Hyaluronic Acid-based Fillers for Facial Rehabilitation in Inherited Neuropath

Area of Science:

• Neurology
• Plastic Surgery
• Dermatology

Background:

• Charcot-Marie-Tooth (CMT) is a prevalent inherited neuromuscular disorder causing musculoskeletal deformities and impacting quality of life.
• Body image dissatisfaction is an under-recognized issue in CMT patients, often overlooked in multidisciplinary care.
• Facial asymmetry is a common concern that can significantly impair a patient's psychological well-being.

Observation:

• A 54-year-old woman with CMT presented with chronic facial asymmetry and significant quality of life impairment.
• The patient underwent two sessions of facial treatments using hyaluronic acid-based fillers to address mandibular hypoplasia and perioral aesthetics.
• The treatment focused on correcting asymmetry and enhancing facial contours, with the patient's primary concern being lip corner asymmetry.

Findings:

• Significant aesthetic improvements were observed, validated by high Physician Global Aesthetic Improvement Scale and Subject Global Aesthetic Improvement Scale ratings.
• The patient experienced a marked reduction in lip corner asymmetry, achieving her primary aesthetic goal.
• Hyaluronic acid fillers demonstrated efficacy in improving facial aesthetics and patient satisfaction in this CMT case.

Implications:

• Minimally invasive aesthetic procedures, such as hyaluronic acid fillers, may offer a valuable addition to the multidisciplinary care of CMT patients.
• Addressing body image concerns through aesthetic interventions can enhance the overall quality of life for individuals with inherited neurological disorders.
• Further research is warranted to explore the broader application and long-term effects of aesthetic treatments in the CMT population.