Bir Eğitim Araştırma Hastanesinde Kozmetik Amaçlı Botulinum Toksin Uygulamalarının Değerlendirilmesi

Year 2023, Volume: 56 Issue: 3, 156 - 159, 21.01.2024

Özge Mine Örenay , Berkay Temel , Nermin Karaosmanoğlu

https://doi.org/10.20492/aeahtd.1278151

Abstract

GİRİŞ-AMAÇ: Botulinum toksini, Gram negatif bir bakteri olan Clostridium botulinum tarafından sentezlenen
bir nörotoksindir. Kozmetik amaçlı ilk kez 1992 yılında glabella kırışıklıkları tedavisinde kullanılmıştır. Fasiyal
kırışıklık tedavisinde giderek artan sıklıklarla uygulanmaya başlanmıştır. Bu çalışmada, eğitim araştırma
hastanesinde kozmetik amaçlı uygulanan botulinum toksin uygulamalarının değerlendirilmesini amaçladık.
YÖNTEM: Çalışmaya, 2018-2019 yıllarında hastanemizin kozmetoloji ünitesine kozmetik amaçlı botulinum
toksin uygulaması için başvurmuş 200 hasta dahil edilmiştir. Hastaların dosyaları taranarak; demografik
bulguları, kozmetik işlem geçmişleri, uygulanan botoks dozları, kontrol dozu uygulamaları, komplikasyonlar ve
botokstan beklentileri kaydedildi. Ayrıca hastalar 45 yaş altı ve 45 yaş ve üstü olarak iki gruba ayrılarak, iki
grubun kozmetik işlem geçmişleri, uygulanan botoks dozları, kontrol dozu uygulamaları, komplikasyonlar ve
botokstan beklentileri karşılaştırılmıştır.
BULGULAR: Çalışmaya dahil edilen 200 hastanın 195’i kadın (%97,5) ve 5’i erkek (%2,5) hastaydı. Hastaların
yaş ortalaması 44,8 idi. Daha önce hastaların 107’si (%53,5) botoks yaptırmış, 40’ı (%20) ise dolgu işlemi
yaptırmıştır. Hastaların hepsine üst yüz botoksu uygulanırken, alt yüz botoksu 55 (%27,5) hastaya uygulandı.
Hastalara uygulanan total botoks dozu 33,7 Ü idi. Hastaların 131’ine (%65,5) kontrol doz uygulandı. Uygulanan
kontrol doz ortalaması 4,5 Ü idi. Hastaların 3’ünde (%1,5) komplikasyon olarak pitozis gözlendi. Hastalar dinç
görünme, mutlu görünme, çekici görünme, zarif görünme, feminen görünme, genç görünme, az öfkeli görünme
ve az sarkık görünme seçenekleri arasından, en çok dinç görünmek için botoks yaptırdığını belirtmiştir. Kırkbeş
yaş altı hasta grubunda 101 kadın ve 3 erkek (total:104), 45 yaş ve üstü grubunda 94 kadın ve 2 erkek (total:96)
vardı. Hastalar 45 yaş altı ve 45 yaş ve üstü olarak karşılaştırıldığında; botoks ve dolgu geçmişi, alt yüz botoks
işlemi, total ve kontrol doz ortalaması, komplikasyon gelişimi açısından istatiksel olarak anlamlı fark
saptanmamıştır. Hastaların botoks işleminden beklentisine bakıldığında ise 45 yaş ve üstü grubun, 45 yaş altı
gruba göre daha az öfkeli ve daha az sarkık görünme isteği anlamlı yüksek bulunmuştur (p=0,018, p=0,029).
SONUÇ: Botoks tedavisi hastaların farklı amaçlarla başvurduğu, kişi bazlı değerlendirme gerektiren etkili ve
komplikasyon oranı düşük bir tedavi yöntemidir.

Keywords

botoks, kırışıklıklar, rejuvenasyon

Supporting Institution

Destekleyen kurum bulunmamaktadır.

Evaluation of Botulinum Toxin Applications in a Tertiary Cosmetic Department

Abstract

Aim: Botulinum toxin type A (BTX-A) treatment for facial rejuvenation has
been started to used widely and become the most common aesthetic procedure. The aim in
this study to evaluate the patients features and outcomes who had Onabotulinumtoxin A.
Material and Method: The data of the BTX-A patient’s gender, age, occupation, history of cosmetic
procedures, history of disease, doses of the first and control injections, complications and
expectations from the therapy collected from the medical records. The patients were divided
into two groups as under the age of 45 and age of 45 and older. These groups were compared
with each other in terms of mentioned variables.
Results: A total of 200 patients included in this study. The mean botulinum toxin dose was
33.7 units and the mean control dose was 4.5 units. Three (1.5%) of the patients developed a
complication, all of them were eyelid ptosis. Most common expectation from the toxin
injection was to look more young (69%) and vigorous (75.5%). There were no significant
difference between the under the age of 45 and 45 and older group in terms of total BTX-A
dose and control dose and complication rate (p=0.8, p=0.5, p=0.6). Expectation of looking
less angry and less saggy were significantly higher in the 45 year and older group (p=0.02,
p=0.02).
Conclusion: It is important to evaluate the patient’s gender, age and expectations from the
botulinum toxin injection to get the highest efficiency from BTX-A injection.

Keywords

botox, wrinkles, face rejunevation

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