eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery

BOTOX (R) Injections to Improve Facial Aesthetics: Multimedia

Author: Pramit S Malhotra, MD, MS, Director, Malhotra Center for Plastic Surgery, PC
Coauthor(s): Daniel G Danahey, MD, PhD, Consulting Staff, Michiana Eye Center and Facial Plastic Surgery; Peter Hilger, MD, Professor, Department of Otolaryngology, University of Minnesota Medical School
Contributor Information and Disclosures

Updated: Jan 2, 2009

Multimedia

Frontalis muscle injections.Media file 1: Frontalis muscle injections.
Frontalis muscle injections.

Frontalis muscle injections.

Corrugator muscle injections.Media file 2: Corrugator muscle injections.
Corrugator muscle injections.

Corrugator muscle injections.

Procerus muscle injections.Media file 3: Procerus muscle injections.
Procerus muscle injections.

Procerus muscle injections.

Orbicularis muscle/periorbital crow's feet inject...Media file 4: Orbicularis muscle/periorbital crow's feet injections.
Orbicularis muscle/periorbital crow's feet inject...

Orbicularis muscle/periorbital crow's feet injections.

More on BOTOX (R) Injections to Improve Facial Aesthetics

References

References

  1. Blitzer A, Binder WJ, Aviv JE, et al. The management of hyperfunctional facial lines with botulinum toxin. A collaborative study of 210 injection sites in 162 patients. Arch Otolaryngol Head Neck Surg. Apr 1997;123(4):389-92. [Medline].

  2. Pribitkin EA, Greco TM, Goode RL, et al. Patient selection in the treatment of glabellar wrinkles with botulinum toxin type A injection. Arch Otolaryngol Head Neck Surg. Mar 1997;123(3):321-6. [Medline].

  3. Ahn KY, Park MY, Park DH, et al. Botulinum toxin A for the treatment of facial hyperkinetic wrinkle lines in Koreans. Plast Reconstr Surg. Feb 2000;105(2):778-84. [Medline].

  4. Carruthers J, Fagien S, Matarasso SL. Consensus recommendations on the use of botulinum toxin type a in facial aesthetics. Plast Reconstr Surg. Nov 2004;114(6 Suppl):1S-22S. [Medline].

  5. Hexsel DM, De Almeida AT, Rutowitsch M, et al. Multicenter, double-blind study of the efficacy of injections with botulinum toxin type A reconstituted up to six consecutive weeks before application. Dermatol Surg. May 2003;29(5):523-9; discussion 529. [Medline].

  6. Carruthers A, Carruthers J. Clinical indications and injection technique for the cosmetic use of botulinum A exotoxin. Dermatol Surg. Nov 1998;24(11):1189-94. [Medline].

  7. Binder WJ, Blitzer A, Brin MF. Treatment of hyperfunctional lines of the face with botulinum toxin A. Dermatol Surg. Nov 1998;24(11):1198-205. [Medline].

  8. Carruthers JD, Lowe NJ, Menter MA, et al. Double-blind, placebo-controlled study of the safety and efficacy of botulinum toxin type A for patients with glabellar lines. Plast Reconstr Surg. Sep 15 2003;112(4):1089-98. [Medline].

  9. de Paiva A, Meunier FA, Molgo J, et al. Functional repair of motor endplates after botulinum neurotoxin type A poisoning: biphasic switch of synaptic activity between nerve sprouts and their parent terminals. Proc Natl Acad Sci U S A. Mar 16 1999;96(6):3200-5. [Medline].

  10. Frankel AS, Kamer FM. Chemical browlift. Arch Otolaryngol Head Neck Surg. Mar 1998;124(3):321-3. [Medline].

  11. Hallett M. One man's poison--clinical applications of botulinum toxin. N Engl J Med. Jul 8 1999;341(2):118-20. [Medline].

  12. Holds JB, Alderson K, Fogg SG, et al. Motor nerve sprouting in human orbicularis muscle after botulinum A injection. Invest Ophthalmol Vis Sci. May 1990;31(5):964-7. [Medline].

  13. Jitpimolmard S, Tiamkao S, Laopaiboon M. Long term results of botulinum toxin type A (Dysport) in the treatment of hemifacial spasm: a report of 175 cases. J Neurol Neurosurg Psychiatry. Jun 1998;64(6):751-7. [Medline].

  14. Klein AW. Dilution and storage of botulinum toxin. Dermatol Surg. Nov 1998;24(11):1179-80. [Medline].

  15. Laccourreye O, Akl E, Gutierrez-Fonseca R, et al. Recurrent gustatory sweating (Frey syndrome) after intracutaneous injection of botulinum toxin type A: incidence, management, and outcome. Arch Otolaryngol Head Neck Surg. Mar 1999;125(3):283-6. [Medline].

  16. Lowe NJ. Botulinum toxin type A for facial rejuvenation. United States and United Kingdom perspectives. Dermatol Surg. Nov 1998;24(11):1216-8. [Medline].

  17. Matarasso SL. Complications of botulinum A exotoxin for hyperfunctional lines. Dermatol Surg. Nov 1998;24(11):1249-54. [Medline].

  18. Mauriello JA Jr, Keswani R, Franklin M. Long-term enhancement of botulinum toxin injections by upper-eyelid surgery in 14 patients with facial dyskinesias. Arch Otolaryngol Head Neck Surg. Jun 1999;125(6):627-31. [Medline].

  19. Werner JA, Gottschlich S. Recent advances. Otorhinolaryngology. BMJ. Aug 9 1997;315(7104):354-7. [Medline].

  20. Wieder JM, Moy RL. Understanding botulinum toxin. Surgical anatomy of the frown, forehead, and periocular region. Dermatol Surg. Nov 1998;24(11):1172-4. [Medline].

Further Reading

Keywords

BOTOX® injections, botulinum toxin, botulinum, botulinum toxin A, Clostridium botulinum, hyperfunctional facial lines, BOTOX® injections, BOTOX®, crows feet

Contributor Information and Disclosures

Author

Pramit S Malhotra, MD, MS, Director, Malhotra Center for Plastic Surgery, PC
Pramit S Malhotra, MD, MS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Medical Association, and American Society of Plastic Surgeons
Disclosure: Nothing to disclose.

Coauthor(s)

Daniel G Danahey, MD, PhD, Consulting Staff, Michiana Eye Center and Facial Plastic Surgery
Daniel G Danahey, MD, PhD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, Sigma Xi, and Triological Society
Disclosure: Nothing to disclose.

Peter Hilger, MD, Professor, Department of Otolaryngology, University of Minnesota Medical School
Peter Hilger, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and Minnesota Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Jennifer P Porter, MD, Assistant Professor, Department of Otorhinolaryngology, Division of Communicative Science, Chevy Chase Facial Plastic Surgery
Jennifer P Porter, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and Texas Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Keith A LaFerriere, MD, Clinical Professor, Fellowship Director, Department Otolaryngology-Head and Neck Surgery, University of Missouri at Columbia
Keith A LaFerriere, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Missouri State Medical Association
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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