Facial filling and botulinum toxin in a patient with Bell's palsy: Case report

Authors

DOI:

https://doi.org/10.33448/rsd-v13i5.45858

Keywords:

Bell's Palsy; Botulinum toxin; Hyaluronic acid; Facial asymmetry.

Abstract

Bell's palsy is a non-progressive neurological disorder of the facial nerve, being a highly debilitating condition, both in aesthetic and functional terms, and treatment with botulinum toxin injections, with or without neuromuscular therapy, together with fillers, has shown promising results in restoring normal facial features. Given the possibilities of using botulinum toxin and additional treatment with hyaluronic acid in facial and functional aesthetics, the objective is to present a clinical case of this application for the correction of facial asymmetry caused by Bell's palsy. This is a report of a 37-year-old female patient with hemifacial paralysis. Hyaluronic acid and botulinum toxin fillers were used. The results demonstrated a marked improvement in facial symmetry and, according to the patient, the treatment restored her self-esteem and, consequently, her quality of life. It is concluded that the use of botulinum toxin type A and hyaluronic acid are very safe and effective, as long as they are carried out under the guidance of a professional trained in their therapeutic and cosmetic use and the asymmetries caused by Bell's palsy can be treated in a effectively by these methods. In this report, it was possible to observe a significant improvement in the symmetry, balance and muscular function of the patient's face, as well as in psychosocial aspects, contributing to a better quality of life and increased self-esteem.

References

Barbosa, D. B. M. & Brito, A. S. (2020). A utilização da toxina botulínica tipo a para alcançar a estética facial. Revista Terra & Cultura: Cadernos de Ensino e Pesquisa, 36(70), 75-86.

Braga Júnior, L. A., Rodrigues, L. C. C., Lima Neto, M. R., Oliveira, L. A. & Amaral, A. S. (2020). Paralisia de Bell na Infância. Revista de Patologia do Tocantins, 6(4), 41-44.

Campos, E. P. & Miranda, C. V. (2021). Toxina Botulínica Tipo A: Ações Farmacológicas e Uso na Estética Facial. Revista Saúde Multidisciplinar, 9(1), 42-51.

Cappeli, A. J., Nunes, H. R. C., Gameiro, M. O. O., Bazan, R. & Luvizutto, G. J. (2020). Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis. Fisioterapia e Pesquisa, 27(2), 180-187.

Carruthers, J., Carruthers, A. (2003). Aesthetic botulinum A toxin in the mid and lower face and neck. Dermatol Surg, 29(5), 468-476.

Cohen, J. L., Swift, A., Solish, N., Fagien, S. & Glaser, D.A. (2019). OnabotulinumtoxinA and Hyaluronic Acid in Facial Wrinkles and Folds: A Prospective, Open-Label Comparison. Aesthetic Surgery Journal, 39(2), 187-200.

Cooper, L., Lui, M., Nduka, C. (2017). Botulinum toxin treatment for facial palsy: A systematic review. J Plast Reconstr Aesthet Surg, 70(6), 833-841.

Filipo, R., Spahiu, I., Covelli, E., Nicastri, M. & Bertoli, G. A. (2012). Botulinum toxin in the treatment of facial synkinesis and hyperkinesis. Laryngoscope, 122(2), 266-270.

Finsterer J. (2008). Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol, 265(7), 743-52.

Guo, J., Fang, W. & Wang, F. (2023). Injectable fillers: current status, physicochemical properties, function mechanism, and perspectives. RSC Adv, 13(34), 23841-23858.

Heydenrych, I. (2020). The Treatment of Facial Asymmetry with Botulinum Toxin: Current Concepts, Guidelines, and Future Trends. Indian J Plast Surg, 53(2), 219-229.

Heydenrych, I., Kapoor, K. M., Boulle, K., Goodman, G., Swift, A., Kumar, N. & Rahman, E. (2018). A 10-point plan for avoiding hyaluronic acid dermal filler-related complications during facial aesthetic procedures and algorithms for management. Clin Cosmet Investig Dermatol, 11(1), 603-611.

