Self-perception of natural outcome, appearance, and emotional well-being after OnabotulinumtoxinA treatment for upper facial lines: Post hoc analysis across age and gender.

Journal of cosmetic dermatology 2024 Vol.23(1) p. 107-116

Dayan S, Ogilvie P, Boyd C, De Boulle K, Cavallini M, Garcia JK, Musumeci M

Abstract

[BACKGROUND] OnabotulinumtoxinA (onabotA) is indicated for upper facial lines (UFL). Fear of unnatural-looking outcomes is a frequently reported treatment barrier.

[AIMS] Examine patient-reported outcomes (PROs) after onabotA treatment for UFL.

[METHODS] A post hoc analysis was conducted on two 12-month pivotal studies of onabotA for forehead and glabellar lines (20 U each), with/without treatment of crow's feet lines (±24 U). This analysis used PROs from the Facial Line Satisfaction Questionnaire: Items 4 (natural look), 5 (treatment effect), 11 (met expectations), and Impact Domain (appearance and psychological impact). The analysis included 458 neurotoxin-naive adults achieving a ≥2-grade improvement in forehead line (FHL) severity on the Facial Wrinkle Scale at Day 30 (primary endpoint). [Corrections made on 28 December 2023, after first online publication: 'UFL' in the previous sentence has been corrected to 'forehead line (FHL)' in this version.] Data were further stratified into millennials and men.

[RESULTS] At Day 30, 90.5% of all participants, 94.6% of millennials, and 85.7% of men were satisfied with receiving a natural look. Millennials had higher odds of being satisfied with natural outcomes at Day 30. This measure remained > 80% for all groups throughout the 12 months. Additionally, ≥80% were satisfied with the treatment effect, and >90% reported results met expectations. At Day 30, ≥50% reported positive impacts on self-perceived appearance and psychological well-being, but millennials had higher, and men had lower odds of reporting these improvements.

[CONCLUSIONS] Participants achieving a ≥2-grade improvement in FHL severity after onabotA reported high satisfaction with natural outcomes and the treatment effect, with improved self-perceived appearance and psychological well-being. [Corrections made on 28 December 2023, after first online publication: 'UFL' in the previous sentence has been corrected to 'FHL' in this version.] These results may help aesthetic providers and patients address fears regarding unnatural results with onabotA.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
해부 upper facial lines scispacy 1
해부 facial lines scispacy 1
해부 glabellar lines scispacy 1
해부 feet lines scispacy 1
해부 forehead line scispacy 1
약물 OnabotulinumtoxinA scispacy 1
약물 [BACKGROUND] OnabotulinumtoxinA scispacy 1
약물 onabotA → OnabotulinumtoxinA scispacy 1
약물 [CONCLUSIONS] Participants scispacy 1
질환 FHL → forehead line scispacy 1
질환 PROs → patient-reported outcomes scispacy 1
기타 forehead scispacy 1
기타 crow scispacy 1
기타 ±24 U scispacy 1
기타 FHL → forehead line scispacy 1
기타 men scispacy 1
기타 patients scispacy 1

MeSH Terms

Adult; Male; Humans; Botulinum Toxins, Type A; Neuromuscular Agents; Patient Satisfaction; Cosmetic Techniques; Double-Blind Method; Forehead; Self Concept; Skin Aging; Treatment Outcome