BTX-A Rejuvenation: Regional Botulinum Toxin-A Injection of the Platysma in Patients with Facial Sagging.

Abstract:

OBJECTIVE:To establish botulinum toxin-A (BTX-A) rejuvenation as an innovative technique to treat facial sagging with descent of the mid and lower face in Asian females. METHODS:Between March 2016 and March 2017, 512 female patients with facial sagging were treated with regional platysma BTX-A injection. Droplet injection into the dermis was performed. Among the patients, 192 were recruited into our retrospective study. Eligible patients were divided into a pre-senile group (28-39 years old) and a senile group (> 40 years old). We analyzed the patient/physician-graded improvement, the mean scores of the 5-point improvement scale, and any reported complications. RESULTS:The overall degree of both patient- and physician-graded mid-face aesthetic improvement was very high. Improvement ratings reached 97.92% for patients and 94.79% for physicians. Improvement ratings were significantly greater in the pre-senile group compared to the senile group (p < 0.001), suggesting that the pre-senile patients were more satisfied with their improvement. Moreover, the percent of patients who reported as "much improved" was significantly higher than the percent of physicians (p < 0.05), suggesting that patients felt more positively about their aesthetic results than the physicians. No severe side effects were reported. CONCLUSIONS:Our results demonstrated that regional BTX-A injection in the dermis for the purpose of aesthetical platysma rejuvenation is safe and effective in patients with facial sagging with descent of the mid and lower face. Specifically, regional platysma injections of BTX-A (BTX-A rejuvenation) can correct descent of the mid and lower face in Asian females, demonstrating clinical utility of this treatment strategy. LEVEL OF EVIDENCE V:This 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 the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

journal_name

Aesthetic Plast Surg

authors

Zhou R,Fei Y,Sun L,Guo J,Zhou X,Zhang X

doi

10.1007/s00266-019-01396-4

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

1044-1053

issue

4

eissn

0364-216X

issn

1432-5241

pii

10.1007/s00266-019-01396-4

journal_volume

43

pub_type

杂志文章
  • Dissection of the medial crura as a standard procedure in rhinoplasty: case studies.

    abstract::In the systematic approach to rhinoplasty, the author routinely uses an intercartilaginous columellar incision for dissection and reconstruction of the nasal tip, especially to facilitate separation of the tip cartilages from other tissues in the lower third of the nose. This technique has been used by the author for ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF01575511

    authors: Mir y Mir L

    更新日期:1987-01-01 00:00:00

  • Surgical correction of forehead wrinkles, glabellar frown, and ptosis of the eyebrows.

    abstract::Lasting elimination of forehead wrinkles and glabellar frown may be achieved by a partial resectioning of the muscles of the forehead. In those cases in which the eyebrows are also lifted, we use a line of incision which is similar to the blepharoplasty of the upper lids used by Morel-Fatio. We carry out the resection...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF01577978

    authors: Schrudde J,Petrovici VE

    更新日期:1978-12-01 00:00:00

  • An anatomical and analytical study of the modiolus: enlightening its relevance to plastic surgery.

    abstract:BACKGROUND:This study was designed to evaluate the structures, muscles, and fasciae of which the modiolus is composed. It can aid in the understanding and, therefore, the utilization of plastic surgery for the aesthetic or reconstructive treatment of that region, especially the angle of the mouth. METHODS:Dissections ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-008-9187-x

    authors: Al-Hoqail RA,Abdel Meguid EM

    更新日期:2009-03-01 00:00:00

  • Evaluation of the Sensitivity of the Nipple-Areola Complex in Patients Undergoing Breast Ptosis Correction with Periareolar Dermis Release: A Randomized Controlled Trial.

    abstract:BACKGROUND:In the surgical treatment of breast ptosis, the plastic surgeon's main challenge is to mobilize the nipple-areola complex (NAC) over long distances, preserving its sensitivity. Herein, we aimed to evaluate the NAC sensitivity following a periareolar dermis release in patients undergoing surgical correction o...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00266-020-01835-7

    authors: Sá JZ,Santa Cruz Oliveira F,Santinoni WF,Freire A,de Oliveira Rodrigues AE,de Andrade Aguiar JL

    更新日期:2020-10-01 00:00:00

  • Gastroesophageal reflux following male abdominoplasty.

