Evidence map›Paper›PMID 41933889›Full record

Trial reportJournal of cosmetic dermatology2026

Patient-Reported Outcomes After Treatment With OnabotulinumtoxinA for Platysma Prominence: Results From a Phase 2 Dose-Ranging Study.

Shannon Humphrey, Sandhya Shimoga, Joely Kaufman, David Bank, Brian Biesman, Christy Harutunian, Grace S West, Warren Tong, Vaishali Patel

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of cosmetic dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03915067 (A Phase 2 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Safety and Efficacy of BOTOX®), which is not on this 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.

NCT03915067 phase2completednot on this map

A Phase 2 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Safety and Efficacy of BOTOX® (Botulinum Toxin Type A) Purified Neurotoxin Complex for the Treatment of Platysma Prominence

TypeinterventionalSponsorAllerganRan2019 to 2020Enrolled171ConditionsPlatysma ProminenceArmsBOTOX® purified neurotoxin complex, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  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

9 authors.

Shannon HumphreyHumphrey Cosmetic Dermatology, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-7734-3146
Sandhya ShimogaAbbVie, Irvine, California, USA.
Joely KaufmanSkin Associates of South Florida, Coral Gables, Florida, USA.
David BankThe Center for Dermatology, Cosmetic & Laser Surgery, Mount Kisco, New York, USA.
Brian BiesmanPrivate Practice, Nashville, Tennessee, USA.
Christy HarutunianAbbVie, Irvine, California, USA.
Grace S WestAbbVie, Irvine, California, USA.
Warren TongAllergan Aesthetics, an AbbVie company, Irvine, California, USA.
Vaishali PatelAbbVie, Irvine, California, USA.

Funding

Allergan Aesthetics, an AbbVie company
6 · The paper itself

Abstract

backgroundRepetitive contractions of the platysma muscle may result in vertical neck bands that blunt the jawline (i.e., platysma prominence [PP]). We report patient-reported outcomes (PROs) from a phase 2 study evaluating onabotulinumtoxinA (onabotA) for moderate or severe PP.

methodsSubjects were randomized 1:1:1 to onabotA dose 1 (26 U, 31 U, or 36 U), onabotA dose 2 (52 U, 62 U, or 72 U), or placebo. De novo, validated, fit-for-purpose PROs were used to assess treatment satisfaction, bother with vertical neck bands and jawline, jawline definition, and psychosocial impact.

resultsSubjects with PRO data (N = 164; mean age, 50.0 years) were predominantly female (95.1%) and White (93.9%). Response rates for improvement in both onabotA dose groups were higher than placebo for treatment satisfaction, bother with vertical neck bands and jawline, as well as jawline definition (unadjusted p < 0.05 for all). Greater improvements in treatment satisfaction and psychosocial impact were observed in both dose groups versus placebo based on the mean total scores on the Appearance of Neck and Lower Face Questionnaire (ANLFQ): Satisfaction and the mean change from baseline in ANLFQ: Impacts total score, respectively (unadjusted p < 0.0001 for all). Response rates generally peaked across all measures at day 14 or 30 for both dose groups, with a trend in improvement continuing through day 120.

conclusionsCompared with placebo, both onabotA dose groups reported greater satisfaction with the effect of treatment, improvements in jawline definition and psychological impact, as well as reductions in bother due to vertical neck bands and jawline.

trial registrationClinicalTrials.gov: NCT03915067.

Indexed as

Botulinum Toxins, Type ACosmetic TechniquesNeuromuscular AgentsPatient Reported Outcome MeasuresSkin AgingSuperficial Musculoaponeurotic SystemAdultDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleMiddle AgedPatient SatisfactionTreatment OutcomeBotulinum Toxins, Type ANeuromuscular Agentsonabotulinum toxin Abotulinum toxin Acosmetic techniquesneckpatient satisfactionskin agingtreatment outcome

Identifiers

PMID41933889
PMCPMC13049361

What OpenQuestion holds

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Registered trials

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.