Effect of Botulinum Toxin Injection on Asymmetric Lower Face with Chin Deviation

The purpose of this study was to compare the efficacy of botulinum toxin (BoNT) in masseter muscle reduction depending on the amount of chin deviation. Exploring distinctive effects of BoNT relative to the characteristics of facial asymmetry will aid in planning and predicting treatment outcomes. Si...

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Main Authors: Dongwook Kim, Ju-Hyun Park, Vittorio Favero, James Mah, Young-Soo Jung, Seong Taek Kim
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/12/7/456
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author Dongwook Kim
Ju-Hyun Park
Vittorio Favero
James Mah
Young-Soo Jung
Seong Taek Kim
author_facet Dongwook Kim
Ju-Hyun Park
Vittorio Favero
James Mah
Young-Soo Jung
Seong Taek Kim
author_sort Dongwook Kim
collection DOAJ
description The purpose of this study was to compare the efficacy of botulinum toxin (BoNT) in masseter muscle reduction depending on the amount of chin deviation. Exploring distinctive effects of BoNT relative to the characteristics of facial asymmetry will aid in planning and predicting treatment outcomes. Sixteen adult volunteers were classified into two groups according to the degree of menton deviation observed in posteroanterior cephalograms. Eight had a menton deviation of 3 mm or more and the other eight had less than 3 mm. A total of 25 Units of BoNT was injected into the unilateral masseter muscle of the prominent side for each participant. Changes in the volume and bulkiest height of the lower face on each side were measured with a 3D laser scan at four time points: before and 4, 8, and 12 weeks after the injection. Two-way mixed ANOVA was employed for analyses. The volume and bulkiest height of the injected side decreased over time in both types of asymmetry, with significant differences at each time point. The reductions in the volume and bulkiest height were significantly greater in subjects without chin deviation. The reductions in the volume and bulkiest height of the lower face using BoNT are more effective for subjects without chin deviation.
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spelling doaj.art-a165b6f2cfad457cad8cda0377645de82023-11-20T07:04:33ZengMDPI AGToxins2072-66512020-07-0112745610.3390/toxins12070456Effect of Botulinum Toxin Injection on Asymmetric Lower Face with Chin DeviationDongwook Kim0Ju-Hyun Park1Vittorio Favero2James Mah3Young-Soo Jung4Seong Taek Kim5Department of Oral & Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul 03722, KoreaDepartment of Orofacial Pain & Oral Medicine, Yonsei University College of Dentistry, Seoul 03722, KoreaSection of Dentistry and Maxillofacial Surgery, Department of Surgery, University of Verona, 37129 Verona, ItalyAdvanced Education Program in Orthodontics and Dentofacial Orthopedics, School of Dental Medicine, University of Nevada, Las Vegas, NV 89154, USADepartment of Oral & Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul 03722, KoreaDepartment of Orofacial Pain & Oral Medicine, Yonsei University College of Dentistry, Seoul 03722, KoreaThe purpose of this study was to compare the efficacy of botulinum toxin (BoNT) in masseter muscle reduction depending on the amount of chin deviation. Exploring distinctive effects of BoNT relative to the characteristics of facial asymmetry will aid in planning and predicting treatment outcomes. Sixteen adult volunteers were classified into two groups according to the degree of menton deviation observed in posteroanterior cephalograms. Eight had a menton deviation of 3 mm or more and the other eight had less than 3 mm. A total of 25 Units of BoNT was injected into the unilateral masseter muscle of the prominent side for each participant. Changes in the volume and bulkiest height of the lower face on each side were measured with a 3D laser scan at four time points: before and 4, 8, and 12 weeks after the injection. Two-way mixed ANOVA was employed for analyses. The volume and bulkiest height of the injected side decreased over time in both types of asymmetry, with significant differences at each time point. The reductions in the volume and bulkiest height were significantly greater in subjects without chin deviation. The reductions in the volume and bulkiest height of the lower face using BoNT are more effective for subjects without chin deviation.https://www.mdpi.com/2072-6651/12/7/456botulinum toxinsasymmetryposteroanterior (PA) cephalometrics
spellingShingle Dongwook Kim
Ju-Hyun Park
Vittorio Favero
James Mah
Young-Soo Jung
Seong Taek Kim
Effect of Botulinum Toxin Injection on Asymmetric Lower Face with Chin Deviation
Toxins
botulinum toxins
asymmetry
posteroanterior (PA) cephalometrics
title Effect of Botulinum Toxin Injection on Asymmetric Lower Face with Chin Deviation
title_full Effect of Botulinum Toxin Injection on Asymmetric Lower Face with Chin Deviation
title_fullStr Effect of Botulinum Toxin Injection on Asymmetric Lower Face with Chin Deviation
title_full_unstemmed Effect of Botulinum Toxin Injection on Asymmetric Lower Face with Chin Deviation
title_short Effect of Botulinum Toxin Injection on Asymmetric Lower Face with Chin Deviation
title_sort effect of botulinum toxin injection on asymmetric lower face with chin deviation
topic botulinum toxins
asymmetry
posteroanterior (PA) cephalometrics
url https://www.mdpi.com/2072-6651/12/7/456
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