Evidence map›Paper›PMID 40843918›Full record

ReviewMuscles (Basel, Switzerland)2025

Proactive Aesthetic Strategies: Evaluating the Preventive Role of Botulinum Toxin in Facial Aging.

Grazia Marinelli, Alessio Danilo Inchingolo, Irma Trilli, Carmela Pezzolla, Roberta Sardano, Francesco Inchingolo, Andrea Palermo, Cinzia Maria Norma Maspero, Gianna Dipalma, Angelo Michele Inchingolo

Abstract readReview
In one paragraph

Review in Muscles (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

10 authors.

Grazia MarinelliDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0001-9163-2350
Alessio Danilo InchingoloDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0002-6366-1039
Irma TrilliDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0002-2882-025X
Carmela PezzollaDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.
Roberta SardanoDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.
Francesco InchingoloDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0003-3797-5883
Andrea PalermoDepartment of Experimental Medicine, University of Salento, 73100 Lecce, Italy.
Cinzia Maria Norma MasperoDepartment of Biomedical, Surgical and Dental Sciences, Milan University, 20122 Milan, Italy.ORCID 0000-0002-5930-1698
Gianna DipalmaDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.
Angelo Michele InchingoloDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0003-0104-6337

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, botulinum toxin (BoNT) has been increasingly employed not only as a corrective aesthetic intervention but also as a proactive strategy to delay the visible signs of facial aging. This systematic review aims to evaluate the scientific evidence supporting the preventive role of BoNT in facial aging, focusing on its long-term effects, mechanisms of action, and clinical outcomes when used in younger, pre-symptomatic populations.

methodsA systematic literature search was conducted across PubMed, Scopus, and Web of Science databases. Inclusion criteria encompassed clinical trials and observational studies addressing the use of BoNT for proactive aesthetic strategies.

resultsEvidence suggests that early BoNT application may reduce muscle hyperactivity, delay the formation of dynamic wrinkles, and minimize the development of static lines over time. Histological studies indicate a potential remodeling effect on dermal collagen. However, data remain heterogeneous, and long-term safety and efficacy outcomes are not yet fully established.

conclusionPreventive BoNT injections represent a promising tool in the proactive management of facial aging. Further longitudinal, high-quality studies are needed to substantiate its role within evidence-based aesthetic protocols.

Indexed as

baby botoxbotulinum toxincosmetic dermatologyextrinsic agingfacial rejuvenationintrinsic agingneuromodulatorspreventive aestheticsskin agingwrinkle prevention

Identifiers

PMID40843918
PMCPMC12372128

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.