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Published in: Aesthetic Plastic Surgery 5/2022

06-01-2022 | Face Lift | Original Article

Application of Three-Dimensional Technology in Evaluating the Lower Face Lifting by Regional Platysma Injection with Botulinum Toxin-A

Authors: Haijiao Li, Hongli Zhao, Xinyao Chen, Lijun Hao, Sai Luo

Published in: Aesthetic Plastic Surgery | Issue 5/2022

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Abstract

Background

Botulinum toxin-A (BTX-A) injection of regional platysma has been utilized in the lower-part elevation and mandibular contour sculpture. However, the relative research, especially in quantitative assessment appears very spare. Our aim is to investigate the efficacy of three-dimensional (3D) technology as a method for regional platysma injection with BTX-A.

Materials and Methods

From October 2019 to September 2020, patients with mild or moderate degrees of facial sagging on the lower face were recruited to regional platysma BTX-A injection, and 3D scanning and measurement technology was used to evaluate the difference of curved distances and angels. Patients’ improvement was assessed by the global aesthetic improvement scale (GAIS).

Results

A total of 57 patients underwent regional platysma BTX-A injection and 32 patients were followed up successfully. Compared with Pre-operative, postoperative facial reference curves distance and cervico-mental angles had statistical differences (p < 0.05). GAIS suggested that the 3D imaging measurement technology could improve satisfaction.

Conclusion

3D technology can evaluate the improvement of the lower face with BTX-A. It provides effective measurement methods and raises satisfaction.

