{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:18:54Z","timestamp":1785298734188,"version":"3.55.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Repetitive contractions of the platysma muscle may result in vertical neck bands that blunt the jawline (i.e., platysma prominence [\n                      <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content>\n                      ]). We report patient\u2010reported outcomes (\n                      <jats:styled-content style=\"fixed-case\">PROs<\/jats:styled-content>\n                      ) from a phase 2 study evaluating\n                      <jats:styled-content style=\"fixed-case\">onabotulinumtoxinA<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">onabotA<\/jats:styled-content>\n                      ) for moderate or severe\n                      <jats:styled-content style=\"fixed-case\">PP.<\/jats:styled-content>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Subjects were randomized 1:1:1 to\n                      <jats:styled-content style=\"fixed-case\">onabotA<\/jats:styled-content>\n                      dose 1 (26\u2009U, 31\u2009U, or 36\u2009U),\n                      <jats:styled-content style=\"fixed-case\">onabotA<\/jats:styled-content>\n                      dose 2 (52\u2009U, 62\u2009U, or 72\u2009U), or placebo. De novo, validated, fit\u2010for\u2010purpose\n                      <jats:styled-content style=\"fixed-case\">PROs<\/jats:styled-content>\n                      were used to assess treatment satisfaction, bother with vertical neck bands and jawline, jawline definition, and psychosocial impact.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Subjects with PRO data (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009164; mean age, 50.0\u2009years) were predominantly female (95.1%) and White (93.9%). Response rates for improvement in both onabotA dose groups were higher than placebo for treatment satisfaction, bother with vertical neck bands and jawline, as well as jawline definition (unadjusted\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05 for all). Greater improvements in treatment satisfaction and psychosocial impact were observed in both dose groups versus placebo based on the mean total scores on the Appearance of Neck and Lower Face Questionnaire (ANLFQ): Satisfaction and the mean change from baseline in ANLFQ: Impacts total score, respectively (unadjusted\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001 for all). Response rates generally peaked across all measures at day 14 or 30 for both dose groups, with a trend in improvement continuing through day 120.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Compared with placebo, both\n                      <jats:styled-content style=\"fixed-case\">onabotA<\/jats:styled-content>\n                      dose groups reported greater satisfaction with the effect of treatment, improvements in jawline definition and psychological impact, as well as reductions in bother due to vertical neck bands and jawline.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov: NCT03915067<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocd.70821","type":"journal-article","created":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T05:16:35Z","timestamp":1775279795000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Patient\u2010Reported Outcomes After Treatment With\n                    <scp>OnabotulinumtoxinA<\/scp>\n                    for Platysma Prominence: Results From a Phase 2 Dose\u2010Ranging Study"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7734-3146","authenticated-orcid":false,"given":"Shannon","family":"Humphrey","sequence":"first","affiliation":[{"name":"Humphrey Cosmetic Dermatology  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya","family":"Shimoga","sequence":"additional","affiliation":[{"name":"AbbVie  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joely","family":"Kaufman","sequence":"additional","affiliation":[{"name":"Skin Associates of South Florida  Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Bank","sequence":"additional","affiliation":[{"name":"The Center for Dermatology, Cosmetic &amp; Laser Surgery  Mount Kisco New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Biesman","sequence":"additional","affiliation":[{"name":"Private Practice  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christy","family":"Harutunian","sequence":"additional","affiliation":[{"name":"AbbVie  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace S.","family":"West","sequence":"additional","affiliation":[{"name":"AbbVie  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warren","family":"Tong","sequence":"additional","affiliation":[{"name":"Allergan Aesthetics, an AbbVie company  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaishali","family":"Patel","sequence":"additional","affiliation":[{"name":"AbbVie  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjy179"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002894"},{"issue":"9","key":"e_1_2_13_4_1","first-page":"931","article-title":"Botulinum Toxin\u2010A Chemical Denervation for Platysmal Bands: Maximal Dosing Considerations","volume":"14","author":"Chen D. 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