Evidence map›Paper›PMID 40219681›Full record

ArticleJournal of cosmetic dermatology2025

Investigating the Clinical Merit of Contraction Patterns for Glabellar Neuromodulator Injections-A Clinical Retrospective Investigation Following the 3-Point Glabellar Injection Technique.

Marcelo Germani, Victor R M Munoz-Lora, Jeremy B Green, Brain S Biesman, Galen Perdikis, Rod J Rohrich, Arthur Swift, Michael Alfertshofer, Sebastian Cotofana

Abstract read
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

9 authors.

Marcelo GermaniDepartment of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
Victor R M Munoz-LoraDepartment of Periodontology and Implantology, Guarulhos University, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1134-8542
Jeremy B GreenSkin Associates of South Florida and Skin Research Institute, Coral Gables, Florida, USA.
Brain S BiesmanDepartment of Plastic Surgery, Vanderbilt University Medical Centre, Nashville, Tennessee, USA.
Galen PerdikisDepartment of Plastic Surgery, Vanderbilt University Medical Centre, Nashville, Tennessee, USA.
Rod J RohrichPrivate Practice, Dallas, Texas, USA.
Arthur SwiftPrivate Practice, Montreal, Canada.
Michael AlfertshoferDepartment of Oromaxillofacial Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-4892-2376
Sebastian CotofanaDepartment of Plastic Surgery, Vanderbilt University Medical Centre, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0001-7210-6566

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the introduction of glabellar contraction patterns as a guide for neuromodulator treatments, feedback regarding its clinical utility has been mixed. Recent studies have cast doubt on the value of such contraction-pattern-driven treatment paradigms.

objectiveThe aim of this retrospective study is to evaluate the clinical outcome of identical glabellar injections independent of glabellar contraction pattern types.

methodsForty-two Brazilian, multi-ethnic, consecutive patients with moderate to very severe glabellar lines were included in this retrospective analysis. The same 3-point glabellar injection technique was utilized, administering a total of 37.5 sU (=15 IU) to the procerus and corrugator supercilii muscles. Glabellar severity was assessed at 20 and 90 days after the initial treatment.

resultsAcross the entire study sample, a highly statistically significant improvement was observed at all investigated follow-up time points (p < 0.001). When comparing the treatment outcome across the five different glabellar contraction patterns, there was no statistically significant difference detected at either 20 days follow-up (p = 0.373) or 90 days follow-up (p = 0.311). Multivariate analyses confirmed that neither age, BMI, Fitzpatrick skin type, nor glabellar contraction patterns statistically influenced the outcome at 90 days (all p > 0.05).

conclusionThe results of this retrospective analysis revealed that in the sample investigated, no statistically significant differences were detected between patients with different glabellar contraction patterns at any of the conducted follow-up visits when the same glabellar injection technique with the same amount of toxin units was administered.

Indexed as

Botulinum Toxins, Type ACosmetic TechniquesFacial MusclesMuscle ContractionNeuromuscular AgentsSkin AgingAdultAgedFemaleFollow-Up StudiesForeheadHumansInjections, IntramuscularMaleMiddle AgedRetrospective StudiesBotulinum Toxins, Type ANeuromuscular Agentscorrugator supercilii muscleglabellar contraction patternsglabellar severity scaleneuromodulator injectionsprocerus muscle

Identifiers

PMID40219681
PMCPMC11992548

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.