Level of Evidence IV

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.
Literature
1.
go back to reference Truswell WH (2013) Aging changes of the periorbita, cheeks, and midface. Facial Plast Surg 29(1):3–12CrossRef Truswell WH (2013) Aging changes of the periorbita, cheeks, and midface. Facial Plast Surg 29(1):3–12CrossRef
2.
go back to reference Lephart ED (2018) A review of the role of estrogen in dermal aging and facial attractiveness in women. J Cosmet Dermatol 17(3):282–288CrossRef Lephart ED (2018) A review of the role of estrogen in dermal aging and facial attractiveness in women. J Cosmet Dermatol 17(3):282–288CrossRef
3.
go back to reference Mack MR (1991) Vertical dimension: a dynamic concept based on facial form and oropharyngeal function. J Prosthet Dent 66(4):478–485CrossRef Mack MR (1991) Vertical dimension: a dynamic concept based on facial form and oropharyngeal function. J Prosthet Dent 66(4):478–485CrossRef
4.
go back to reference Wu WT (2015) Micro-botox of the lower face and neck: evolution of a personal technique and its clinical effects. Plast Reconstr Surg 136:92S-100SCrossRef Wu WT (2015) Micro-botox of the lower face and neck: evolution of a personal technique and its clinical effects. Plast Reconstr Surg 136:92S-100SCrossRef
5.
go back to reference Hollander E (1912) Plastische (kosmetische) Operation: Kritische Darstellung ihres gegenwrtigen Standes. Neue Deutsche Klinik 9:1–17 Hollander E (1912) Plastische (kosmetische) Operation: Kritische Darstellung ihres gegenwrtigen Standes. Neue Deutsche Klinik 9:1–17
6.
go back to reference McCollough EG, Perkins SW, Langsdon PR (1989) SMAS suspension rhytidectomy. Rationale and long-term experience. Arch Otolaryngol Head Neck Surg 115(2):228–234CrossRef McCollough EG, Perkins SW, Langsdon PR (1989) SMAS suspension rhytidectomy. Rationale and long-term experience. Arch Otolaryngol Head Neck Surg 115(2):228–234CrossRef
7.
go back to reference Sykes JM, Riedler KL, Cotofana S et al (2020) Superficial and deep facial anatomy and its implications for rhytidectomy. Facial Plast Surg Clin N Am 28(3):243–252CrossRef Sykes JM, Riedler KL, Cotofana S et al (2020) Superficial and deep facial anatomy and its implications for rhytidectomy. Facial Plast Surg Clin N Am 28(3):243–252CrossRef
8.
go back to reference Quatela V, Montague A, Manning JP et al (2020) Extended superficial musculoaponeurotic system flap rhytidectomy. Facial Plast Surg Clin N Am 28(3):303–310CrossRef Quatela V, Montague A, Manning JP et al (2020) Extended superficial musculoaponeurotic system flap rhytidectomy. Facial Plast Surg Clin N Am 28(3):303–310CrossRef
9.
go back to reference Yasser HA (2018) Two years’ outcome of thread lifting with absorbable barbed PDO threads: innovative score for objective and subjective assessment. J Cosmet Laser Ther 20(1):41–49CrossRef Yasser HA (2018) Two years’ outcome of thread lifting with absorbable barbed PDO threads: innovative score for objective and subjective assessment. J Cosmet Laser Ther 20(1):41–49CrossRef
10.
go back to reference Ross EV (2020) Laser rejuvenation of non-facial skin: a review and a personal approach. Dermatol Surg 46(Suppl 1):S71–S76CrossRef Ross EV (2020) Laser rejuvenation of non-facial skin: a review and a personal approach. Dermatol Surg 46(Suppl 1):S71–S76CrossRef
11.
go back to reference Ayatollahi A, Gholami J, Saberi M et al (2020) Systematic review and meta-analysis of safety and (HIFU)for face and neck rejuvenation. Lasers Med Sci 35(5):1007–1024CrossRef Ayatollahi A, Gholami J, Saberi M et al (2020) Systematic review and meta-analysis of safety and (HIFU)for face and neck rejuvenation. Lasers Med Sci 35(5):1007–1024CrossRef
12.
go back to reference Asiran SZ, Aktas KE, Tatliparmak A et al (2020) Efficacy of high-intensity focused ultrasound in facial and neck rejuvenation. J Cosmet Dermatol 19(2):353–358CrossRef Asiran SZ, Aktas KE, Tatliparmak A et al (2020) Efficacy of high-intensity focused ultrasound in facial and neck rejuvenation. J Cosmet Dermatol 19(2):353–358CrossRef
13.
go back to reference Carruthers A, Carruthers J (1998) History of the cosmetic use of botulinum A exotoxin. Dermatol Surg 24(11):1168–1170CrossRef Carruthers A, Carruthers J (1998) History of the cosmetic use of botulinum A exotoxin. Dermatol Surg 24(11):1168–1170CrossRef
14.
go back to reference D’Emilio R, Rosati G (2020) Full-face treatment with on a botulinum toxin A: results from a single-center study. J Cosmet Dermatol 19:809–816CrossRef D’Emilio R, Rosati G (2020) Full-face treatment with on a botulinum toxin A: results from a single-center study. J Cosmet Dermatol 19:809–816CrossRef
15.
16.
go back to reference Trussler AP, Hatef D, Broussard GB et al (2011) The viscoelastic properties of the SMAS and its clinical translation: firm support for the high-SMAS rhytidectomy. Plast Reconstr Surg 128:757–764CrossRef Trussler AP, Hatef D, Broussard GB et al (2011) The viscoelastic properties of the SMAS and its clinical translation: firm support for the high-SMAS rhytidectomy. Plast Reconstr Surg 128:757–764CrossRef
17.
go back to reference Farolch PL, Nome CC (2019) Facial contouring by using dermal fillers and botulinum toxin A: a practical approach. Aesthet Plast Surg 43:793–802CrossRef Farolch PL, Nome CC (2019) Facial contouring by using dermal fillers and botulinum toxin A: a practical approach. Aesthet Plast Surg 43:793–802CrossRef
18.
