The Treatment of Facial Asymmetry with Botulinum Toxin: Current Concepts, Guidelines, and Future Trends
This article will describe facial asymmetry secondary to facial nerve paralysis (FNP), and review current concepts, guidelines, and future trends. Despite the increasing use of botulinum toxin (BoNTA) in treating FNP, ideal dosage, timing, and additional therapies are not unequivocally established....
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2020-08-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1715189 |
| _version_ | 1818420171049533440 |
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| author | Izolda Heydenrych |
| author_facet | Izolda Heydenrych |
| author_sort | Izolda Heydenrych |
| collection | DOAJ |
| description | This article will describe facial asymmetry secondary to facial nerve paralysis (FNP), and review current concepts, guidelines, and future trends. Despite the increasing use of botulinum toxin (BoNTA) in treating FNP, ideal dosage, timing, and additional therapies are not unequivocally established. Facial asymmetry significantly impacts quality of life (QOL) by strongly affecting self-perception and social interactions; injectables may mediate great clinical improvement. This article provides practical guidelines for the use of BoNTA and provides schemes for accurate assessment and documentation. A systematic, stepwise approach is recommended with methodical assessment, meticulous placement, conservative dosage, and careful follow-up. Future trends include the potential use of newly developed toxins, muscle modification with fillers, improved imaging techniques, and targeted QOL studies. Hopefully, a growing number of aesthetic injectors may become technically proficient and join multidisciplinary teams for managing FNP. |
| first_indexed | 2024-12-14T12:50:13Z |
| format | Article |
| id | doaj.art-c205fab7f645404f838f9052b0c736e1 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-14T12:50:13Z |
| publishDate | 2020-08-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-c205fab7f645404f838f9052b0c736e12022-12-21T23:00:41ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2020-08-01530221922910.1055/s-0040-1715189The Treatment of Facial Asymmetry with Botulinum Toxin: Current Concepts, Guidelines, and Future TrendsIzolda Heydenrych0Department of Dermatology, Cape Town Cosmetic Dermatology Centre, Central Park on Esplanade, Century City, Cape Town, South AfricaThis article will describe facial asymmetry secondary to facial nerve paralysis (FNP), and review current concepts, guidelines, and future trends. Despite the increasing use of botulinum toxin (BoNTA) in treating FNP, ideal dosage, timing, and additional therapies are not unequivocally established. Facial asymmetry significantly impacts quality of life (QOL) by strongly affecting self-perception and social interactions; injectables may mediate great clinical improvement. This article provides practical guidelines for the use of BoNTA and provides schemes for accurate assessment and documentation. A systematic, stepwise approach is recommended with methodical assessment, meticulous placement, conservative dosage, and careful follow-up. Future trends include the potential use of newly developed toxins, muscle modification with fillers, improved imaging techniques, and targeted QOL studies. Hopefully, a growing number of aesthetic injectors may become technically proficient and join multidisciplinary teams for managing FNP.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1715189bell’s palsyfacial asymmetryfacial nerve paralysisonabotulinum toxin aquality of life |
| spellingShingle | Izolda Heydenrych The Treatment of Facial Asymmetry with Botulinum Toxin: Current Concepts, Guidelines, and Future Trends Indian Journal of Plastic Surgery bell’s palsy facial asymmetry facial nerve paralysis onabotulinum toxin a quality of life |
| title | The Treatment of Facial Asymmetry with Botulinum Toxin: Current Concepts, Guidelines, and Future Trends |
| title_full | The Treatment of Facial Asymmetry with Botulinum Toxin: Current Concepts, Guidelines, and Future Trends |
| title_fullStr | The Treatment of Facial Asymmetry with Botulinum Toxin: Current Concepts, Guidelines, and Future Trends |
| title_full_unstemmed | The Treatment of Facial Asymmetry with Botulinum Toxin: Current Concepts, Guidelines, and Future Trends |
| title_short | The Treatment of Facial Asymmetry with Botulinum Toxin: Current Concepts, Guidelines, and Future Trends |
| title_sort | treatment of facial asymmetry with botulinum toxin current concepts guidelines and future trends |
| topic | bell’s palsy facial asymmetry facial nerve paralysis onabotulinum toxin a quality of life |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1715189 |
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