Novel single‐entry point injection technique for masseter hypertrophy treatment using botulinum neurotoxin based on patient‐reported comfort

Author:

Wan Jovian1,Kim Jong‐Seo2ORCID,Park Youngjin3,Park Soo Yeon4,Koppert Erik5,Kim Hee‐Jin6ORCID,Yi Kyu‐Ho67ORCID

Affiliation:

1. Asia Pacific Aesthetic Academy Hong Kong Hong Kong

2. Kimjongseo Plastic Surgery Clinic Seoul South Korea

3. Obliv Clinic Incheon South Korea

4. Made‐Young Plastic Surgery Clinic Seoul South Korea

5. Department of Surgery Epworth Hawthorn and Epworth Eastern Private Hospitals Melbourne Victoria Australia

6. Division in Anatomy and Developmental Biology, Department of Oral Biology Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry Seoul South Korea

7. Maylin Clinic (Apgujeong) Seoul South Korea

Abstract

AbstractIntroductionBotulinum neurotoxin (BoNT) injections are widely used for the treatment of masseter muscle hypertrophy in Southeast Asia. However, there remains a lack of consensus regarding the optimal injection technique. This study aimed to compare the efficacy and patient discomfort associated with single‐entry point injections versus multiple three‐point injections for masseter muscle hypertrophy treatment with BoNT.Materials and MethodsSixteen participants, comprising both male and female Korean adults aged 22–63, were enrolled in the study. On the left side of the face, single‐entry point injections were administered, followed by multidirectional injections, while on the right side, three‐point injections were given. Pain intensity during the procedure was assessed using visual analogue scale scores.ResultOur results revealed that participants experienced lower levels of pain with single‐entry point injections compared to three‐point injections (average visual analogue scores of 3.31 and 5.19, respectively).ConclusionThese findings highlight the potential benefits of single‐entry point injections in reducing patient discomfort during masseter muscle hypertrophy treatment with BoNT. We advocate for further research to validate these findings and encourage practitioners to consider single‐entry point injections as a viable option for enhancing treatment outcomes in their clinical practice.

Publisher

Wiley

Reference20 articles.

1. Aesthetic Uses of the Botulinum Toxin

2. Guidelines for Botulinum Neurotoxin Injection for Facial Contouring

3. Botulinum Toxin Injections for Masseter Reduction in East Asians

4. Intramuscular neural distribution of the serratus anterior muscle: regarding botulinum neurotoxin injection for treating myofascial pain syndrome;Yi KH;Toxins (Basel),2022

5. Botulinum toxin type a for the treatment of masseter muscle prominence in Asian populations;Wu Y;Aesthet Surg J Open Forum,2023

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