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Author Spotlight: A Novel Protocol for Intracameral Injections to Enhance Precision in Rodent Ophthalmology
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A Decade in Focus: Examining Lessons Learned From Office-Directed Injectables in an Academic Practice
Aesthetic Surgery Journal. Open Forum
|July 1, 2025
Summary
Noninvasive facial rejuvenation with botulinum toxin and soft-tissue fillers is popular and safe. A 10-year study found low complication rates, with many patients later seeking aesthetic surgery.
Area of Science:
- Aesthetic Medicine
- Dermatology
- Plastic Surgery
Background:
- Noninvasive facial rejuvenation procedures, particularly botulinum toxin and soft-tissue fillers, are increasingly popular.
- These minimally invasive treatments are frequently sought for antiaging and cosmetic enhancement.
Purpose of the Study:
- To analyze a single surgeon's 10-year experience with botulinum toxin and soft-tissue fillers.
- To evaluate trends in patient cost, provider product preferences, and complication rates.
- To quantify the overlap between patients receiving injectables and those undergoing aesthetic surgery.
Main Methods:
- Retrospective analysis of internal records and electronic health data (Epic charting) from January 2013 to January 2023.
- Identification of botulinum toxin and soft-tissue filler cases using CPT codes.
- Collection of patient demographics, complication data, and follow-up information.
Main Results:
- 1,368 patients underwent 5,794 injectable procedures over 10 years.
- Botulinum toxin was most common (59%), followed by fillers (18%) and combination therapy (19%).
- Complications were rare (35 for botulinum toxin, 33 for fillers); 19.6% of injectable patients later received aesthetic surgery.
Conclusions:
- Botulinum toxin and soft-tissue fillers are safe and effective for facial rejuvenation when administered by experienced providers.
- These procedures can initiate antiaging treatment journeys and foster long-term patient-provider relationships.
- A significant percentage of patients receiving injectables subsequently opt for aesthetic surgery.
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