dezembro 24, 2018

No geral, os participantes relataram que o regime de exercício facial foi bem tolerado, com 59% das mulheres indicando que as contrações musculares eram muito fáceis de executar.

Um regime de exercício facial seguindo toxina botulínica Injeções para Glabella e rugas na testa podem levar a uma melhoria mais rápida nas rugas faciais, De acordo com os resultados de um randomizado, controlado, Ensino Clínico Crossover. As descobertas foram publicadas no Journal of the American Academy of Dermatology.

Os pesquisadores procuraram explorar se o exercício dos músculos faciais após injeções de toxina botulínica na testa e ritídeos glabelas está associada a uma melhoria mais rápida na aparência de rugas em comparação com as injeções sem exercício. Os participantes do estudo elegível compreendiam mulheres que estavam de boa saúde e foram recrutadas de uma prática de dermatologia urbana. Todos os participantes tinham ritídeos dinâmicos da glabella e testa. The women were randomly assigned to perform either a facial exercise regimen or to refrain from facial contractions for 4 hours following botulinum injections.

Two blinded dermatologist photoraters assessed forehead and glabella dynamic creases at baseline and on days 1, 2 3, 4, 7, e 14. Each of the women also assessed her own dynamic creases using a 7-point Subject Self-Evaluation Improvement Scale (–3 to +3). All participants were crossed over to the other arm at 7 meses.

Do 25 women who consented and enrolled in the study, 22 completed the study per protocol. The mean age of the participants was 46.7 anos (alcance, 27 para 66 anos). Both the dermatologists and the participants rated dynamic glabellar and static forehead wrinkles as significantly improved by day 3 when botulinum injection was followed by facial contractions (dermatologistas’ ratings: P =.002 e P =.02, respectivamente; participantes’ ratings: P =.01 e P =.02, respectivamente).

The women also reported significantly noticeable glabellar improvement by day 2 para 3 when the injection was followed by facial exercise, compared with day 3 para 4 without facial exercise (P =.02). Na verdade, a significant advantage was detected in the exercise group as early as day 3, at which time participants’ self-evaluation wrinkle scores increased by approximately twice as much among the exercisers compared with the nonexercisers. The overall degree of effect was the same in both the exercise and nonexercise groups at 14 dias. Mais distante, the duration of action did not appear to differ between the exercise and nonexercise arms.

No geral, os participantes relataram que o regime de exercício facial foi bem tolerado, com 59% das mulheres indicando que as contrações musculares eram muito fáceis de executar. Of the participants, 68% thought that the contractions sped up the onset of action and increased the toxin efficiency and did not have an impact on the duration of effectiveness.

The investigators concluded that based on the results of this analysis, future studies could include men and could be performed for other neuromodulator agents, at different injection sites, and using different types of exercise regimens to establish minimal needs.

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Referência

Alam M, Geisler A, Warycha M, et al. Effect of post-injection facial exercise on time of onset of botulinum toxin for glabella and forehead wrinkles; a randomized controlled, Ensino Clínico Crossover [publicado on-line em outubro 1, 2018]. J Am Acad Dermatol. doi: 10.1016/j/jaad.2018.10.013