The efficacy and complications of a new technique of Abobotulinum-toxin A (Dysport) injection in patients with glabellar lines

J Cosmet Dermatol. 2019 Feb;18(1):55-58. doi: 10.1111/jocd.12529. Epub 2018 Mar 23.

Abstract

Background: Abobotulinum- toxin A is used extensively for the treatment of frown (glabellar) lines.

Aims: The aim of this study was to evaluate the efficacy and complications of a new injection technique and to assess the amount of satisfaction in patients with the frown lines.

Methods: This cross-sectional study was conducted in 104 patients with moderate-to-severe glabellar lines. In the new technique by reassessing the responsible anatomic muscles of wrinkles, we tried to modify the injection technique of Abobotulinum-toxin A to yield more favorable results. The range and severity of frown lines were assessed by a 4-score test and a photograph taken before and 2 weeks after the injection. Patients were followed up to 180 days after injection.

Results: The response time of 87.5% of patients was within the first 48 hours and the remaining 12.5% showed the symptoms within the first week after injection. At 30 days after injection, the frown lines had disappeared in 88.5% of patients in static mode and 85.6% in mechanic mode. Maximum injection durability in the first 3, 4, and 6 months after injection was 82%, 52%, and 38%, respectively. The amount of complete satisfaction after 3 months was reported to be 86.5%.

Conclusions: This study indicated that the new injection technique of Abobotulinum-toxin A could be beneficial in the treatment of frown lines with more satisfactory results, especially in those patients who were not contented with the present conventional method.

Keywords: Abobotulinum- toxin A; Botulinum toxin; Dysport; glabellar lines.

MeSH terms

  • Adult
  • Botulinum Toxins, Type A / administration & dosage*
  • Botulinum Toxins, Type A / adverse effects
  • Cosmetic Techniques*
  • Cross-Sectional Studies
  • Facial Expression
  • Facial Muscles / drug effects
  • Female
  • Forehead
  • Humans
  • Injections, Intramuscular / methods
  • Male
  • Middle Aged
  • Neurotoxins / administration & dosage*
  • Neurotoxins / adverse effects
  • Patient Satisfaction
  • Photography
  • Skin Aging*

Substances

  • Neurotoxins
  • Botulinum Toxins, Type A
  • abobotulinumtoxinA