Thinning of the lower third of the face using botulinum toxin in the masseter muscle

Bravo, Bruna Souza Félix; Balassiano, Laila Klotz de Almeida; Rocha, Camila Roos Mariano da; Bastos, Julien Totti de; Silva, Priscila Mara Chaves e; Freitas, Bruno Messias Pires de

doi:10.5935/scd1984-8773.201681566

Cited by 3 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[4][5][6] Increasing anatomic knowledge of facial anatomy, resulted in the administration of neuromodulators to treat jawline contouring and midfacial volume loss (depressor anguli oris and platysma) or were utilized to indirectly treat temporal volume loss by targeting the masseter muscle. [7][8][9] The masseter muscle can also be targeted with neuromodulators for lower facial volume reduction and facial slimming; this is predominantly popular in Asian populations. 10,11 However, reduction in lower facial volume can additionally be achieved by targeting the parotid and the submandibular glands with neuromodulators; this is a standard treatment for reducing excess saliva production (sialorrhea).…”

Section: Introductionmentioning

confidence: 99%

Safety considerations for treating the parotid and submandibular glands with neuromodulators for facial slimming

Gelezhe,

Frank,

Casabona

et al. 2023

J of Cosmetic Dermatology

View full text Add to dashboard Cite

BackgroundNeuromodulators have predominantly been used for the treatment of upper facial lines, but their use has expanded to include lower face and neck treatments. However, the injection sites for these treatments are based on skin surface landmarks, which may pose risks to nearby structures and result in undesired outcomes.ObjectiveTo investigate the spatial relationship between the FDA‐approved skin surface landmarks for neuromodulator injections in the parotid and submandibular glands and the topographical anatomy of critical facial structures such as the facial artery, facial vein, external carotid artery, and retromandibular vein.Materials and methodsA cross‐sectional retrospective analysis was conducted on contrast‐enhanced cranial CT scans. The scans were analyzed for the morphology and location of the parotid and submandibular glands. Measurements were taken for gland volume, craniocaudal extent, anterior–posterior extent, and distances between the skin surface and gland capsule or nearby structures such as arteries.ResultsThe study sample consisted of 53 subjects, including 7 males and 46 females, with a mean age of 36.91 years and a mean BMI of 23.28 kg/m2. The mean volume of the parotid gland was 31.9 ± 3.0 cc in males and 28.5 ± 3.6 cc in females with p < 0.001, while the mean volume of the submandibular gland was 18.2 ± 2.0 cc in males and 14.5 ± 3.4 cc in females with p < 0.001. The mean distances between skin surface and the gland capsule were 5.98 ± 2.2 and 8.84 ± 4.0 mm for the parotid and submandibular gland, respectively. This distance increased with higher age and higher BMI values in a statistically significant manner with p < 0.001.ConclusionThe distances between FDA‐approved skin surface landmarks and the parotid and submandibular glands varied significantly depending on gender, age, and BMI. Optimal injection depth and location for neuromodulator treatments cannot be generalized based on these landmarks alone, emphasizing the need for real‐time ultrasound imaging guidance.

show abstract

Section: Introductionmentioning

confidence: 99%

Safety considerations for treating the parotid and submandibular glands with neuromodulators for facial slimming

Gelezhe,

Frank,

Casabona

et al. 2023

J of Cosmetic Dermatology

View full text Add to dashboard Cite

show abstract

“…The application is usually done with needles, requiring multiple punctures and is usually performed at a different time from the application of calcium hydroxylapatite. [7][8][9][10][11][12] Addressing different targets of neck aging by combining techniques simultaneously, such as collagen biostimulation with calcium hydroxylapatite and botulinum toxin for muscle relaxation, would provide advantages to the applicator and the patient. To the applicator, ease of technique and agility.…”

Section: Introductionmentioning

confidence: 99%

RELAX and FIRMNESS: The Combination of Muscle Relaxation with Botulinum Toxin and Collagen Biostimulation with Calcium Hydroxyapatite for the Treatment of the Cervical Region

Faria,

Palo,

Torres

et al. 2023

CCID

View full text Add to dashboard Cite

Introduction There are several therapeutic modalities for neck rejuvenation, especially calcium hydroxylapatite. Botulinum toxin, by relaxing the mm. platysma, also provides improvement in facial contour. Combination treatments for this region are usually recommended as they offer better results. Objective This study evaluated the efficacy and safety of the joint dilution of both products (Relax and Firmness – RF), applied in the same device, based on the treatment in the topography of the platysma muscle, ie, starting from the lower third of the face and extending to the neck. Methods Prospective, blinded, controlled study with 10 participants randomly assigned to RF and 5 in the control group (treated with CaHA only). Results were recorded through the Vectra platform and subjectively evaluated through the GAIS scale by participants and blinded evaluators. Objective analysis was performed using corneometry. Times evaluated: pre-treatment, 30 and 90 days. Considered statistically significant when p<0.1. Results 100% of the RF group reported “excellent improvement” at D30 and 30% at D90. In the control group, 100% reported “very improved” at D30 and 20% rated “excellent improvement” at D90. A higher and earlier satisfaction rate was observed in the RF group. No difference in corneometry was found between the groups at D30. At D90, the control group had a mean increase of 0.24 versus 5.17 in the RF group (p-value=0.089*). When we analyzed the percentage variation from baseline, the control group was stable, while the RF showed a mean increase of 8.89% (p-value=0.062*). Discussion We demonstrated the safety and effectiveness of the association of both products, diluted and applied together through microcannulas. Minimization of punctures, patient comfort, and technique based on the anatomy of the platysma muscle underlie the technique. High rates of early satisfaction due to botulinum toxin (Relaxation) and late satisfaction due to CaHA (Firmness).

show abstract

Botulinum Toxin for Inferior Third of the Face

Echevarria¹,

Durand²

2020

Minimally Invasive Aesthetic Procedures

View full text Add to dashboard Cite

Thinning of the lower third of the face using botulinum toxin in the masseter muscle

Cited by 3 publications

References 0 publications

Safety considerations for treating the parotid and submandibular glands with neuromodulators for facial slimming

Safety considerations for treating the parotid and submandibular glands with neuromodulators for facial slimming

RELAX and FIRMNESS: The Combination of Muscle Relaxation with Botulinum Toxin and Collagen Biostimulation with Calcium Hydroxyapatite for the Treatment of the Cervical Region

Botulinum Toxin for Inferior Third of the Face

Contact Info

Product

Resources

About