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肉毒杆菌毒素微滴注射联合微交联透明质酸钠凝胶或聚焦超声技术对面部年轻化治疗效果的比较研究

The Comparative Study of the Effects of Botulinum Toxin Micro-droplet Injection Combined with Micro-crosslinked Sodium Hyaluronate Gel or Focused Ultrasound Technology in Facial Rejuvenation Treatment.

作者信息

Jiang Yanan, Jiang Yerong, Gao Yu, Yan Lu, Zhao Demei

机构信息

Department of Burns and Plastic Surgery, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, Nanjing, People's Republic of China.

Medical Cosmetic Center, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, Nanjing, People's Republic of China.

出版信息

Aesthetic Plast Surg. 2025 Jun 4. doi: 10.1007/s00266-025-04903-y.

DOI:10.1007/s00266-025-04903-y
PMID:40464862
Abstract

BACKGROUND

The harmonization of micro-droplet botulinum toxin injections with either micro-crosslinked sodium hyaluronate gel or focused ultrasound technology necessitating a comprehensive evaluation of their differential impact.

METHODS

A retrospective analysis of clinical data was conducted on 114 patients who underwent facial rejuvenation treatment. The patients were divided into two groups: one receiving botulinum toxin micro-droplet injection combined with micro-crosslinked hyaluronic acid sodium gel (n=56) and the other receiving botulinum toxin micro-droplet injection combined with focused ultrasound technology (n=58). The study assessed baseline characteristics, procedural aspects, recovery, side effects, facial laxity and rejuvenation (FLR), and quality of life using validated rating scales and criteria.

RESULTS

The study revealed several significant findings. The procedural duration was shorter in the micro-crosslinked sodium hyaluronate gel group, whereas the time to return to normal activities was shorter in the focused ultrasound group. The incidence of edema and erythema was significantly lower in the focused ultrasound group. FLR scale scores showed better skin elasticity and tightness in the focused ultrasound group, while quality of life scores indicated variations in emotion management and return to social function between the two groups.

CONCLUSION

The study emphasizes the multifaceted impact of botulinum toxin micro-droplet injection combined with micro-crosslinked sodium hyaluronate gel and focused ultrasound technology on various parameters in facial rejuvenation treatment. These findings provide valuable insights into the differential effects of these treatment modalities, highlighting the need for personalized approaches and patient-centered care in cosmetic dermatology and plastic surgery.

LEVEL OF EVIDENCE II

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .

摘要

背景

将微滴肉毒杆菌毒素注射与微交联透明质酸钠凝胶或聚焦超声技术相结合,需要对它们的不同影响进行全面评估。

方法

对114例接受面部年轻化治疗的患者的临床资料进行回顾性分析。患者分为两组:一组接受肉毒杆菌毒素微滴注射联合微交联透明质酸钠凝胶(n = 56),另一组接受肉毒杆菌毒素微滴注射联合聚焦超声技术(n = 58)。该研究使用经过验证的评分量表和标准评估了基线特征、手术过程、恢复情况、副作用、面部松弛和年轻化(FLR)以及生活质量。

结果

该研究揭示了几个重要发现。微交联透明质酸钠凝胶组的手术持续时间较短,而聚焦超声组恢复正常活动的时间较短。聚焦超声组水肿和红斑的发生率显著较低。FLR量表评分显示聚焦超声组的皮肤弹性和紧致度更好,而生活质量评分表明两组在情绪管理和恢复社交功能方面存在差异。

结论

该研究强调了肉毒杆菌毒素微滴注射联合微交联透明质酸钠凝胶和聚焦超声技术对面部年轻化治疗中各种参数的多方面影响。这些发现为这些治疗方式的不同效果提供了有价值的见解,突出了在美容皮肤科和整形外科中采用个性化方法和以患者为中心的护理的必要性。

证据水平II:本刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南 www.springer.com/00266 。

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本文引用的文献

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Efficacy and safety of high-intensity, high-frequency, non-focused ultrasound parallel beams for facial skin laxity.高强度、高频率、非聚焦超声平行束治疗面部皮肤松弛的疗效和安全性。
J Cosmet Dermatol. 2024 Jan;23(1):117-123. doi: 10.1111/jocd.16098. Epub 2023 Nov 29.
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Trial of Botulinum Toxin for Isolated or Essential Head Tremor.肉毒杆菌毒素治疗孤立性或原发性头部震颤的试验。
N Engl J Med. 2023 Nov 9;389(19):1753-1765. doi: 10.1056/NEJMoa2304192.
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Evaluation of the effect of botulinum toxin injection in aggravating or improving seborrheic dermatitis symptoms: A prospective, single-arm clinical trial.
评价肉毒毒素注射加重或改善脂溢性皮炎症状的效果:一项前瞻性、单臂临床试验。
Skin Res Technol. 2023 Oct;29(10):e13478. doi: 10.1111/srt.13478.
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Facial rejuvenation with the new hybrid filler HArmonyCa™: Clinical and aesthetic outcomes assessed by 2D and 3D photographs, ultrasound, and elastography.采用新型混合填充剂 HArmonyCa™进行面部年轻化:通过二维和三维照片、超声和弹性成像评估的临床和美学效果。
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Can Botulinum Toxin-A Contribute to Reconstructing the Physiological Homeostasis of the Masticatory Complex in Short-Faced Patients during Occlusal Therapy? A Prospective Pilot Study.肉毒毒素 A 是否有助于在咬合治疗过程中重建短面患者咀嚼复合体的生理平衡?一项前瞻性初步研究。
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Sodium hyaluronate 0.30% ocular gel versus sodium hyaluronate 0.18% eye drop in the treatment of moderate to severe dry eye disease.玻璃酸钠 0.30%眼用凝胶与玻璃酸钠 0.18%滴眼液治疗中重度干眼的疗效比较。
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Botulinum Toxin A in the Management of a Gummy Smile: A Clinical Controlled Preliminary Study.A型肉毒毒素治疗露龈笑的临床对照初步研究。
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