Moose Technique: A New Anatomical Perspective Treatment in Botulinum Toxin

Area of Science:

• Aesthetics
• Dermatology
• Plastic Surgery

Background:

• Botulinum toxin injections are popular for aesthetic treatments, but forehead use can lead to complications like eyebrow ptosis.
• A comprehensive pre-treatment assessment is crucial for optimizing results and minimizing side effects.
• The MOOSE technique offers a novel approach to botulinum toxin brow elevation by considering muscle interactions.

Purpose of the Study:

• To evaluate the efficacy and safety of the MOOSE technique for botulinum toxin brow elevation.
• To assess the impact of the MOOSE technique on brow position, forehead lines, and patient satisfaction.
• To minimize side effects such as eyebrow ptosis and the omega sign.

Main Methods:

• The MOOSE technique was applied to 202 patients undergoing upper facial wrinkle treatment with botulinum toxin.
• Outcomes included brow position, forehead line severity, treatment duration, and patient satisfaction, assessed using Merz Aesthetic Scales.
• Aesthetic outcomes and patient satisfaction were evaluated at two weeks and four months post-treatment.

Main Results:

• The MOOSE technique significantly improved brow position (average 2-point gain on MAS) and achieved high patient satisfaction (100% at 15 days, 99% at 4 months).
• No cases of brow or eyelid ptosis were reported; only one patient experienced transient edema.
• Excellent interrater reliability (ICC 0.94-1.00) confirmed the consistency of outcome assessments.

Conclusions:

• The MOOSE technique is an effective, anatomically guided method for botulinum toxin injections, improving aesthetic results and reducing complications.
• Individualized treatment based on muscle dynamics is key to successful brow elevation.
• Further research is warranted to refine the MOOSE technique's application and evaluate long-term effects.