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Mimetic modulation for problem creases of the face
W Mühlbauer1, J Fairley, J van Wingerden
1Abteilung für Plastische, Klinikum Bogenhausen, München, Germany.
Aesthetic Plastic Surgery
|March 1, 1995
Summary
Mimetic modulation, a technique to regulate facial muscle activity, effectively treats problem creases like frown lines and crow's feet. This approach enhances results in facial aesthetic surgery.
Area of Science:
- Plastic Surgery
- Dermatology
- Neurology
Background:
- Facial creases result from aging, sun exposure, genetics, and habitual muscle activity.
- Hyperkinesia of mimetic muscles exacerbates facial lines, including frontal lines, frown lines, crow's feet, and neck bands.
- Diagnosis involves clinical assessment, electromyography, and selective muscle/nerve blocks.
Purpose of the Study:
- To introduce and evaluate 'mimetic modulation' for treating problem facial creases.
- To assess the efficacy and safety of selective myotomy, myectomy, and neurotomy in addressing hyperkinetic facial muscles.
- To determine the impact of mimetic modulation on outcomes of concurrent aesthetic facial surgeries.
Main Methods:
- Selective myotomy, myectomy, and neurotomy targeting responsible mimetic muscles to regulate hyperkinesia.
- Procedures performed independently or combined with blepharoplasty or rhytidectomy.
- Clinical evaluation of 60 patients over a five-year period with a median follow-up of 3.5 years.
Main Results:
- Mimetic modulation demonstrated effectiveness in treating problem creases.
- Discussed complications included paresthesia, hypesthesia, partial paresis, asymmetry, incomplete correction, and recurrences.
- The technique was found to be a valuable addition to facial aesthetic surgery.
Conclusions:
- Mimetic modulation is a valuable concept for managing problem facial creases.
- Regulating mimetic hyperkinesia improves the outcomes of facial aesthetic surgery.
- Selective surgical intervention offers a targeted approach to dynamic facial aging concerns.