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Botulinum A toxin for glabellar wrinkles. Dose and response
C L Hankins1, R Strimling, G S Rogers
1Department of Surgery, Boston University School of Medicine, Massachusetts 02118, USA.
Botulinum toxin injections effectively treat facial wrinkles. An optimal dose of 2.5-4 units per site provides results lasting 2-5 months, with concentration not affecting outcomes.
Area of Science:
- Dermatology
- Aesthetic Medicine
- Neurology
Background:
- Botulinum toxin A injections are a standard treatment for glabellar lines, crow's feet, and forehead wrinkles.
- Optimal dosage and concentration for effective treatment remain debated.
Purpose of the Study:
- Determine the minimal effective dose per injection site for Botulinum toxin A.
- Evaluate the impact of injectate concentration on treatment efficacy and duration.
Main Methods:
- 46 subjects received varying doses and concentrations of Botulinum toxin A.
- Treatment response and longevity were monitored monthly.
Main Results:
- An effective starting dose was identified as 2.5-4 units per injection site (12.5-20 units total).
- Treatment duration ranged from 2 to 5 months, with a median of 14 weeks.
- No significant difference in safety or efficacy was observed across concentrations from 50 to 200 U/ml.
Conclusions:
- Concentration does not significantly impact the safety or efficacy of Botulinum toxin A treatments.
- A specific dose range provides effective wrinkle reduction with predictable longevity.
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