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A study on glabellar wrinkle patterns in Koreans.

H S Kim1, C Kim, H Cho

  • 1Dermatology, Incheon St. Mary's Hospital, Incheon, Korea.

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A new classification of glabellar wrinkle patterns in Koreans, including "U", "11", "X", "Phi", and "I" types, aids individualized botulinum toxin treatments for more natural results.

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Area of Science:

  • Dermatology
  • Aesthetic Medicine
  • Facial Anatomy

Background:

  • Botulinum toxin is a standard treatment for glabellar lines, a common injection site in Asians.
  • Previous classifications of glabellar contraction patterns were found to be confusing.
  • Understanding specific wrinkle patterns is crucial for effective treatment.

Purpose of the Study:

  • To classify glabellar wrinkle patterns in Korean individuals.
  • To establish an Asian consensus for tailored botulinum toxin treatment approaches.
  • To improve the precision of glabellar line treatment.

Main Methods:

  • Retrospective analysis of 139 Korean patients receiving their first botulinum toxin treatment for glabellar wrinkles.
  • Classification of wrinkle patterns by experienced Korean dermatologists based on line orientation and location.
  • Panel consensus development for Asian treatment recommendations.

Main Results:

  • Five distinct glabellar wrinkle patterns were identified: 'U', '11', 'X', 'π (Phi)', and 'I'.
  • The classification identified key muscles contributing to each pattern.
  • Recommendations were made for targeted muscle treatment, including dose and injection site variations.

Conclusions:

  • Significant interpersonal variations in facial animation exist among Koreans.
  • A simplified classification system for glabellar wrinkles can lead to more accurate and individualized botulinum toxin therapy in Asians.
  • This approach aims for more effective and natural-looking outcomes.