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Avoiding Complications on the Upper Face Treatment With Botulinum Toxin: A Practical Guide.
André Borba1, Suzana Matayoshi2, Matheus Rodrigues3
1Department of Ophthalmology, Division of Oculoplastic, University of São Paulo Medical School, 255 Eneas Aguiar Street Office 4079, São Paulo, Zipcode, 05403000, Brazil. prof.dr.andreborba@gmail.com.
Botulinum toxin (BoNT) injections for upper face rejuvenation are safe when anatomical safety zones are respected. This review details common complications and provides practical guidance to avoid them for optimal results.
Area of Science:
- Cosmetic Dermatology
- Facial Aesthetics
- Neurotoxin Treatments
Background:
- Botulinum toxin (BoNT) injections are a leading non-invasive upper face rejuvenation procedure.
- While generally safe, BoNT injections can cause adverse events if safety zones are not respected.
Purpose of the Study:
- To review the primary complications associated with upper face BoNT injections.
- To offer evidence-based practical guidance for preventing these complications.
Main Methods:
- Literature search of published clinical trials and scientific reviews.
- Utilized MEDLINE and PubMed databases for study identification.
Main Results:
- Key complications include eyelid/eyebrow ptosis, asymmetry, diplopia, and ectropion.
- Avoiding complications requires understanding facial anatomy and individualized treatment planning.
Conclusions:
- Upper face BoNT treatment yields predictable outcomes with high patient satisfaction.
- Adherence to safety parameters and anatomical knowledge is crucial for minimizing complication risks.
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