Advertisement

Botulinum Toxin for Periorbicular Area

  • Ana Paula Gomes MeskiEmail author
Living reference work entry

Latest version View entry history

Part of the Clinical Approaches and Procedures in Cosmetic Dermatology book series (CAPCD)

Abstract

One of the most common complaints of aging patients is the appearance of crow’s feet lines in the lateral canthal region. Injections of botulinum toxin will smooth out the rhytids and make the skin look younger.

In addition, although published consensus recommendations can guide dosing and injection site placement, expert technical application is critical, as is individualized treatment for each patient, based on an esthetic assessment. This includes an evaluation of the patient’s unique functional anatomy and a frank discussion of the patient’s desires and goals. Only by addressing these considerations can the best possible outcomes be consistently achieved.

The key to successful treatment with botulinum toxin is to minimize possible complications. The aim of this chapter is to review the application technique and the factors responsible for poor results and provide security measures for its prevention. Emphasis will be placed on technique, prevention, and management of adverse events that are essential for effective treatment.

Keywords

Botulinum toxin Periorbicular area Crow’s feet treatment Canthal rhytids Orbicularis oculi muscle 

References

  1. Ascher B, Rzany BJ, Grover R. Efficacy and safety of botulinum toxin type a in the treatment of lateral crow’s feet: double blind, placebo-controlled, dose ranging study. Dermatol Surg. 2009;35:1–9.CrossRefGoogle Scholar
  2. Ascher B, Talarico S, Cassuto D, et al. International consensus recommendations on the aesthetic usage of botulinum toxin type A (Speywood Unit) – part I: upper facial wrinkles. J Eur Acad Dermatol Venereol. 2010;24(11):1278–84.CrossRefGoogle Scholar
  3. Carruthers J, Fagien S, Matarasso SL. Botox consensus group. consensus recommendations on the use of botulinum toxin type A in facial aesthetics. Plast Reconstr Surg. 2004;114(suppl.6):1S–22S.CrossRefGoogle Scholar
  4. Kane MA. Classification of crow’s feet patterns among Caucasian women: the key to individualizing treatment. Plast Reconstr Surg. 2003;112(Suppl 5):33S–9S.CrossRefGoogle Scholar
  5. Le Louran C. Botulinum toxin A and facial lines: the variable concentratio. Aesthet Plast Surg. 2001;25:73–84.CrossRefGoogle Scholar
  6. Matarasso SL. Complications of botulinum A exotoxin for hyperfunctional lines. Dermatol Surg. 1998;24:1249.PubMedGoogle Scholar
  7. Matarasso SL. Decreased tear expression with an abnormal Schirmer’s test following botulinum toxin type A for the treatment of lateral canthal rhytides. Dermatol Surg. 2002;28:149–52.PubMedGoogle Scholar
  8. Mitchel PG. Festoon formation after infraorbital Botulinum A toxin: a case report. Dermatol Surg. 2003;29:560–1.Google Scholar
  9. Paloma V. A complication with the aesthetic use of botox: herniation of the orbital fat. Plast Reconstr Surg. 2001;107:1315.CrossRefGoogle Scholar
  10. Small R. A practical guide to botulinum toxin procedures. Philadelphia: Lippincott, Williams & Wilkins; 2012.Google Scholar
  11. Spiegel JH. Treatment of periorbital rhytids with botulinum toxin type A: Maximizing safety and results. Arch Facial Plast Surg. 2005;7:198–202.CrossRefGoogle Scholar
  12. Spiegel JH, Derosa J. The anatomic relationship between the orbicularis oculi muscle and the levator labii superioris and zygomaticus muscle complexes. Plast Reconstr Surg. 2005;116(7):1937–42.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Medical SchoolUniversity of São PauloSão PauloBrazil

Personalised recommendations