    abstract::: Complications of female abdominoplasty are well known. Males prone to centripetal obesity may have minimal subcutaneous fat and significant hypogastric skin laxity making them apparent good candidates for abdominoplasty. We describe a case of severe gastroesophageal reflux following male abdominoplasty presumably se...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF00449256

    authors: Gilliland MD,Sorbera T

    更新日期:1996-11-01 00:00:00

  • Comparison of power water--assisted and traditional liposuction: a prospective randomized trial of postoperative pain.

    abstract:BACKGROUND:Postoperative pain has always been underestimated by the majority of plastic surgeons. A prospective randomized trial compared power water-assisted liposuction with the traditional tumescent technique. METHODS:All patients with a body mass index (BMI) of 25 to 30 and excessive localized pathologic fat were ...

    journal_title:Aesthetic plastic surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00266-006-0186-5

    authors: Araco A,Gravante G,Araco F,Delogu D,Cervelli V

    更新日期:2007-05-01 00:00:00

  • Intraoral one-stage curved osteotomy for the prominent mandibular angle: a clinical study of 407 cases.

    abstract:BACKGROUND:Many Oriental people have a square face with a prominent mandibular angle. This article presents a good osteotomy method for the prominent mandibular angle (PMA). METHODS:Two modifications of the conventional procedures have been made. The first is a one-stage curved osteotomy for the mandibular angle. The ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-004-0149-7

    authors: Gui L,Yu D,Zhang Z,Changsheng LV,Tang X,Zheng Z

    更新日期:2005-11-01 00:00:00

  • The Collagenase of the Bacterium Clostridium histolyticum in the Treatment of Irradiation-Induced Capsular Contracture.

    abstract:BACKGROUND:Irradiation therapy is an important pillar in the treatment of breast cancer. However, it can trigger capsular fibrosis, the most significant complication of implant-based breast reconstruction. As collagen is the main component of fibrotic capsules, the collagenase of the bacterium Clostridium histolyticum ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-018-1267-y

    authors: Diehm YF,Hirche C,Berger MR,Heil J,Golatta M,Kotsougiani D,Pomahac B,Kneser U,Fischer S

    更新日期:2019-06-01 00:00:00

  • Skin-muscle flap lower lid blepharoplasty: an easier dissection.

    abstract::Most descriptions of the skin-muscle flap lower lid blepharoplasty, the so-called McIndoe technique, indicate dissection of the flap in a cephalad-to-caudad direction from near the ciliary margin toward the bony orbital rim. However, this report describes a technical variation in which counter-traction and lateral-to-...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF01570650

    authors: Aston SJ

    更新日期:1982-01-01 00:00:00

  • The true incidence of near-term postoperative complications in prosthetic breast reconstruction utilizing human acellular dermal matrices: a meta-analysis.

    abstract:BACKGROUND:The use of human acellular dermal matrix (HADM) materials in prosthetic-based breast reconstruction has gained popularity in recent years. Questions remain, however, regarding the nature and incidence of postoperative complications associated with this technique. The results reported in the available literat...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00266-010-9631-6

    authors: Newman MI,Swartz KA,Samson MC,Mahoney CB,Diab K

    更新日期:2011-02-01 00:00:00

  • Cephalometric analysis and postoperative results in aesthetic rhinoplasty.

    abstract::The current tendency to perform corrective rhinoplasty with the help of computerized images or cephalometric evaluations is justified by the need to adapt the amount of correction to all of the cephalometric relationships and draw on indications on the exact quantity of tissue to add or remove. We propose a very simpl...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s002669900088

    authors: Fruscella P

    更新日期:1997-03-01 00:00:00

  • Mastopexy after massive weight loss: extended chest wall-based flap associated with a loop of pectoralis muscle.

    abstract::Mammaplasty for patients who have experienced massive weight loss involves some concepts that differ from those that apply to mammaplasty for normal patients. Breast anatomic characteristics make this procedure a very challenging situation. The authors present their experience with a new mammaplasty technique using an...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-007-9062-1

    authors: Graf RM,Mansur AE,Tenius FP,Ono MC,Romano GG,Cruz GA

    更新日期:2008-03-01 00:00:00

  • The "PIP problem": clinical and histologic characteristics.

