Constance Hall, MSN, RN, FNP-C, is the current owner of The Secret Boutique, PLLC, Morehead City, NC. Constance is also the owner of her own CME course, The Foundations of Aesthetic Medicine offered through the University of Louisville School of Medicine, Louisville, KY, for which she receives a modest grant from AbbVie, North Chicago, IL.
Plast Aesthet Nurs (Phila). 2024;44(1):70-71. doi: 10.1097/PSN.0000000000000546.
In recent years, the field of aesthetic medicine has witnessed significant advancements, offering patients a plethora of options to rejuvenate their appearance. Among the most popular techniques are the administration of botulinum toxin A (BoNT-A) and dermal fillers. This article delves into the rationale and benefits of preparing the face with BoNT-A to weaken depressor muscles before proceeding with dermal filler injections. This sequential approach not only enhances patient outcomes but also improves procedural safety and patient satisfaction while reducing the chances of needing filler. This article reviews the anatomy, scientific evidence, and clinical implications supporting this innovative approach while shedding light on the potential for revolutionizing facial aesthetic procedures. With advanced applications of BoNT-A, it is possible to slim round faces, reduce jowling, create hollowing in some patients by obliterating masseters, slim the parotid, extend the chin, and more.
近年来，美容医学领域取得了重大进展，为患者提供了大量的方法来恢复容貌。其中最受欢迎的技术之一是注射肉毒毒素 A（BoNT-A）和填充剂。本文深入探讨了在进行真皮填充注射之前，使用 BoNT-A 来减弱降肌的合理性和益处。这种序贯方法不仅可以改善患者的效果，还可以提高手术的安全性和患者的满意度，同时减少对填充物的需求。本文综述了支持这种创新方法的解剖学、科学证据和临床意义，同时也探讨了这种方法对面部美学手术可能产生的变革性影响。通过先进的 BoNT-A 应用，可以使圆脸变瘦，减少下颌松弛，在某些患者中通过消除咬肌来造成凹陷，使腮腺变瘦，下巴延长等。
