Upper face rejuvenation using botulinum toxin and hyaluronic acid fillers

Nanda, Soni; Bansal, Shikha

doi:10.4103/0378-6323.104667

Cited by 14 publications

(7 citation statements)

References 42 publications

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“…However, the botulinum toxin dosage required to treat upper static forehead lines is higher in men than women (Table 4 ), in agreement with other findings in Indians. 21 , 22 , 33…”

Section: Resultsmentioning

confidence: 99%

“…Indian women prefer a high arched brow, with no lateral flare 21 ; hence, for a brow lift with an arch, the medial frontalis is treated in addition to the brow depressors to achieve the desired eyebrow shape.…”

Section: Resultsmentioning

confidence: 99%

“… 5 , 9 , 14 – 35 Despite the increasing popularity of combination treatment with botulinum toxin and hyaluronic acid (HA) fillers worldwide, 2 , 36 few articles describe their combination use in Indians in any detail. 21 , 26 , 31 In the guidelines on botulinum toxin 33 and filler 32 use published previously by other Indian authors, recommendations aimed at Caucasians were often referenced. 21 …”

Section: Introductionmentioning

confidence: 99%

“… 21 , 26 , 31 In the guidelines on botulinum toxin 33 and filler 32 use published previously by other Indian authors, recommendations aimed at Caucasians were often referenced. 21 …”

Section: Introductionmentioning

confidence: 99%

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Consensus Recommendations for Treatment Strategies in Indians Using Botulinum Toxin and Hyaluronic Acid Fillers

Kapoor

Chatrath²,

Anand

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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Background:Indians constitute one of the largest population groups in the world. Facial anthropometry, morphology, and age-related changes in Indians differ from those of other ethnic groups, necessitating a good understanding of their facial structure and the required aesthetic treatment strategies. However, published recommendations specific to Indians are few, particularly regarding combination treatment.Methods:The Indian Facial Aesthetics Expert Group (19 dermatologists, plastic surgeons, and aesthetic physicians with a mean 15.5 years’ aesthetic treatment experience) met to develop consensus recommendations for the cosmetic facial use of botulinum toxin and hyaluronic acid fillers, alone and in combination, in Indians. Treatment strategies and dosage recommendations (agreed by ≥ 75% of the group) were based on results of a premeeting survey, peer-reviewed literature, and the experts’ clinical experience.Results:The need for combination treatment increases with age. Tear trough deficiency is the most common midface indication in Indian women aged 20–40 years. In older women, malar volume loss and jowls are the most common aesthetic concerns. Excess medial soft tissue on a relatively smaller midface precedes age-related sagging. Hence, in older Indians, fillers should be used peripherally to achieve lift and conservatively in the medial zones to avoid adding bulk medially. The shorter, wider lower face requires 3-dimensional correction, including chin augmentation, to achieve increased facial height and the oval shape desired by most Indian women.Conclusions:These recommendations give physicians treating Indians worldwide a better understanding of their unique facial characteristics and provide treatment strategies to achieve optimal aesthetic outcomes.

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“…However, the botulinum toxin dosage required to treat upper static forehead lines is higher in men than women (Table 4 ), in agreement with other findings in Indians. 21 , 22 , 33…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“… 21 , 26 , 31 In the guidelines on botulinum toxin 33 and filler 32 use published previously by other Indian authors, recommendations aimed at Caucasians were often referenced. 21 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Consensus Recommendations for Treatment Strategies in Indians Using Botulinum Toxin and Hyaluronic Acid Fillers

Kapoor

Chatrath²,

Anand

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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“…The use of fillers for soft tissue augmentation has also brought into focus a simplified nonsurgical technique for rejuvenating the upper face, with minimal downtime. The article by Nanda and Bansal [2] published in this issue highlights the finer nuances of both these techniques for rejuvenation of the upper face as well as complications that can occur. The authors have detailed the procedures and rightly concluded that a thorough knowledge of the basic anatomy, proper patient selection and following proper guidelines makesthese procedures safe and effective for rejuvenation.…”

mentioning

confidence: 96%

Guest Editorial: Challenging issues in aesthetic surgery

Khunger¹

2013

Indian J Dermatol Venereol Leprol

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In recent times, there has been a massive boom in the demand for aesthetic surgery all over the world. It has been fuelled by several factors, the most notable being an increasing awareness ofaesthetic proceduresto enhance appearances, publicity in the media and internet and their widespread availability and social acceptance. The advent of several minimally invasive aesthetic procedures such as neurotoxins, fillers, chemical peels, fractional ablative and non-ablative laser systems and microneedling therapy, which are effective with minimal downtime,has further paved the way for increasing acceptance of rejuvenation procedures as opposed to the traditional surgical procedures such as face lifts and ablative resurfacing that involved considerable downtime and expense.Ever since the first observation of the improvement of glabellar wrinkles by botulinum toxin used to treat blepharospasm and strabismus [1] and subsequent approval of the cosmetic use of the toxin for glabellar wrinkles this cosmetic procedure is the topmost among all aesthetic procedures. The evolving trend is moving away from fixed dose and fixed point injections towards a more customized approach depending on individual anatomic differences. The use of fillers for soft tissue augmentation has also brought into focus a simplified nonsurgical technique for rejuvenating the upper face,

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Consensus on Current Injectable Treatment Strategies in the Asian Face

Wu¹,

Liew²,

Chan

et al. 2016

Aesth Plast Surg

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BackgroundThe desire for and use of nonsurgical injectable esthetic facial treatments are increasing in Asia. The structural and anatomical features specific to the Asian face, and differences from Western populations in facial aging, necessitate unique esthetic treatment strategies, but published recommendations and clinical evidence for injectable treatments in Asians are scarce.MethodThe Asian Facial Aesthetics Expert Consensus Group met to discuss current practices and consensus opinions on the cosmetic use of botulinum toxin and hyaluronic acid (HA) fillers, alone and in combination, for facial applications in Southeastern and Eastern Asians. Consensus opinions and statements on treatment aims and current practice were developed following discussions regarding pre-meeting and meeting survey outcomes, peer-reviewed literature, and the experts’ clinical experience.ResultsThe indications and patterns of use of injectable treatments vary among patients of different ages, and among Asian countries. The combination use of botulinum toxin and fillers increases as patients age. Treatment aims in Asians and current practice regarding the use of botulinum toxin and HA fillers in the upper, middle, and lower face of patients aged 18 to >55 years are presented.ConclusionsIn younger Asian patients, addressing proportion and structural features and deficiencies are important to achieve desired esthetic outcomes. In older patients, maintaining facial structure and volume and addressing lines and folds are essential to reduce the appearance of aging. This paper provides guidance on treatment strategies to address the complex esthetic requirements in Asian patients of all ages.Level of Evidence VThis journal requires that the 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.

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Upper face rejuvenation using botulinum toxin and hyaluronic acid fillers

Cited by 14 publications

References 42 publications

Consensus Recommendations for Treatment Strategies in Indians Using Botulinum Toxin and Hyaluronic Acid Fillers

Consensus Recommendations for Treatment Strategies in Indians Using Botulinum Toxin and Hyaluronic Acid Fillers

Guest Editorial: Challenging issues in aesthetic surgery

Consensus on Current Injectable Treatment Strategies in the Asian Face

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