Shuai Qiang, Jie Long, Han Chen, Songjie Li, Xin Dan, Yang Li, Xing Fan
{"title":"Submental Microneedles of Botulinum Toxin A for Double Chin After Neck Injection.","authors":"Shuai Qiang, Jie Long, Han Chen, Songjie Li, Xin Dan, Yang Li, Xing Fan","doi":"10.1097/GOX.0000000000006593","DOIUrl":null,"url":null,"abstract":"<p><p>Neck injections of botulinum toxin A (BTX-A) are an effective, minimally invasive approach to improve lower face sagging, especially in Asian populations. However, cases of worsened \"double chin\" have been observed postinjection, likely due to the platysma muscle type and limited anterior neck injection range, which may result in compensatory platysma contraction. Five female patients who developed aggravated double chin after BTX-A injections in the lower jaw and neck were treated with microneedle BTX-A injections (10-20 U in 3-4 rows with 0.5-1 cm between points). Effective submental lifting and double chin improvement were observed within 5-10 days, with no reports of voice changes or dysphagia. This microneedle BTX-A injection technique provides a safe, effective solution for enhancing the anterior neck region and can serve as an important adjunct to lower face antiaging treatments.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6593"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875569/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and Reconstructive Surgery Global Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/GOX.0000000000006593","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Neck injections of botulinum toxin A (BTX-A) are an effective, minimally invasive approach to improve lower face sagging, especially in Asian populations. However, cases of worsened "double chin" have been observed postinjection, likely due to the platysma muscle type and limited anterior neck injection range, which may result in compensatory platysma contraction. Five female patients who developed aggravated double chin after BTX-A injections in the lower jaw and neck were treated with microneedle BTX-A injections (10-20 U in 3-4 rows with 0.5-1 cm between points). Effective submental lifting and double chin improvement were observed within 5-10 days, with no reports of voice changes or dysphagia. This microneedle BTX-A injection technique provides a safe, effective solution for enhancing the anterior neck region and can serve as an important adjunct to lower face antiaging treatments.
期刊介绍：
Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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