    abstract::Implants from Poly Implant Prothése (PIP), the French manufacturer, showed increased risk of implant rupture and silicone leakage through the shell. Concerns also exist about the potential irritant behavior of silicone gel filler in these implants. This report presents the clinical, histologic, and microbiologic chara...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-013-0196-z

    authors: Correia-Sá I,Rodrigues-Pereira P,Marques M

    更新日期:2013-10-01 00:00:00

  • A Randomized Controlled Trial Comparing Endoscopic-Assisted Versus Open Neck Tissue Expander Placement in Reconstruction of Post-Burn Facial Scar Deformities.

    abstract:BACKGROUND:Tissue expansion has evolved reconstruction surgery by providing a great source of additional tissue for large skin defects. Nevertheless, wide application of tissue expander reconstruction is challenging due to high complication rates and uncertainty about final outcomes. Recently, endoscopy has shown promi...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00266-016-0644-7

    authors: As'adi K,Emami SA,Salehi SH,Shoar S

    更新日期:2016-08-01 00:00:00

  • Parotitis after epidural anesthesia in plastic surgery: report of three cases.

    abstract:BACKGROUND:Acute swelling of the parotid glands after general anesthesia has become known as anesthesia mumps. Its cause is unknown. Only one case of postsurgical parotitis without general anesthesia is reported. This report describes three cases in this setting after plastic surgery. CASE 1:A 37-year-old women underw...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-013-0112-6

    authors: Rosique MJ,Rosique RG,Costa IR,Lara BR,Figueiredo JL,Ribeiro DG

    更新日期:2013-08-01 00:00:00

  • Perinipple round-block technique for correction of tuberous/tubular breast deformity.

    abstract::A one-stage surgical correction of tuberous and tubular breast deformities is described. An intraareolar donut of pigmented skin is deepithelialized to correct the associated mega areola, allowing, at the same time, a port of entry for insertion of a retroglandular breast implant. The exposed areolar dermis is then te...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s002669900204

    authors: Atiyeh BS,Hashim HA,El-Douaihy Y,Kayle DI

    更新日期:1998-07-01 00:00:00

  • The Modification of Five-Flap Z-Plasty for Web Contracture.

    abstract:BACKGROUND:Web contractures are fairly commonly encountered in those who have suffered from burn injury or other trauma. Numerous local flaps have been adopted previously. The five-flap Z-plasty is one that has been used frequently. To release the scar as much as possible, based on the traditional design, we developed ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-015-0548-y

    authors: Chen B,Song H

    更新日期:2015-12-01 00:00:00

  • Self-mutilation by a patient with borderline personality disorder.

    abstract:UNLABELLED:We present an unusual insatiable aesthetic/plastic surgery patient with borderline personality disorder (BPD) who removed her upper eyelids by herself after we rejected her request for revision blepharoplasty. This impulsive self-injury was attributed to anxiety from what the patient considered to be abandon...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-014-0332-4

    authors: Morioka D,Ohkubo F,Amikura Y

    更新日期:2014-08-01 00:00:00

  • Dermabrasion for rhytids in the lateral canthal region.

    abstract::Dermabrasion of the periorbital region has been traditionally contraindicated due to the fear of complications. A method for safe dermabrasion of the lateral canthal region is described. Lateral canthal dermabrasion has the demonstrated advantages of being economical and relatively free of pigmentary problems. The res...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-006-0189-2

    authors: Gruber R,Miranda E,Antony A

    更新日期:2007-11-01 00:00:00

  • Suction lipectomy: an excellent adjutant to improve the results of breast reconstruction with RAM flaps.

    abstract::It has been said about breast reconstruction with implants that a patient should not expect more than a mound that will fill out her brassiere or bathing suit. Autogenous tissue breast reconstruction has changed this. One of the great advantages of autogenous reconstruction over implants is that the breast remains sof...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF01578361

    authors: Drever JM

    更新日期:1990-10-01 00:00:00

  • Nasal reconstruction after epithelioma.

    abstract::In this paper we present our procedure for the treatment, histopathological diagnosis, and resection of skin cancer in the nasal pyramid and its subsequent reconstruction. Because we are dealing with the most important anatomical feature of the face our goal is an aesthetic reconstruction [2,4] according to the anatom...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s002660010135

    authors: Rodríguez-Camps S

    更新日期:2001-07-01 00:00:00

  • Outcomes and Safety of the Combined Abdominoplasty-Hysterectomy: A Preliminary Study.

