The use of botulinum toxin injection into the mentalis muscle in aesthetic medicine procedures

Authors

  • Patrycja Przybylska Chair and Department of Maxillofacial Orthopaedics and Orthodontics, Poznan University of Medical Sciences https://orcid.org/0000-0002-0277-2827
  • Alicja Morawska Students' Scientific Society of Department of Maxillofacial Orthopaedics and Orthodontics, Poznan University of Medical Sciences
  • Martyna Ortarzewska Students' Scientific Society of Department of Maxillofacial Orthopaedics and Orthodontics, Poznan University of Medical Sciences
  • Margarita Parvanov Helios Kliniken Schwerin, Maximalversorger und universitärer Campus der MSH Medical School Hamburg, Plastische, Rekonstruktive und Ästhetische Chirurgie, Germany

DOI:

https://doi.org/10.20883/jofa.44

Keywords:

Botulinum toxin, mentalis muscle, aesthetic medicine

Abstract

Botulinum toxin, produced by the bacteria Clostridium botulinum, paralyzes muscle contraction by inhibiting the conduction of nerve impulses. Injections of the preparation are widely used as a non-surgical method of improving the face appearance. The mentalis muscles and the surrounding soft tissue are considered key structures in lower facial rejuvenation treatments.The ability to precisely locate the muscle is a challenge for every doctor who performs treatments with the use of neurotoxin and determines therapeutic success. The muscle extends 5–10 mm from the midline and 20–30 mm from the horizontal line joining the mouth, and is present at a depth of 6.7–10.7 mm under the skin. Typically, a single midline injection of 4 to 10 units of onobotulin, incobotulin, parabotulin or 12–30 U of abobotulin is sufficient. Two injections laterally from the center of the chin are allowed, using 4–5 units of the toxin (12–15 U for abobotulin). The aim of the article is to review the use of neurotoxin injection into the mental muscle in aesthetic medicine procedures.

Downloads

Download data is not yet available.

References

Nigam PK, Nigam A. Botulinum toxin. Indian J Dermatol. 2010;55(1):8–14.

Münchau A, Bhatia KP. Uses of botulinum toxin injection in medicine today. BMJ. 2000;320(7228):161–5.

Scott AB. Botulinum toxin injection of eye muscles to correct strabismus. Trans Am Ophthalmol Soc. 1981;79:734–70.

Carruthers JDA, Carruthers JA. Treatment of Glabellar Frown Lines with C. Botulinum-A Exotoxin. J Dermatol Surg Oncol. 1992;18(1):17–21.

Bartkowska P, Roszak J, Ostrowski H, Komisarek O. Botulinum toxin type A as a novel method of preventing cleft lip scar hypertrophy-A literature review. J Cosmet Dermatol. 2020;19(9):2188–93.

Beer K, Yohn M, Closter J. A double-blinded, placebo-controlled study of Botox for the treatment of subjects with chin rhytids. J Drugs Dermatol. 2005;4(4):417–22.

Hur M-S, Kim H-J, Choi B-Y, Hu K-S, Kim H-J, Lee K-S. Morphology of the mentalis muscle and its relationship with the orbicularis oris and incisivus labii inferioris muscles. J Craniofac Surg. 2013;24(2):602–4.

Sundaram H, Signorini M, Liew S, Trindade de Almeida AR, Wu Y, Vieira Braz A. Global Aesthetics Consensus: Botulinum Toxin Type A - Evidence-Based Review, Emerging Concepts, and Consensus Recommendations for Aesthetic Use, Including Updates on Complications. Plast Reconstr Surg. 2016;137(3):518–29.

de Maio M, Wu WTL, Goodman GJ, Monheit G, Alliance for the Future of Aesthetics Consensus Committee. Facial Assessment and Injection Guide for Botulinum Toxin and Injectable Hyaluronic Acid Fillers: Focus on the Lower Face. Plast Reconstr Surg. 2017;140(3):393–404.

Hsu AK, Frankel AS. Modification of Chin Projection and Aesthetics With OnabotulinumtoxinA Injection. JAMA Facial Plast Surg.2017;19(6):522–7.

Delpachitra SN, Sklavos AW, Dastaran M. Clinical uses of botulinum toxin A in smile aesthetic modification. Br Dent J. 2018;225(6):502–6.

Bertossi D, Cavallini M, Cirillo P, Piero Fundarò S, Quartucci S, Sciuto C. Italian consensus report on the aesthetic use of onabotulinum toxin A. J Cosmet Dermatol. 2018;17(5):719–30.

JE, Greco TM. Advanced Techniques for the Use of Neurotoxins in Non-Surgical Facial Rejuvenation. Aesthetic Plast Surg. 2020;44(5):1788–99

Bae GY, Na J-I, Park K-C, Cho SB. Nonsurgical correction of drooping mouth corners using monophasic hyaluronic acid and incobotulinumtoxinA. J Cosmet Dermatol. 2020;19(2):338–45.

D’Emilio R, Rosati G. Full-face treatment with onabotulinumtoxinA: Results from a single-center study. J Cosmet Dermatol. 2020;19(4):809–16.

Yu N, Liu Y, Chen C, Dong R, Yang E, Wang X. Paradoxical bulging of mentalis after botulinum toxin type A injection. J Cosmet Dermatol. 2020;19(6):1290–3.

Choi D-Y, Bae H, Bae J-H, Kim H-J, Hu K-S. Effective Locations for Injecting Botulinum Toxin into the Mentalis Muscle; Cadaveric and Ultrasonographic Study. Toxins. 2021;13(2):96–107.

Downloads

Published

2021-06-30

How to Cite

1.
Przybylska P, Morawska A, Ortarzewska M, Parvanov M. The use of botulinum toxin injection into the mentalis muscle in aesthetic medicine procedures. JoFA [Internet]. 2021 Jun. 30 [cited 2024 Apr. 26];4(1):58-64. Available from: https://jofa.ump.edu.pl/index.php/jofa/article/view/44

Issue

Section

Review papers

Most read articles by the same author(s)