Botulinum toxin A: successful decollete rejuvenation

BACKGROUND. Decollete wrinkles develop with age. In women more than 35 years of age these wrinkles are still transient, but become permanent at about age 50. In a substantial number of women decollete wrinkles, seem to be associated with an insertion of platysma exceeding the second intercostal space. We report botulinum A toxin therapy of these wrinkles in five patients. OBJECTIVE. To show the effect of botulinum A toxin on decollete wrinkles. METHODS. All five women with decollete lines treated with botulinum A had different varieties of the platysma muscle in serting deep down, beneath the fourth intercostal space. During platysma contraction injection points were marked and a certain dosage of toxin was applied. RESULTS. Two weeks after therapy a significant improvement of the treated decollete region was observed. CONCLUSION. These observations indicated that botulinum A toxin can be an effective and safe method in the temporary management of decollete wrinkles. It should therefore be considered as a new adjuvant treatment in cosmetic decollete rejuvenation.