J Korean Soc Plast Reconstr Surg.  2005 Jan;32(1):85-92.

The Effect of Botulinum Toxin A on Calf Reduction

Affiliations
  • 1Departments of Plastic & Reconstructive Surgery College of Medicine, Dong-A University, Korea. jmpark@daunet.donga.ac.kr
  • 2Departments of Epartments of Diagnostic Radiology College of Medicine, Dong-A University, Korea.
  • 3Noblesse Aesthetic Plastic Surgical Clinic3, Busan, Korea.

Abstract

Botulinum toxin type A is widely used for anti-wrinkling therapy, and correction of the square face. The toxin ultimately prevent the release of membrane-bound acetylcholine at the neuromuscular junction of striated muscles and thus produce chemical denervation and paralysis of the muscles. Our purpose of study is to know if application of botulinum toxin type A on calf reduction is effective, how much dosage is effective, and what are the possible complications. We reviewed data of 30 consecutive patients subjected to calf reduction in Dong-A University Hospital from February 2003 to April 2003. We injected normal saline 2cc on both calves region in 15 control group patients, and the other patients was divided 3 group. Group 1, Group 2, Group 3 was injected 50U, 100U, 150U botulinum toxin A on each calf region and followed up for 6 month. Maximal circumference of calf was not changed in the control group but an average of 0.7 cm reduction was noted in group 1, average 1.34 cm (right calf) and 1.26 cm(left calf) in group 2, average 1.44 cm(right calf) and 1.58 cm(left calf) in group 3. Maximal area of calf was not changed in the control group but average reduction of 12.5%(right calf) and 12.7%(left calf) was obtained in group 1, average 19.4% (right calf) and 19.9%(left calf) in group 2, average 24.8%(right calf) and 21.07%(left calf) in group 3, as measured on CAT scan. Total fat amount and fat amount in the lower extremity was no change in all the groups, but lean body mass was decreased average 1.27%(right calf) and 1.15%(left calf) in group 1, average 3.47%(right calf) and 2.98%(left calf) in group 2, average 3.58%(right calf) and 3.95%(left calf) in group 3. Photography of the preoperative and postoperative 6 month state revealed higher satisfaction in Group 2, 3 compared to Group 1. Use of botulinum toxin type A in calf reduction is a very simple, safe, non-invasive method and effective in terms of calf contouring rather than reduction of calf circumference.

Keyword

Type A botulinum; Calf reduction

MeSH Terms

Acetylcholine
Animals
Botulinum Toxins*
Botulinum Toxins, Type A
Cats
Denervation
Humans
Lower Extremity
Muscle, Striated
Muscles
Neuromuscular Junction
Paralysis
Photography
Acetylcholine
Botulinum Toxins
Botulinum Toxins, Type A
Full Text Links
  • JKSPRS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr