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Tailored botulinum toxin type A injections in aesthetic medicine: consensus panel recommendations for treating the forehead based on individual facial anatomy and muscle tone

Overview of attention for article published in Clinical, Cosmetic and Investigational Dermatology, October 2017
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Title
Tailored botulinum toxin type A injections in aesthetic medicine: consensus panel recommendations for treating the forehead based on individual facial anatomy and muscle tone
Published in
Clinical, Cosmetic and Investigational Dermatology, October 2017
DOI 10.2147/ccid.s138274
Pubmed ID
Authors

Javier Anido, Daniel Arenas, Cristina Arruabarrena, Alfonso Domínguez-Gil, Carlos Fajardo, Mar Mira, Javier Murillo, Natalia Ribé, Helga Rivera, Sofia Ruiz del Cueto, Helder Silvestre, Marisa Tirado

Abstract

Facial lines and wrinkles are strongly influenced by individual differences in anatomy and muscle activity and no single injection protocol will suit all patients. However, there is only limited information in the published literature on how to develop a tailored approach to botulinum toxin treatment. An expert panel of physicians was convened to establish a consensus on developing an individualized approach to treatment of the forehead with incobotulinumtoxinA. Separate treatment protocols were developed for men and women and subdivided by background level of muscle activity: kinetic, hyperkinetic, and hypertonic. Each muscle tone category was then further subdivided to take account of individual characteristics that can influence treatment. Consensus members describe how to perform a dynamic assessment to optimize the dose and injection technique for each patient. A tailored treatment protocol is described for men and women with a wide range of forehead presentations. For each presentation, units of toxin as well as the precise location of injection points were defined by creating a 12-zone map of the forehead. These recommendations depart from traditional consensus documents by providing detailed incobotulinumtoxinA injection protocols for the forehead based on the major parameters that differ between patients, including muscular anatomy, size, and tone. It is expected that the use of this document will lead to more satisfactory, natural, and individualized aesthetic outcomes for patients.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 18%
Student > Postgraduate 5 13%
Student > Bachelor 4 10%
Other 3 8%
Professor > Associate Professor 3 8%
Other 7 18%
Unknown 10 26%
Readers by discipline Count As %
Medicine and Dentistry 21 54%
Biochemistry, Genetics and Molecular Biology 2 5%
Nursing and Health Professions 2 5%
Business, Management and Accounting 1 3%
Agricultural and Biological Sciences 1 3%
Other 1 3%
Unknown 11 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 January 2024.
All research outputs
#19,951,180
of 25,382,440 outputs
Outputs from Clinical, Cosmetic and Investigational Dermatology
#675
of 905 outputs
Outputs of similar age
#241,787
of 331,218 outputs
Outputs of similar age from Clinical, Cosmetic and Investigational Dermatology
#13
of 15 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 18th percentile – i.e., 18% of other outputs scored the same or lower than it.
So far Altmetric has tracked 905 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 23.2. This one is in the 20th percentile – i.e., 20% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 331,218 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 22nd percentile – i.e., 22% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 15 others from the same source and published within six weeks on either side of this one. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.