Six years of experience using an advanced algorithm for botulinum toxin application

Area of Science:

• Aesthetic Medicine
• Dermatology
• Cosmetic Surgery

Background:

• Botulinum toxin (BTX) is extensively utilized for facial rejuvenation.
• Key factors influencing BTX treatment efficacy include anatomy, patient demographics, and aging effects.

Purpose of the Study:

• To introduce a systematic algorithm for customizing BTX facial rejuvenation treatments.
• To detail the application of this algorithm in a substantial patient cohort.

Main Methods:

• Pre-treatment digital imaging (relaxed and dynamic facial expressions) informed injection planning.
• OnabotulinumtoxinA (Botox®) was diluted to 100 U/mL and administered using 30-gauge needles and insulin syringes.
• The algorithm guided decisions on injection depth, dosage, and precise anatomical locations.

Main Results:

• The algorithm, refined over 5 years of clinical use, evolved from published guidelines.
• Treatment outcomes led to modifications in injection point number, location, and BTX dosage.
• The individualized approach demonstrated successful facial rejuvenation.

Conclusions:

• Published BTX guidelines serve as a foundational resource for novice practitioners.
• Developing a personalized treatment algorithm is crucial for achieving optimal facial rejuvenation outcomes.
• Individual practitioner experience significantly shapes the refinement of BTX treatment protocols.