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Updated: Jul 14, 2025

Cutaneous Surgical Denervation: A Method for Testing the Requirement for Nerves in Mouse Models of Skin Disease
Published on: June 26, 2016
Neuromodulators for Skin.
Anya Costeloe1, Angela Nguyen2, Corey Maas3
1Facial Plastic and Reconstructive Surgery, The Maas Clinic, 2400 Clay Street, San Francisco, CA 94115, USA; California Pacific Heights Medical Center, San Francisco, CA, USA; Premier Plastic Surgery, Palo Alto, CA, USA.
Botulinum toxin A (BoNTA) is a popular nonsurgical cosmetic treatment. Its uses are expanding beyond wrinkles to skin rejuvenation and treating facial nerve disorders.
Area of Science:
- Aesthetic Medicine
- Dermatology
- Neurology
Background:
- Botulinum toxin A (BoNTA) is a widely adopted nonsurgical aesthetic procedure.
- Five distinct BoNTA products are available for cosmetic applications.
- Off-label applications for BoNTA are increasing, including skin rejuvenation and treating skin disorders.
Purpose of the Study:
- To review the expanding applications of Botulinum toxin A (BoNTA).
- To highlight the use of BoNTA in skin rejuvenation and facial nerve paralysis.
- To discuss the growing popularity of dermal and subdermal BoNTA injections for skin quality improvement.
Main Methods:
- Review of current literature on Botulinum toxin A (BoNTA) applications.
- Analysis of cosmetic and therapeutic uses of BoNTA.
- Identification of common muscle targets for BoNTA in facial nerve synkinesis.
Main Results:
- BoNTA is a leading nonsurgical aesthetic treatment for diverse age groups.
- BoNTA demonstrates efficacy in improving skin texture and quality via dermal/subdermal injections.
- Specific muscles targeted for chemodenervation in facial nerve synkinesis include orbicularis oculi, mentalis, and frontalis.
Conclusions:
- Botulinum toxin A (BoNTA) offers versatile applications in aesthetic medicine and dermatology.
- The use of BoNTA extends to therapeutic areas like facial nerve paralysis and skin disorders.
- Targeted chemodenervation with BoNTA is a key strategy for managing facial nerve synkinesis.
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