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Published in:

01-04-2011 | Original Article

Percutaneous Selective Myoablation in Plastic Surgery

Authors: Gregorio Hernandez Zendejas, Jose Guerrerosantos

Published in: Aesthetic Plastic Surgery | Issue 2/2011

Abstract

A new technique in aesthetic plastic surgery termed “myoablation” is described. Thermal energy is applied via the percutaneous route for ablation of selected facial muscles to modify the facial dynamics. Myoablation was found to be useful in ameliorating noticeable frown wrinkles caused by muscular hyperactivity. A series of 30 patients underwent myoablation as the sole procedure with encouraging results. In 80% of the cases, good to excellent aesthetic results were achieved. This report presents the electrophysiologic bases, technique, animal experiments, and initial clinical experience of myoablation.

Abramo AC, Dorta AA (2003) Selective myotomy in forehead endoscopy. Plast Reconstr Surg 112:873–879PubMedCrossRef

Ahn MS, Catten AI, Maas CS (2000) Temporal brow-lift using botulinum toxin A. Plast Reconstr Surg 105:1129–1135PubMedCrossRef

Ahonkallio S, Martikainen H, Santala M (2008) Endometrial thermal balloon ablation has a beneficial long-term effect on menorrhagia. Acta Obstet Gynecol Scand 87:107–110PubMedCrossRef

Baker DC (1990) Facial palsy. In: McCarthy JG (ed) Plastic surgery: vol 3. The face. WB Saunders Company, Philadelphia, p 2255

Bulstrode NW, Grobbelaar AO (2002) Long-term prospective follow-up of botulinum toxin treatment for facial rhytides. Aesth Plast Surg 26:356–359CrossRef

Caminer DM, Newman MI, Boyd JB (2006) Angular nerve: new insights on innervation of the corrugator supercilii and procerus muscles. Plast Reconstr Aesth Surg 59:366–372CrossRef

Carruthers A, Carruthers J (1998) Clinical indications and injections technique for the cosmetic use of botulinum A exotoxin. Dermatol Surg 24:1189–1194PubMedCrossRef

Carruthers J, Carruthers A (1992) Treatment of glabellar frown lines with botulinum-A exotoxin. J Dermatol Surg Oncol 18:17–21PubMedCrossRef

Cooley S, Yuddandi V, Walsh T, Geary M, McKenna P (2005) The medium- and long-term outcome of endometrial ablative techniques. Eur J Obstet Gynecol Reprod Biol 121:233–235PubMedCrossRef

10.

Corson SL (2001) A multicenter evaluation of endometrial ablation by hydro thermablator and rollerball for treatment of menorrhagia. J Am Assoc Gynecol Laparosc 8:359–367PubMedCrossRef

11.

Dirnberger F, Becker K (2004) Surgical treatment of migraine headaches by corrugator muscle resection. Plast Reconstr Surg 114:652–657PubMedCrossRef

12.

Freitas RA (2003) Nanorobotic thermocompatibility. In: Nanomedicine: vol IIA. Biocompatibility. Landes Bioscience, Georgetown, p 159

13.

Guyuron B (2001) Corrugator supercilii resection through blepharoplasty incision. Plast Reconstr Surg 107:604–605PubMedCrossRef

14.

Guyuron B, Kriegler JS, Davis J, Amini SB (2005) Comprehensive surgical treatment of migraine headaches. Plast Reconstr Surg 115:1–9PubMed

15.

Guyuron B, Michelow B, Thomas T (1995) Corrugator supercilii muscle resection through blepharoplasty incision. Plast Reconstr Surg 95:691–696PubMedCrossRef

16.

Guyuron B, Tucker T, Davis J (2002) Surgical treatment of migraine headaches. Plast Reconstr Surg 109:2183–2189PubMedCrossRef

17.

Guyuron B, Varghai A, Michelow BJ, Thomas T, Davis J (2000) Corrugator supercilii muscle resection and migraine headaches. Plast Reconstr Surg 106:429–434PubMedCrossRef

18.

Hernandez Zendejas G, Guerrerosantos J (1994) Percutaneous selective radiofrequency neuroablation in plastic surgery. Aesth Plast Surg 18:41–48CrossRef

19.

Keen M, Blitzer A, Aviv J, Binder W, Prystowsky J, Smith H, Brin M (1994) Botulinum toxin A for hyperkinetic facial lines: results of double-blind, placebo controlled study. Plast Reconstr Surg 94:94–99PubMedCrossRef

20.

Knize DM (1995) Transpalpebral approach to the corrugator supercilii and procerus muscles. Plast Reconstr Surg 95:52–62PubMedCrossRef

21.

Matarasso A, Matarasso SL, Brandt FS, Bellman B (1999) Botulinum A exotoxin for the management of platysma bands. Plast Reconstr Surg 103:645–662PubMedCrossRef

22.

Matsudo PKR (1996) Botulinum toxin for correction of frontoglabella wrinkles: preliminary evaluation. Aesth Plast Surg 20:439–441CrossRef

23.

Mobaidin AF (2000) Alcohol with xylocaine for treatment of eyelid dystonia. Eur J Neurol 27:213–215CrossRef

24.

Moore KL, Dalley AF (2006) Clinically oriented anatomy. Lippincott Williams & Wilkins, Baltimore, pp 973–976

25.

Poggi JT, Grizzell BE, Helmer SD (2008) Confirmation of surgical decompression to relieve migraine headaches. Plast Reconstr Surg 122:115–122PubMedCrossRef

26.

Schwember G, Rodriguez A (1988) Anatomical surgical dissection of the extraparotid portion of the facial nerve. Plast Reconstr Surg 81:183–188PubMedCrossRef

27.

Utley DS, Goode RL (1999) Radiofrequency ablation of the nerve to the corrugator muscle for elimination of glabellar furrowing. Arch Facial Plast Surg 1:46–48PubMedCrossRef

28.

Weisberg M, Goldrath MH, Berman J, Greenstein A, Krotec JW, Fronio L (2000) Hysteroscopic endometrial ablation using free heated saline for the treatment of menorrhagia. J Am Assoc Gynecol Laparosc 7:311–316PubMedCrossRef

Title: Percutaneous Selective Myoablation in Plastic Surgery
Authors: Gregorio Hernandez Zendejas
Jose Guerrerosantos
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: Aesthetic Plastic Surgery / Issue 2/2011
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-010-9594-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous Selective Myoablation in Plastic Surgery

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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