go back to reference Hoehnke C, Eder M, Papadopulos NA, Zimmermann A et al (2007) Minimal invasive reconstruction of posttraumatic hemi facial atrophy by 3D computer-assisted lipofilling. J Plast Reconstr Aesthet Surg 60(10):1138–1144CrossRef Hoehnke C, Eder M, Papadopulos NA, Zimmermann A et al (2007) Minimal invasive reconstruction of posttraumatic hemi facial atrophy by 3D computer-assisted lipofilling. J Plast Reconstr Aesthet Surg 60(10):1138–1144CrossRef
19.
go back to reference Okada E (2001) Three-dimensional facial simulations and measurements: changes of facial contour and units associated with facial expression. J Craniofacial Surg 12(2):167–174CrossRef Okada E (2001) Three-dimensional facial simulations and measurements: changes of facial contour and units associated with facial expression. J Craniofacial Surg 12(2):167–174CrossRef
20.
go back to reference Akazaki S, Nakagawa H, Kazama H et al (2015) Age-related changes in skin wrinkles assessed by a novel three-dimensional morphometric analysis. Br J Dermatol 147(4):689–695CrossRef Akazaki S, Nakagawa H, Kazama H et al (2015) Age-related changes in skin wrinkles assessed by a novel three-dimensional morphometric analysis. Br J Dermatol 147(4):689–695CrossRef
22.
go back to reference Guarro G, Cozzani F, Rossini M, Bonati E, Del Rio P (2021) Wounds morphologic assessment: application and reproducibility of a virtual measuring system, pilot study. Acta Biomed 92(5):e2021227PubMedPubMedCentral Guarro G, Cozzani F, Rossini M, Bonati E, Del Rio P (2021) Wounds morphologic assessment: application and reproducibility of a virtual measuring system, pilot study. Acta Biomed 92(5):e2021227PubMedPubMedCentral
23.
go back to reference Kim HJ, Hu KS, Kang MK et al (2001) Decussation patterns of the platysma in Koreans. Br J Plast Surg 54(5):400–402CrossRef Kim HJ, Hu KS, Kang MK et al (2001) Decussation patterns of the platysma in Koreans. Br J Plast Surg 54(5):400–402CrossRef
24.
go back to reference Hoefflin SM (1998) Anatomy of the platysma and lip depressor muscles. Dermatol Surg 24(11):1225–1231CrossRef Hoefflin SM (1998) Anatomy of the platysma and lip depressor muscles. Dermatol Surg 24(11):1225–1231CrossRef
25.
go back to reference Jung-Hee B, Youn K-H et al (2016) Clinical implications of the extension of platysma fibers on the middle and lower face. Plast Reconstr Surg 138(2):365–371CrossRef Jung-Hee B, Youn K-H et al (2016) Clinical implications of the extension of platysma fibers on the middle and lower face. Plast Reconstr Surg 138(2):365–371CrossRef
26.
go back to reference Castro D, Cardoso C (1980) The anatomy of the platysma muscle. Plast Reconstr Surg 66(5):680–683CrossRef Castro D, Cardoso C (1980) The anatomy of the platysma muscle. Plast Reconstr Surg 66(5):680–683CrossRef
27.
go back to reference Guerrero SJ (1978) The role of the platysma muscle in rhytidoplasty. Clin Plast Surg 5(1):29–49CrossRef Guerrero SJ (1978) The role of the platysma muscle in rhytidoplasty. Clin Plast Surg 5(1):29–49CrossRef
28.
go back to reference Zhou R, Fei Y, Sun L et al (2019) BTX-A rejuvenation: regional botulinum toxin-A injection of the platysma in patients with facial sagging. Aesthet Plast Surg 43(4):1044–1053CrossRef Zhou R, Fei Y, Sun L et al (2019) BTX-A rejuvenation: regional botulinum toxin-A injection of the platysma in patients with facial sagging. Aesthet Plast Surg 43(4):1044–1053CrossRef
29.
go back to reference Brandt FS, Bellman B (2013) Cosmetic use of botulinum A exotoxin for the aging neck. Dermatol Surg 24(11):1232–1234CrossRef Brandt FS, Bellman B (2013) Cosmetic use of botulinum A exotoxin for the aging neck. Dermatol Surg 24(11):1232–1234CrossRef
30.
go back to reference Awaida CJ, Jabbour SF, Rayess Y et al (2018) Evaluation of the microbotox technique: an algorithmic approach for lower face and neck rejuvenation and a crossover clinical trial. Plast Reconstr Surg 142(3):1CrossRef Awaida CJ, Jabbour SF, Rayess Y et al (2018) Evaluation of the microbotox technique: an algorithmic approach for lower face and neck rejuvenation and a crossover clinical trial. Plast Reconstr Surg 142(3):1CrossRef
31.
go back to reference Levy P (2015) Neurotoxins: current concepts in cosmetic use on the face and neck—jawline contouring/ platysma bands/necklace lines. Plast Reconstr Surg 136(5s):80S-83SCrossRef Levy P (2015) Neurotoxins: current concepts in cosmetic use on the face and neck—jawline contouring/ platysma bands/necklace lines. Plast Reconstr Surg 136(5s):80S-83SCrossRef
32.
go back to reference Hoefflin SM (1998) Anatomy of the platysma and lip depressor muscle. A simplified mnemonic approach. Dermatol Surg 24(11):1225–1231CrossRef Hoefflin SM (1998) Anatomy of the platysma and lip depressor muscle. A simplified mnemonic approach. Dermatol Surg 24(11):1225–1231CrossRef
33.
go back to reference Dall AA, Mandrini S, Sala V et al (2014) Platysma synkinesis in facial palsy and botulinum toxin type A. Laryngoscope 124(11):2513–2517CrossRef Dall AA, Mandrini S, Sala V et al (2014) Platysma synkinesis in facial palsy and botulinum toxin type A. Laryngoscope 124(11):2513–2517CrossRef
34.
go back to reference Danru W et al (2017) Mandibular rim trilogy with botulinum toxin injection: reduction, projection, and lift. Facial Plast Surg Fps 33(01):102–108CrossRef Danru W et al (2017) Mandibular rim trilogy with botulinum toxin injection: reduction, projection, and lift. Facial Plast Surg Fps 33(01):102–108CrossRef
Metadata
Title
Application of Three-Dimensional Technology in Evaluating the Lower Face Lifting by Regional Platysma Injection with Botulinum Toxin-A
Authors
Haijiao Li
Hongli Zhao
Xinyao Chen
Lijun Hao
Sai Luo
Publication date
06-01-2022
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 5/2022
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-021-02743-0

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