BACKGROUND: The use of botulinum toxin has rapidly expanded into various aesthetic applications. Any guideline representing a consensus for aesthetic treatments using botulinum toxin type A (BTA) in Asians has not been published. OBJECTIVES: To provide consensus recommendations on common aesthetic problems which are treated by neurotoxin in Asians. METHODS: A panel of experienced Korean dermatologists was convened to develop a clinical consensus on common aesthetic problems involving the face, neck, and calves in Asians, based on their own extensive experience. RESULTS: The consensus recommendations address general questions regarding treatment and provide specific guidelines on each common aesthetic indication. The recommended final concentration of BTA was 50 U/mL after reconstitution with physiologic saline. For horizontal forehead lines, the members recommended nine injections in two rows into the frontalis with 1 U/point. For glabellar lines, the members recommended three injection points (a total of 8 U). For crow's feet, the members recommended three injections per side (7 U/side) at the lateral part of the orbicularis oculi. For infraorbital wrinkles, one to two points per side in the superficial subcutaneous space approximately 1 cm below the lash line were recommended (1-2 U/side). For nasal flare, one injection point in the middle of each ala nasi was recommended (a total of 2 U). For depressed nasal tip, a single injection deep within the columella was recommended, with a dose of 3 U. For benign masseter hypertrophy, the members recommended a six-point injection to the masseter (three points per side for a total of 50-60 U). For the treatment of calf hypertrophy, the members recommended a total dose of 100 to 120 U (50-60 U/side), divided between six injection points (approximately 8-10 U/point). CONCLUSION: This guideline provides a framework for physicians who wish to perform safe and efficacious injections of BTA in Asians.
BACKGROUND: The use of botulinum toxin has rapidly expanded into various aesthetic applications. Any guideline representing a consensus for aesthetic treatments using botulinum toxin type A (BTA) in Asians has not been published. OBJECTIVES: To provide consensus recommendations on common aesthetic problems which are treated by neurotoxin in Asians. METHODS: A panel of experienced Korean dermatologists was convened to develop a clinical consensus on common aesthetic problems involving the face, neck, and calves in Asians, based on their own extensive experience. RESULTS: The consensus recommendations address general questions regarding treatment and provide specific guidelines on each common aesthetic indication. The recommended final concentration of BTA was 50 U/mL after reconstitution with physiologic saline. For horizontal forehead lines, the members recommended nine injections in two rows into the frontalis with 1 U/point. For glabellar lines, the members recommended three injection points (a total of 8 U). For crow's feet, the members recommended three injections per side (7 U/side) at the lateral part of the orbicularis oculi. For infraorbital wrinkles, one to two points per side in the superficial subcutaneous space approximately 1 cm below the lash line were recommended (1-2 U/side). For nasal flare, one injection point in the middle of each ala nasi was recommended (a total of 2 U). For depressed nasal tip, a single injection deep within the columella was recommended, with a dose of 3 U. For benign masseter hypertrophy, the members recommended a six-point injection to the masseter (three points per side for a total of 50-60 U). For the treatment of calf hypertrophy, the members recommended a total dose of 100 to 120 U (50-60 U/side), divided between six injection points (approximately 8-10 U/point). CONCLUSION: This guideline provides a framework for physicians who wish to perform safe and efficacious injections of BTA in Asians.
Authors: Wilson W S Ho; Philipp Albrecht; Pacifico E Calderon; Niamh Corduff; David Loh; Michael U Martin; Je-Young Park; Lis S Suseno; Fang-Wen Tseng; Vasanop Vachiramon; Rungsima Wanitphakdeedecha; Chong-Hyun Won; Jonathan N T Yu; Mary Dingley Journal: Plast Reconstr Surg Glob Open Date: 2022-06-20
Authors: Woffles T L Wu; Steven Liew; Henry H Chan; Wilson W S Ho; Nantapat Supapannachart; Hong-Ki Lee; Adri Prasetyo; Jonathan Nevin Yu; John D Rogers Journal: Aesthetic Plast Surg Date: 2016-02-18 Impact factor: 2.326
Authors: Hema Sundaram; Po-Han Huang; Nai-Jen Hsu; Chang Hun Huh; Woffles T L Wu; Yan Wu; Daniel Cassuto; Martina J Kerscher; Kyle Koo-Il Seo Journal: Plast Reconstr Surg Glob Open Date: 2016-12-07
Authors: Javier Anido; Daniel Arenas; Cristina Arruabarrena; Alfonso Domínguez-Gil; Carlos Fajardo; Mar Mira; Javier Murillo; Natalia Ribé; Helga Rivera; Sofia Ruiz Del Cueto; Helder Silvestre; Marisa Tirado Journal: Clin Cosmet Investig Dermatol Date: 2017-10-19