Protocolo fisioterapêutico para rugas faciais associado à Toxina Botulínica Tipo A

Abstract

Introduction: Skin aging is a physiological process that occurs as the years pass, with the appearance of wrinkles as one of its consequences. It is influenced by intrinsic factors, arising from the natural process, and by extrinsic factors, due to exposure to different external environmental factors. One of the possible treatments for rejuvenation is capacitive and resistive energy transfer therapy (tecartherapy), which stimulates neocollagenesis. And another resource that can be used is the application of botulinum toxin type A, which acts by inhibiting muscle contraction. Objective: To propose a physiotherapeutic protocol for the treatment of facial wrinkles with the application of botulinum toxin type A. Methods: Case study with descriptive analysis. The sample consisted of a female individual. The inclusion criteria were being a woman, aged between 50 and 70 years old, presenting static and dynamic facial wrinkles and signing the Free and Informed Consent Form; being excluded carriers of neoplasms or with reduced sensitivity, and who were not available for treatment and subsequent reassessment. Wood's lamp and an evaluation form containing the Modified Fitzpatrick Wrinkle Scale were used. In addition, a photographic record and measurement of wrinkles were performed. The initial procedure was deep skin hygiene, followed by the application of tecartherapy, and finally the application of botulinum toxin bipo A. The reassessment was performed using the same instruments as the initial assessment. Results: S.M.B.P, 67 years old, white, physical exercise practitioner. She has already used botulinum toxin for more than ten months, and filler for more than 2 years. Upon inspection, it was possible to observe that the patient's skin is classified as phototype II, in addition to being smooth, alipic, dehydrated, with the presence of glabellar, frontal, periorbicular, perioral, nasolabial, malar, mental and cervical wrinkles, both static and dynamic. After applying the resources used, there was an improvement in the appearance and depth of the lines, making them less visible. Conclusion: It is possible to obtain satisfactory results with the association of tecartherapy with botulinum toxin type A.