Michael A C Kane

Publications (6)13.27 Total impact

• Article: Botox injections for lower facial rejuvenation.

  Michael A C Kane
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  ABSTRACT: Botox is an excellent adjunct for rejuvenation of the lower face. It should be considered in addition to surgery, resurfacing, skin care, and filler materials to improve the appearance of the lower face. Excellent control and familiarity with the toxin is essential before injecting these rewarding although technically more demanding areas of the face. In the perioral area, a few stray units in the wrong muscle or wrong portion of a muscle will guarantee an unhappy patient; this is not an area for the novice injector. When first beginning to inject the lower face, lower doses and more frequent touch-ups are better than larger initial doses and severe complications.
  Oral and Maxillofacial Surgery Clinics of North America 03/2005; 17(1):41-9, vi. · 0.76 Impact Factor
• Article: The functional anatomy of the lower face as it applies to rejuvenation via chemodenervation.

  Michael A C Kane
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  ABSTRACT: Botulinum toxin type A (Botox) injections have revolutionized nonsurgical rejuvenation of the upper face since their introduction in the early 1990s. Their use in the lower face has not become nearly as popular. The key to using Botox to improve the appearance of the lower face lies in understanding the functional anatomy of the lower face musculature. Although the facial plastic surgeon should be familiar with the muscles of the lower face and anatomic variations, the functional anatomy of the lower face varies widely from patient to patient and even more from one side of the face to the other. Understanding how the lower face moves is the key to using Botox to improve nasolabial folds, perioral rhytids, chin dimpling, marionette's lines, and downturned oral commissures. This is not an area for the novice injector, as a few stray units are not tolerated nearly so well as they are in the upper face.
  Facial Plastic Surgery 03/2005; 21(1):55-64. · 0.96 Impact Factor
• Article: Classification of crow's feet patterns among Caucasian women: the key to individualizing treatment.

  Michael A C Kane
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  ABSTRACT: One of the most common complaints of aging patients is the appearance of crow's feet lines in the lateral canthal region. Many different treatment methods, including chemical peels, surgical procedures, filler material injections, botulinum toxin injections, and laser resurfacing, have been used for effacement of these lines among aging patients and patients with sun damage. Despite the fact that many scientific articles have been written regarding the treatment of crow's feet lines, the actual patterns of these lines have not been adequately studied or classified. Several different patterns of animation in this area have been observed. These different patterns and their frequencies are described. All crow's feet patterns are not the same, and it follows that treatment of different patterns of crow's feet lines should be adapted to the particular patterns.
  Plastic &amp Reconstructive Surgery 11/2003; 112(5 Suppl):33S-39S. · 3.38 Impact Factor
• Article: Nonsurgical treatment of platysma bands with injection of botulinum toxin a revisited.

  Michael A C Kane
  Plastic &amp Reconstructive Surgery 11/2003; 112(5 Suppl):125S-126S. · 3.38 Impact Factor
• Article: The effect of botulinum toxin injections on the nasolabial fold.

  Michael A C Kane
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  ABSTRACT: The use of botulinum toxin A (Botox; Allergan, Irvine, Calif.) for cosmetic purposes was first described in the medical literature in 1992. The author has been using botulinum toxin A in his practice for cosmetic purposes since 1991. In May of 1992, he began using Botox for improvement of the nasolabial folds. An experience of over 1000 injections to the nasolabial folds in more than 200 unique patients is presented. Technique and selection criteria have changed greatly during the past 10 years, and this evolution is discussed. The keys to achieving adequate correction and satisfied patients when treating the nasolabial fold are proper diagnosis of what is causing the fold and careful patient selection.
  Plastic &amp Reconstructive Surgery 11/2003; 112(5 Suppl):66S-72S; discussion 73S-74S. · 3.38 Impact Factor
• Article: Treatment of tear trough deformity and lower lid bowing with injectable hyaluronic acid.

  Michael A C Kane
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  ABSTRACT: Tear trough deformity of the lower eyelid is one of the most difficult depressions to correct surgically. The thin skin of the trough, the overhanging abundant lower lid fat, the underlying cheek mound, and the tethering effect of the orbitomalar ligament create a surgical challenge. Until now, noninvasive methods used to treat this depression have been problematic, yielding a poor benefit-to-risk ratio in most hands. Even surgery does not completely manage this depression. The most common surgical techniques for lower eyelid rejuvenation do not even address it. Since December of 2003, 24 patients have had their tear troughs treated with injectable hyaluronic acid. For 23 patients, Restylane was injected superficially to elevate the surface from the orbitomalar ligament and add volume to the trough. Only two patients were dissatisfied with their results.
  Aesthetic Plastic Surgery 29(5):363-7. · 1.41 Impact Factor