Types of periocular wrinkles based on anatomical and contractile characteristics of participating periocular muscles: A modified classification method and personalized injection technique. (19th July 2022)

• Record Type: Journal Article
• Authors: Li, Yilin; Cai, Lei; Zhang, Xinyu; Yin, Bo; Gong, Xi; Li, Facheng; Han, Xuefeng
• Is Part Of: Journal of cosmetic dermatology. Volume 21:Number 11(2022)
• Page Start: 5591
• Page End: 5600
• Publication Date: 2022-07-19
• Subjects: botulinum toxin -- injection technique -- periocular muscles -- periocular wrinkles -- wrinkle classification; Skin -- Diseases -- Treatment -- Periodicals; Lasers in surgery -- Periodicals; Skin -- Pathophysiology -- Periodicals; Surgery, Plastic -- Periodicals; 616.5
• DOI: 10.1111/jocd.15197
• Languages: English
• ISSNs: 1473-2130

Abstract

Abstract: Background: Clinical classification methods for periocular wrinkles based on participating muscle behavior are lacking, and traditional treatment lacks detailed and individualized methods. Aims: This study aimed to propose a modified classification system and individualized treatment for periocular wrinkles based on the participating muscles. Patients/Methods: Periocular wrinkles were classified into types I.I, I.II, I.III, II, and III. A personalized treatment pattern with a multipoint, low‐dose technique was developed based on wrinkle classification and severity. Standard photographs were taken and assessments made at follow‐up to evaluate wrinkle severity. Results: Wrinkle severity was reduced at 1 and 3 months after periorbital botulinum toxin injection, and no serious adverse events were recorded. Conclusions: Periorbital wrinkles were classified according to participating muscles. The modified injection pattern was individualized, effective, and safe for the treatment of periorbital wrinkles.