Ferreira Marcus Castro, Salles Alessandra Grassi, Gimenez Rodrigo, Soares Maria Fernanda Dematte
Aesthetic Plast Surg. 2004 Nov-Dec;28(6):441-4. doi: 10.1007/s00266-004-0031-7. Epub 2004 Dec 2.
The botulinum toxin A is produced by Clostridium botulinum and causes a reversible, selective muscle relaxation that leads to a temporary flattening of the mechanical component of wrinkling without the stigmata of invasive surgery. Since the end of the 1980s, this neurotoxin has been used to treat mimic facial lines with good results. Although this is considered a safe therapy, with adverse effects typically self-limited, more severe complications have been observed when it is used by nonskilled physicians or in improper dosages. This article reports eight patients treated with botulinum toxin A for aesthetic purposes who developed different complications. Treatment of the complication included the use of electrical stimulation, lymphatic drainage, antiinflammatory therapy, dipivefrine cloridrate drops, and other approaches. With specific treatment for each patient, the lengths of these complications seemed to be reduced.
A型肉毒杆菌毒素由肉毒梭菌产生，可引起可逆性、选择性肌肉松弛，从而使皱纹的机械性成分暂时变平，且无侵入性手术的痕迹。自20世纪80年代末以来，这种神经毒素已被用于治疗面部表情纹，效果良好。尽管这被认为是一种安全的治疗方法，不良反应通常为自限性，但非专业医生使用或剂量不当时，已观察到更严重的并发症。本文报告了8例为美容目的接受A型肉毒杆菌毒素治疗后出现不同并发症的患者。并发症的治疗包括使用电刺激、淋巴引流、抗炎治疗、盐酸地匹福林滴眼液及其他方法。针对每位患者进行特定治疗后，这些并发症的持续时间似乎缩短了。
