Department of Plastic Surgery, Saint Joseph University, Beirut, Lebanon.
Faculty of Medicine, Hotel Dieu de France Hospital, Beirut, Lebanon.
J Cosmet Laser Ther. 2021 Feb 17;23(1-2):24-25. doi: 10.1080/14764172.2021.1957114. Epub 2021 Aug 30.
Lately it has been established that intra-dermal botulinum toxin is also effective in treating many dermatological conditions including refractory erythematous-telangiectatic rosacea, post - menopausal facial flushing and other similar conditions.However, the desired effect of treating the reddening in patients suffering from facial flushing can become an undesirable and embarrassing side effect when these same patients present to the clinic for esthetic concerns such as upper face rhytids. In this case, intramuscular botulinum toxin injections used for wrinkles treatment will also secondarily treat the facial reddening in their localized skin diffusion zones and result in embarrassing white patches all over the face. The patchy appearance following botulinum toxin injections for esthetic purposes could be bothersome for some patients and could be a tell-tale sign of botulinum toxin injections.
最近已经证实，皮内注射肉毒毒素对于治疗多种皮肤科疾病也同样有效，包括难治性红斑毛细血管扩张性酒渣鼻、绝经后面部潮红和其他类似疾病。然而，当这些同样的患者因美容问题（如上面部皱纹）就诊时，治疗面部潮红患者的发红效果可能会成为一种不良且尴尬的副作用。在这种情况下，用于治疗皱纹的肌肉内肉毒毒素注射也会在局部皮肤扩散区域中继发治疗面部发红，并导致整个面部出现尴尬的白色斑块。出于美容目的而进行肉毒毒素注射后的这种片状外观可能会使一些患者感到困扰，并且可能是肉毒毒素注射的一个明显迹象。
