title: Phosphatidylcholine/deoxycholate lipolysis and hyaluronic acid augmentation to enhance nonsurgical lower facial contouring using botulinum toxin type A.
abstract: Botulinum toxin type A can produce dramatic improvements in patients with benign masseteric hypertrophy but this method alone is not as effective for patients with a rounded lower face. The paper describes the effective use of selective lower jowl phosphatidylcholine/deoxycholate lipolysis and chin, cheek, and nose augmentation with hyaluronic acid to refine cosmetic lower facial contouring using botulinum toxin type A in a young Asian woman. A series of treatments was administered over 26 months. The patient's lower cheeks were slimmed and jowl definition was improved producing the patient's desired sculptured, heart-shaped face. The injection-based procedures provided much preferable alternative to surgery from the perspective of both the patient and her family. The authors believe that this is the first case report in the published literature reporting these three methods used in conjunction.
authors.affiliation: Sapphire Appearance Medicine Clinic, 26 College Hill, Freemans Bay, Auckland, New Zealand. sapphireclinic@gmail.com
authors.forename: Garsing Roger
authors.initials: GR
authors.lastname: Wong
authors.forename: Wen-Pei
authors.initials: WP
authors.lastname: Chen
mesh_terms: D000328:Adult; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D003357:Cosmetic Techniques; D003840:Deoxycholic Acid / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D006984:Hypertrophy / Q000628:therapy; D008066:Lipolysis; D008406:Masseter Muscle / Q000473:pathology*; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D010713:Phosphatidylcholines / Q000627:therapeutic use; D055675:Viscosupplements / Q000627:therapeutic use*; D055815:Young Adult
chemical_list: D009465:Neuromuscular Agents; D010713:Phosphatidylcholines; D055675:Viscosupplements; D003840:Deoxycholic Acid; D006820:Hyaluronic Acid; D019274:Botulinum Toxins, Type A