Ultrasound-guided injection of ankle contouring with botulinum neurotoxin.

JPRAS open 2026 Vol.48() p. 425-433

Yi KH, Kim JH, Song JK, Green JB, Rappl T, Gold MH, Sohn J, Ascher B, Zamin RZ, Sigrist R, Wortsman X

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Abstract

[BACKGROUND] A slim ankle is considered a hallmark of beauty in modern aesthetics. Excessive muscular hypertrophy, particularly of the deep calf muscle (soleus), can lead to a thick ankle appearance that detracts from an overall refined leg contour. Although surgical approaches have been used historically, they carry risks such as scarring, contracture, and unpredictable outcomes.

[OBJECTIVE] This study aimed to evaluate the efficacy and safety of ultrasound-guided botulinum toxin type A (JETEMA THE TOXIN, JETEMA Co., Ltd. Korea) injections for improving ankle contour in patients with thick ankles.

[METHODS] Three adult female patients with noticeably hypertrophic calf muscles underwent ultrasound-guided injection of 20 units of botulinum toxin into the soleus muscles. Needles were inserted with ultrasound guidance to ensure precise real-time visualization and accurate injection into the soleus muscles. Ankle circumference and soleus muscle thickness were measured pre-treatment and at 8 weeks post-treatment using standardized methods. Wilcoxon signed-rank test was applied to evaluate statistical significance.The manuscript was checked against the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist (Supplemental Appendix).

[RESULTS] All patients exhibited a reduction in ankle circumference (approximately 6.7-7.1 %) and soleus muscle thickness (around 14-15 %) at the 8-week follow-up. The Wilcoxon test revealed statistically significant differences ( = 0.001) between pre- and post-treatment values. Visual assessment of photographic records further confirmed a noticeably slimmer and more refined ankle contour.

[CONCLUSION] Ultrasound-guided botulinum toxin injections appear to be a safe and effective minimally invasive approach for ankle contouring, achieving clinically meaningful reductions in muscle bulk with high patient satisfaction.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 3
해부 muscular scispacy 1
해부 soleus scispacy 1
해부 leg scispacy 1
해부 ultrasound-guided scispacy 1
해부 soleus muscles scispacy 1
해부 soleus muscle scispacy 1
해부 muscle scispacy 1
약물 JETEMA scispacy 1
약물 [BACKGROUND] A scispacy 1
약물 [OBJECTIVE] scispacy 1
약물 ultrasound-guided botulinum toxin type A scispacy 1
질환 muscular hypertrophy C0236033
Muscle hypertrophy
scispacy 1
질환 contracture C0009917
Contracture
scispacy 1
질환 soleus muscle thickness scispacy 1
기타 patient scispacy 1
기타 botulinum neurotoxin scispacy 1
기타 patients scispacy 1
기타 8-week scispacy 1

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