Evidence map›Paper›PMID 39882702›Full record

ReviewCurrent reviews in clinical and experimental pharmacology2025

Anatomy, Etiology, Management, and Medico-Legal Implications of Botulinum-induced Blepharoptosis.

Giulio Nittari, Demetris Savva, Filippo Gibelli, Diana Vulcanescu, Domenico De Leo, Giovanna Ricci

Abstract readReview
In one paragraph

Review in Current reviews in clinical and experimental pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Giulio NittariTelemedicine and Telepharmacy Centre, School of Medicinal and Health Products Sciences, University of Camerino, Camerino, 62032, Italy.
Demetris SavvaPlastic, Reconstructive and Aesthetic Surgery, Nicosia General Hospital, Nicosia, 2031, Cyprus.ORCID 0000-0002-4757-1527
Filippo GibelliSection of Legal Medicine, School of Law, University of Camerino, Camerino, 62032, Italy.
Diana VulcanescuGeneral Medicine, Nicosia General Hospital, Nicosia 2031, Cyprus.
Domenico De LeoDepartment of Diagnostic and Public Health, Section of Forensic Medicine, University of Verona, Verona, 36134, Italy.
Giovanna RicciSection of Legal Medicine, School of Law, University of Camerino, Camerino, 62032, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Botulinum toxin injections, a popular aesthetic treatment, have over 7.4 million beneficiaries in the U.S. Despite their safety record, these injections pose potential complications. It is essential for aesthetic practitioners to manage these complications with the least impact on the patient. Upper eyelid ptosis, though rare, is a significant side effect of botulinum toxin injections. Through our study, we have identified the etiology, anatomy, and therapeutic management of botulinum- induced blepharoptosis. Hence, the goal of this study was to identify the basic aetiology of blepharoptosis and manage this complication, as well as discuss the basis of medico-legal implications involving this popular drug. The complex medico-legal implications of botulinum toxin-induced blepharoptosis call for continuous discourse, education, and clarity on drug-use legal standards. With evolving global and Italian legislation, practitioners must ensure they meet care standards, weighing treatment benefits against potential legal and ethical outcomes. Blepharoptosis is a rare but significant complication of botulinum-type injections. Etiology and thorough anatomy are crucial for avoiding this complication and handling it with the least impact on the patient. Medico-legal implications are currently not fully established, but the basis of aesthetic treatment standards, as well as continuing medical education, will ensure correct medico-legal coverage of such complications.

Indexed as

BlepharoptosisBotulinum ToxinsBotulinum Toxins, Type ANeuromuscular AgentsEyelidsHumansBotulinum ToxinsBotulinum Toxins, Type ANeuromuscular Agentsanatomyaxillary hyperhidrosis.blepharoptosisBotulinumclinical dermatologymedicolegal

Identifiers

PMID39882702
PMCPMC11826903

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.