Ascher Benjamin, Fellmann Jere, Monheit Gary
a Clinic of Aesthetic Surgery IENA , Paris , France.
b Kythera Biopharmaceuticals, Inc ., Westlake Village , CA , USA (an affiliate of Allergan plc, Dublin, Ireland).
Expert Rev Clin Pharmacol. 2016 Sep;9(9):1131-43. doi: 10.1080/17512433.2016.1215911. Epub 2016 Aug 18.
The shape and contour of the chin and neck play an important role in facial esthetics. As such, excess fat within the submental area (double chin) can negatively affect facial esthetics and body image. Common treatments for submental contouring include invasive procedures such as surgical rejuvenation and targeted liposuction. Energy devices (lasers, radiofrequency, and ultrasound) may be used to improve submental skin laxity while cryolipolysis was recently cleared in the United States for use in the submental area. However, ATX-101 (deoxycholic acid injection) is the only injectable drug approved in the United States and Canada for reduction of submental fat.
The efficacy and safety of ATX-101 have been extensively evaluated in a global clinical development program including multiple Phase I/II studies and four large Phase III trials. Available data from ATX-101 trials are reviewed. Expert commentary: Injectables have been well established for facial rejuvenation. Extending injectable treatment into the chin and neck is a major advance for nonsurgical cosmetic correction. Overall, the evidence supports ATX-101 as a safe and effective, minimally invasive treatment alternative for reduction of submental fat that will provide a major tool for the esthetic physician.
下巴和颈部的形状及轮廓对面部美学起着重要作用。因此,颏下区域(双下巴)内的多余脂肪会对面部美学和身体形象产生负面影响。颏下轮廓塑形的常见治疗方法包括侵入性手术,如手术年轻化和靶向抽脂。能量设备(激光、射频和超声)可用于改善颏下皮肤松弛,而冷冻溶脂术最近在美国被批准用于颏下区域。然而,ATX - 101(脱氧胆酸注射液)是美国和加拿大唯一批准用于减少颏下脂肪的注射药物。
ATX - 101的疗效和安全性已在一项全球临床开发计划中得到广泛评估,该计划包括多项I/II期研究和四项大型III期试验。对ATX - 101试验的现有数据进行了综述。专家评论:注射剂在面部年轻化方面已得到充分确立。将注射治疗扩展到下巴和颈部是非手术美容矫正的一项重大进展。总体而言,证据支持ATX - 101作为一种安全有效的、微创的减少颏下脂肪的治疗选择,这将为美容医生提供一个重要工具。