RESUMO
BACKGROUND: Botulinum toxin type A injection is a common aesthetic treatment that can be used alone or in combination to rejuvenate the entire face and neck. OBJECTIVES: To assess the safety and efficacy of a full-face approach with botulinum toxin type A. METHODS: This was a single-center, retrospective review of data from 189 patients receiving full-face and neck treatment with onabotulinumtoxinA in the following areas: glabellar lines, crow's feet lines, forehead lines, bunny lines, sagging nasal tip, gummy smile, marionette lines, mentalis, masseter, and lateral/anterior platysma. RESULTS: The mean age was 56.6 ± 9.2 years, and 94.7% were women (n = 179). Patients received a total of 394 full-face treatments (mean: 2.1 per person; range 1-7). The mean quantity of onabotulinumtoxinA injected was 113.8 ± 17.6 units per treatment (range: 50-180 units). The most frequently injected areas were the glabella/crow's feet/forehead (n = 383; 97.2%), platysma (n = 378; 95.9%), bunny lines (n = 283; 71.8%), and chin (n = 120; 30.5%). Six patients (3.2%) experienced complications: five cases of unwanted diffusion from the mentalis into the depressor labii inferioris and one case of right eyelid ptosis after injection in the upper third. All were minor and none appeared to be related to overall dose. CONCLUSIONS: Full-face and neck treatment with onabotulinumtoxinA can be performed without substantial safety concerns, often leading to excellent results. This approach may become increasingly prevalent in the coming years.
Assuntos
Inibidores da Liberação da Acetilcolina/administração & dosagem , Toxinas Botulínicas Tipo A/administração & dosagem , Técnicas Cosméticas/efeitos adversos , Rejuvenescimento , Sistema Musculoaponeurótico Superficial/efeitos dos fármacos , Inibidores da Liberação da Acetilcolina/efeitos adversos , Adulto , Idoso , Idoso de 80 Anos ou mais , Toxinas Botulínicas Tipo A/efeitos adversos , Estética , Músculos Faciais/efeitos dos fármacos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Envelhecimento da Pele , Resultado do TratamentoRESUMO
É apresentado um estudo retrospectivo de 112 pacientes portadoras de deformidades do complexo aréolo-mamilar, submetidos a tratamento cirúrgico na Clínica Ivo Pitanguy num período de 11 anos (janeiro de 1978 a dezembro de 1988). Säo feitas uma revisäo da literatura e uma análise das técnicas cirúrgicas empregadas, enfatizando a reconstruçäo do complexo aréolo-mamilar
