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Correction of Deep Static Glabellar Lines With Acellular Dermal Matrix Insertion

Lee, Jang Hyun MD, PhD; Choi, Matthew Seung Suk MD; Kim, Youn Hwan MD, PhD

doi: 10.1097/SAP.0b013e31828e5f61
Aesthetic Surgery

The glabellar rhytid has not only dynamic but also static cause, which is usually achieved by injection of filler. Deep glabellar rhytides, however, are difficult to correct with filler. Therefore, the authors introduce a novel method of inserting a small strip of acellular dermal matrix (ADM) underneath the wrinkle line. From May 2009 to March 2012, 30 patients were treated for deep glabellar wrinkles with ADM augmentation by the senior author. The surgical outcomes were evaluated by the physician using the Lemperle scale and questionnaires filled out by the patients. The deep rhytides were significantly improved after the procedure, as evaluated by objective and subjective measurements, and their improvement lasted for a long period. No complications such as hematomas or infection were seen on postoperative follow-up. Augmentation with ADM provides a simple, easy, and minimally invasive option for the treatment of deep glabellar wrinkles. In cases of deep glabellar lines that cannot be corrected by filler injection, this procedure can be recommended as another option.

From the Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, Korea.

Received Mar 28, 2013, and accepted for publication, after revision, April 13, 2013.

Conflicts of interest and sources of funding: Supported by Hanyang University research fund (HY-2013).

This study has been approved by the institutional review board of Hanyang University Guri Hospital (IRB No. 2011-034).

Reprints: Jang Hyun Lee, MD, PhD, Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, 153 Gyeongchun-ro, Guri 471-701, Korea. E-mail:

© 2014 by Lippincott Williams & Wilkins