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Myomodulation with Injectable Fillers: An Innovative Approach to Addressing Facial Muscle Movement

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  • Non-Surgical Aesthetic
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Abstract

Consideration of facial muscle dynamics is underappreciated among clinicians who provide injectable filler treatment. Injectable fillers are customarily used to fill static wrinkles, folds, and localized areas of volume loss, whereas neuromodulators are used to address excessive muscle movement. However, a more comprehensive understanding of the role of muscle function in facial appearance, taking into account biomechanical concepts such as the balance of activity among synergistic and antagonistic muscle groups, is critical to restoring facial appearance to that of a typical youthful individual with facial esthetic treatments. Failure to fully understand the effects of loss of support (due to aging or congenital structural deficiency) on muscle stability and interaction can result in inadequate or inappropriate treatment, producing an unnatural appearance. This article outlines these concepts to provide an innovative framework for an understanding of the role of muscle movement on facial appearance and presents cases that illustrate how modulation of muscle movement with injectable fillers can address structural deficiencies, rebalance abnormal muscle activity, and restore facial appearance.

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Funding

This review was sponsored by Allergan plc, Dublin, Ireland. Writing and editorial assistance was provided to the author by Kathleen M. Dorries, PhD, of Peloton Advantage, Parsippany, NJ, and was funded by Allergan plc. Neither honoraria nor other form of payments was made for authorship.

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  1. Clinica Dr. Maurício de Maio, Avenida Ibirapuera, 2907 cj 1202, São Paulo, SP, Moema EP: 04029200, Brazil

    Maurício de Maio

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  1. Maurício de Maio
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Correspondence to Maurício de Maio.

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MDM is an Allergan plc consultant for speaking events and medical education.

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This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

This article is being reprinted for ISAPS 50th Anniversary Special Issue.

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de Maio, M. Myomodulation with Injectable Fillers: An Innovative Approach to Addressing Facial Muscle Movement. Aesth Plast Surg 44, 1300–1316 (2020). https://doi.org/10.1007/s00266-020-01825-9

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  • DOI: https://doi.org/10.1007/s00266-020-01825-9

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