Jowl Reduction With Deoxycholic Acid.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
José Raúl MontesAnnirudha Chillar

Abstract

The study proposes a novel protocol for targeting the jowls using deoxycholic acid (DCA) injections, with emphasis on safety and feasibility of the procedure. This prospective study was conducted at a cosmetic practice between June 2016 and May 2017. Twelve consecutive patients seeking reduction/improvement in mild/moderate jowl fat were injected with DCA subcutaneously in a predefined circular area 1.0 cm above the mandibular border. Treatment response was assessed using physician-evaluated Global Aesthetic Improvement Scale (GAIS) and Subject GAIS. Twelve patients (11 women and 1 man) with mild (n = 8) or moderate (n = 4) jowls were treated. After the first treatment, GAIS responses for 24 jowls showed 5 jowls with vast improvement, 15 with moderate improvement, and 4 with no change. After the second session for 5 jowls in 3 patients, GAIS responses showed vast improvement in 4 jowls and moderate improvement in 1. Adverse events included induration (n = 4), bruising (n = 6), numbness (n = 2), pain (n = 5), redness (n = 3), edema (n = 9), and dysphagia (n = 1). Results of this early experience showed that DCA injections were safe and effective for nonsurgical jowl reduction.

References

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Dec 22, 2017·Plastic and Reconstructive Surgery. Global Open·Sarah Ann Mess

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Citations

Jul 13, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Miranda B An, Adam M Rotunda
Jul 16, 2021·Plastic and Reconstructive Surgery. Global Open·Craig F TellerSachin M Shridharani
Aug 31, 2021·The American Journal of Emergency Medicine·Abigail SharpeRyan Feldman
Sep 20, 2021·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Chaocheng LiuTina S Alster
Jan 28, 2022·Lasers in Medical Science·Mohammad Ali NilforoushzadehMasoumeh Roohaninasab

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