Consensus Recommendations for Treatment Strategies in Indians Using Botulinum Toxin and Hyaluronic Acid Fillers

Area of Science:

• Dermatology
• Plastic Surgery
• Aesthetic Medicine

Background:

• Facial anthropometry and aging patterns in Indians differ significantly from other ethnic groups.
• Limited published aesthetic treatment guidelines specific to the Indian population exist, especially for combination therapies.
• Understanding unique Indian facial structures is crucial for effective aesthetic interventions.

Purpose of the Study:

• To develop consensus-based recommendations for the cosmetic facial use of botulinum toxin and hyaluronic acid fillers in Indians.
• To provide specific treatment strategies and dosage guidelines for standalone and combination treatments.
• To address the unique aesthetic concerns and facial characteristics of the Indian population.

Main Methods:

• A consensus meeting of the Indian Facial Aesthetics Expert Group (19 specialists) was convened.
• Recommendations were based on a pre-meeting survey, peer-reviewed literature, and expert clinical experience.
• Consensus on treatment strategies and dosages required agreement from at least 75% of the expert group.

Main Results:

• Combination treatments are increasingly necessary with age.
• Common concerns in younger Indian women (20-40 years) include tear trough deficiency.
• Older Indian women present with malar volume loss and jowls; peripheral filler use is recommended for lift, with conservative medial application to avoid bulk.
• Lower face correction, including chin augmentation, is advised for a more oval shape and increased facial height in Indian women.

Conclusions:

• These recommendations enhance physician understanding of unique Indian facial characteristics.
• The guidelines offer practical treatment strategies for achieving optimal aesthetic outcomes in Indian patients.
• Physicians treating Indian patients globally can utilize these consensus-based recommendations.