytides, and perioral rhytides are indicated. Excessive contraction of muscles or hyperactivity of specific muscles such as bulky masseters, cobble stone chins, gummy smiles, asymmetric smiles, and depressed mouth corners can achieve esthetic results by targeting the precise muscles. Patients with hypertrophic submandibular glands and parotid glands can also benefit esthetically. There are several FDA-approved BoNTs (obabotuli-numtoxinA, abobotulinumtoxinA, incobotulinumtoxinA, letibotulinumtoxinA, prabotulinumtox-inA, daxibotulinumtoxinA, rimbotulinumtoxinB) and novel BoNTs on the market. This paper is a narrative review of the consensus statements of expert practitioners and various literature on the injection points and techniques, highlighting both the Asian and Caucasian population separately. This paper can serve as a practical illustrative guide and reference for optimal, safe injection areas and effective doses for application of BoNT in the face and oral and maxillofacial area. The history of BoNT indications, contraindications, and complications, and the merits of ultrasonography (US)-assisted injections are also discussed.

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Section: Discussionmentioning

confidence: 99%

Cosmetic Treatment Using Botulinum Toxin in the Oral and Maxillofacial Area: A Narrative Review of Esthetic Techniques

Hong

2023

Toxins

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“…In the last twenty years, BTA treatment for facial wrinkles has been the most popular cosmetic procedure. Till now, the technique of application for this drug was quite standardized …”

Section: Discussionmentioning

confidence: 99%

“…Because of this low complication rate and relatively fast results, many treatments have been describe as “easy”; however, as with any procedure, also complications there are . While formerly the aim was simply a reduction in wrinkles, now has come as aesthetic goal the harmonization of appearance and the correction of signs of aging by preserving a increasingly natural, fresh, and lively appearance . The appearance of the face impacts self‐perception, self‐esteem and thus in the end effect, the quality of social contacts and interpersonal communication …”

Section: Discussionmentioning

confidence: 99%

“…In 2002, TBA was approved by the United States Food and Drug Administration, for the treatment of glabellar rhytids. To date, many papers reported its uses on other facial sites such as the forehead, the periocular area, and other facial regions, documenting excellent results …”

Section: Introductionmentioning

confidence: 99%

“…Till now, the practice suggests a standard technique for the use of BTA, limiting the injection to specific intramuscular sites for each treated muscle …”

Section: Introductionmentioning

confidence: 99%

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Multipoint and multilevel injection technique of botulinum toxin A in facial aesthetics

Iozzo

Tengattini

Antonucci

2014

J of Cosmetic Dermatology

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Botulinum toxin represents one of the most frequently requested cosmetic procedures. We treated 223 patients with facial wrinkles using a new technique of injection of botulinum toxin A (BTA) called multipoint and multilevel injection technique (MMIT). The aim of MMIT was to relax the muscle and not paralyze it. Patient satisfaction was evaluated by Facial Line Treatment Satisfaction Questionnaire (FTSQ). Treatment with botulinum toxin determined a good response in all patients. Facial rhytids were completely resolved in case of young skin and well reduced in case of aged skin, leaving a natural aspect both in static and dynamic wrinkles. Patient mean overall satisfaction evaluated with FTSQ was 6.4 ± 1.1. In our experience, the use of botulin toxin by MMIT consents a better calibration of action with a soft and natural result. This can be achieved by distributing the BTA dose through various injection points for each area ("multipoint injections"). Furthermore, injections can be performed at different levels ("multilevel injections"). The level of injections regulates the potency of effect on the muscle: if the level is deep (intramuscular), the effect will be strong while if it is medium or superficial (subcutaneous and intradermal), the effect will be soft. This consents a fine calibration of action on muscle activity with a personal aesthetic result.

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Der Wirkstoff Botulinumtoxin

Gerber¹,

Hilton²

2020

Botulinumtoxin in Der Ästhetischen Dermatologie

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S1 guideline aesthetic botulinum toxin therapy

Cited by 7 publications

References 103 publications

Cosmetic Treatment Using Botulinum Toxin in the Oral and Maxillofacial Area: A Narrative Review of Esthetic Techniques

Cosmetic Treatment Using Botulinum Toxin in the Oral and Maxillofacial Area: A Narrative Review of Esthetic Techniques

Multipoint and multilevel injection technique of botulinum toxin A in facial aesthetics

Der Wirkstoff Botulinumtoxin

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