    abstract:BACKGROUND:Abdominoplasty (ABP) at the time of hysterectomy (HYS) has been described in the literature since 1986 and is being increasingly requested by patients. However, outcomes of the combined procedure have not been thoroughly explored. METHODS:The authors reviewed the American College of Surgeons National Surgic...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-015-0531-7

    authors: Massenburg BB,Sanati-Mehrizy P,Ingargiola MJ,Rosa JH,Taub PJ

    更新日期:2015-10-01 00:00:00

  • Rationale of subdermal superficial liposuction related to the anatomy of subcutaneous fat and the superficial fascial system.

    abstract::The liposuction technique has changed greatly over the years. In 1989, the authors presented subdermal superficial liposuction which treats the superficial fat layer and yields better skin retraction. With this technique the surgeon can treat thin adipose layers to obtain better results in more cases than the traditio...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF00209305

    authors: Gasperoni C,Salgarello M

    更新日期:1995-01-01 00:00:00

  • Melasma treated with intense pulsed light.

    abstract:BACKGROUND:Hypermelanosis includes a diverse group of genetic and acquired skin anomalies that appear as darker, hyperpigmented areas. Melasma, in particular, is a hypermelanotic condition that affects sun-exposed skin in females. Whether this condition is acquired or genetic is still controversial. However, it clearly...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-010-9485-y

    authors: Zoccali G,Piccolo D,Allegra P,Giuliani M

    更新日期:2010-08-01 00:00:00

  • The Effect of Respiration on Breast Measurement Using Three-dimensional Breast Imaging.

    abstract:BACKGROUND:Three-dimensional (3D) imaging offers new opportunities to enable objective and quantitative analysis of the breast. Unlike scanning of rigid objects, respiration may be one of the factors that can influence the measurement of breast when using 3D imaging. In this study, we aimed to investigate how the diffe...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-018-1231-x

    authors: Wang C,Liu C,Giatsidis G,Cheng H,Chen L,Kang D,Panayi AC,Luan J

    更新日期:2019-02-01 00:00:00

  • G-Spotplasty: A New Surgical Plastic Intervention-The Preliminary Study.

    abstract:BACKGROUND:Ostrzenski's G-pot anatomical structure discovery has been verified by the anatomy, histology, MRI in vivo, and electrovaginography in vivo studies. The objectives of this scientific-clinical investigation were to develop a new surgical reconstructive intervention (G-spotplasty); to determine the ability of ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-018-1137-7

    authors: Ostrzenski A

    更新日期:2018-08-01 00:00:00

  • Doppler ultrasound evaluation of facial transverse and infraorbital arteries: influence of smoking and aging process.

    abstract:BACKGROUND:Plastic surgeons are always concerned about integrity of facial vascularization in smokers and elderly candidates for face-lifting. Using Doppler ultrasound, this study aimed to evaluate influence of chronic smoking and aging on facial transverse and infraorbital artery blood flow. METHODS:For this study, 4...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-006-0171-z

    authors: Jacobovicz J,Tolazzi AR,Timi JR

    更新日期:2007-09-01 00:00:00

  • Salvaging the exposed mammary prosthesis.

    abstract::The authors present a new approach to handling the problem of extrusion of mammary implants. The prosthesis is removed and reintroduced in the same operation. Five cases are discussed. ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF00454318

    authors: Planas J,Carbonell A,Planas J

    更新日期:1995-11-01 00:00:00

  • Nipple Dimensions After Augmentation Mammoplasty, Mastopexy and Reduction Mammoplasty: A Comparative Clinical Study.

    abstract:BACKGROUND:Nipple hypertrophy is a rare aesthetic problem. Ideal nipple dimensions are 6-8 mm, while nipples larger than 10 mm are considered hypertrophic. PATIENTS AND METHODS:A total of 24 female patients, aged between 22 and 53 years, with a nipple diameter or height greater than 10 mm, underwent augmentation mammo...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-020-01861-5

    authors: Ors S

    更新日期:2020-12-01 00:00:00

  • Delayed breast reconstruction with latissimus dorsi flap.

    abstract:BACKGROUND:The ideal method of breast reconstruction should be safe, reliable, and have minimal or no donor-site morbidity. We present our experience with the latissimus dorsi musculocutaneous flap for delayed breast reconstruction with immediate permanent implant insertion. METHODS:The latissimus dorsi musculocutaneo...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-009-9338-8

    authors: Agaoglu G,Erol OO

    更新日期:2009-05-01 00:00:00