Hong, S. O. (2023). Cosmetic Treatment Using Botulinum Toxin in the Oral and Maxillofacial Area: A Narrative Review of Esthetic Techniques. Toxins (Basel), 15(2), 82-91.

Lee, W. W. & Levitt, A. E. (2018). Periocular rejuvenation with neurotoxin and dermal filler. Plast Aesthet Res, 5(43), 1-9.

Lima, P. N., Gusmão, R. M., Siqueira, N. C. G., & Varejão, L. C. (2020). Toxina botulínica como alternativa no tratamento da paralisia facial de Bell: revisão de literatura. Brazilian Journal of Development, 6(12), 95667-95681.

Maio, M. (2018). Myomodulation with Injectable Fillers: An Innovative Approach to Addressing Facial Muscle Movement. Aesthetic Plast Surg, 42(3), 798-814.

Mehta, R. P. & Hadlock, T. A. (2008). Botulinum Toxin and Quality of Life in Patients With Facial Paralysis. Archives of Facial Plastic Surgery, 10(2), 84-87.

Mendonça, M. C. C., Lopes, M. G. A., Siqueira, R. R., Oliveira, F. Q., Pascoal, G. & Gamonal, A. C. C. (2014). Correction of facial asymmetries and dyskinesias with botulinum toxin type A. Surg Cosmet Dermatol, 6(3), 221-224.

Monini, S., Carlo, A., Biagini, M., Buffoni, A., Volpini, L., Lazzarino, A. I. & Barbara, M. (2011). Combined protocol for treatment of secondary effects from facial nerve palsy. Acta Otolaryngol, 131(8), 882-886.

Narurkar, V. A., Cohen, J. L., Dayan, S., Kaminer, M. S., Rivkin, A., Shamban, A., Sykes, J. M., Teller, C. F., Weinkle, S. H., Werschler, W. P., Drinkwater, A., Pucci, M. L. & Gallagher, C. J. (2016). A comprehensive approach to multimodal facial aesthetic treatment: injection techniques and treatment characteristics from the HARMONY study. Dermatol Surg, 42(2), 177-191.

Nigam, P. K. & Nigam, A. (2010). Botulinum toxin. Indian J Dermatol, 55(1):8-14.

Pecora C. S. & Shitara, D. (2021). Botulinum Toxin Type a to Improve Facial Symmetry in Facial Palsy: A Practical Guideline and Clinical Experience. Toxins (Basel), 13(2), 159-168.

Shinn, J. R., Nwabueze, N. N., Du, L., Patel, P. N., Motamedi, K. K., Norton, C., Ries, W. R. & Stephan, S. J. (2019). Treatment Patterns and Outcomes in Botulinum Therapy for Patients With Facial Synkinesis. JAMA Facial Plast Surg, 21(3), 244-251.

Silva, M. F. F., Peres, S. V., Tessitore, A., Paschoal, j. R. & Cunha, M. C. (2016). Aplicação da escala psicossocial de aparência facial na avaliação da paralisia facial periférica: estudo piloto. Audiology Communication Research, 20(1), 1-8.

Singh, A. & Deshmukh, P. (2022). Bell's Palsy: A Review. Cureus, 14(10), 1-8.

Toassi, R. F. C. & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde. (2a ed.), Editora da UFRGS.

Vakharia, K. & Vakharia, K. (2016). Bell’s Palsy. Facial Plast Surg Clin N Am, 24(1), 1-10.

Published

25/05/2024

How to Cite

SOUZA, K. A. P. A. de .; CARVALHO, E. B. de . Facial filling and botulinum toxin in a patient with Bell’s palsy: Case report. Research, Society and Development, [S. l.], v. 13, n. 5, p. e11113545858, 2024. DOI: 10.33448/rsd-v13i5.45858. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45858. Acesso em: 30 jun. 2024.

Issue

Section

Health Sciences