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- Presentation
Cosmetic Botulinum Toxin A to the Platysma
Description
The presentation discusses the role of the platysma muscle, often misunderstood as merely a neck muscle, highlighting its significant influence on the lower face and neck appearance. It examines the Nefertiti technique introduced by Phil Levy in 2007, which involves targeting the mandible area of the platysma with botulinum toxin A (20 units per side) to enhance jawline aesthetics and reduce neck sagging. The speaker shares personal experiences and patient results, illustrating how proper injection techniques can effectively alter the muscle's function. Emphasizing the importance of understanding facial anatomy, the talk mentions how injecting the platysma can also affect other facial regions, suggesting a correlation between weakening the platysma and improved mid-face appearance. The speaker recommends this technique as a popular treatment that pairs well with other aesthetic procedures, ultimately advocating for a broader recognition of the platysma as an active contributor to facial dynamics rather than just a muscle of the neck.
View moreConclusions
- The platysma muscle plays a significant role in lower facial dynamics and should not be viewed solely as a neck muscle.
- Injecting botulinum toxin (Botox) into the platysma can reduce its downward pull, thereby enhancing the appearance of the jawline and mouth corners.
- The Nefertiti technique effectively rejuvenates the neck and jawline by targeting specific areas of the platysma.
- Weakening the upper portion of the platysma may result in subtle improvements in midface volume due to the elevation of facial expression muscles.
- The treatment with botulinum toxin along the mandibular border can also positively affect the infrorbital area, demonstrating multifaceted benefits of this approach.
- The Facial Platysma and Its Underappreciated Role in Lower Face Dynamics and Contour, Ada R.T. de Almeida, MD, Alessandra Romiti, MD, Jean D.A. Carruthers, MD, J. Cosmet. 2023.
- How to improve infraorbital hollows with neuromodulators-A clinical prospective interventional study about the application of facial biomechanics. Germani M, Almeida CCMS, Munoz-Lora VRM, Rogerio V, Moelhoff N, Freytag DL, Green JB, Alfertshofer M, Davidovic K, Cotofana S. Journal of Cosmetic Dermatology. 22(11):2950-2956, 2023 Nov.