GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Acne / Scar / Texture · Sebum / oily skin control

Microdosed botulinum for skin evidence for Sebum / oily skin control

B 54.5 / 100 Supported 1 RCT/meta · 1 clinical/observational · 1 case · 9 total
Good evidence · positive conclusion

There is a relatively good level of clinical evidence, and a majority of papers support its effectiveness.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Includes meta-analysis/SR Median year 2023 Last 5 years 67% Positive results 56% Negative results 1 Korea/Asia 1

Known in Korea as

물톡스더모톡신초음파 보톡스더모톡신 목주름 (국산더모톡신 얼굴전체(국산더모톡신 목주름 (독일산더모톡신 목주름 (미국산더모톡신 목주름 (영국산더모톡신 얼굴전체(독일산더모톡신 얼굴전체(미국산

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier1 Intradermal Botulinum Toxin A Injection for Scalp Sebum Secretion Regulation: A Multicenter, Randomized, Double-Blinded, Placebo-Controlled, Prospective Study in Chinese Subjects. Aesthetic surgery journal · 2023 · PMID 36004504

Abstract summary (English) BACKGROUND: Although botulinum toxin type A (BTX-A) injection has been proved to reduce topical sebum secretion, the impact of intradermal BTX-A injection on scalp sebum production has never been reported. OBJECTIVES: The purpose of this study was to investigate the efficacy and safety of intradermal BTX-A treatment vs intradermal normal saline (NS) injection for scalp sebum secretion regulation. METHODS: This...

Randomized Controlled Trial, Multicenter Study, Journal Article

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tier2 Transdermal Delivery of Botulinum Toxin for the Management of Oily and Acne-Prone Skin Using TDA Technology. Journal of cosmetic dermatology · 2026 · PMID 41652824

Abstract summary (English) BACKGROUND: Intradermal botulinum toxin injections have been shown to reduce sebaceous gland activity and improve skin texture in patients with oily and acne-prone skin. However, needle-based application is associated with discomfort and potential side effects. OBJECTIVE: To evaluate the clinical efficacy and safety of transdermal delivery of botulinum toxin (150 kDa) using Transdermal Application (TDA) technology...

Journal Article, Observational Study

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tier3 Injections of Botulinic Neuroprotein Combined with Low Molecular Weight Hyaluronic Acid and Cluster of Lyophilized Amino Acids in One Syringe. The Journal of clinical and aesthetic dermatology · 2024 · PMID 39759254

Abstract summary (English) BACKGROUND: Intradermal injections of highly diluted botulinic neuroprotein is a popular aesthetic medicine procedure to improve the texture of the skin, enlarged pores, and fine lines. OBJECTIVE: The authors present a case report of nine subjects who received treatment with botulinic neuroprotein combined with an amino acid cluster and low molecular weight hyaluronic acid. METHODS: Nine women between the ages of 30...

Case Reports, Journal Article

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tier_other Intradermal Botulinum Toxin A on Skin Quality and Facial Rejuvenation: A Systematic Review and Meta-analysis. Plastic and reconstructive surgery. Global open · 2024 · PMID 39185380

Abstract summary (English) BACKGROUND: Botulinum toxin A (BTxA) has gained popularity as a nonsurgical aesthetic treatment for skin rejuvenation. However, previous studies on intradermal BTxA have shown inconsistent results. This systematic review and meta-analysis with trial sequential analysis aimed to assess the efficacy and safety of intradermal BTxA for facial rejuvenation.

Journal Article

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tier_other Microtoxin for Improving Pore Size, Skin Laxity, Sebum Control, and Scars: A Roundtable on Integrating Intradermal Botulinum Toxin Type A Microdoses Into Clinical Practice. Aesthetic surgery journal · 2023 · PMID 36857534

Abstract summary (English) BACKGROUND: In aesthetic clinical practice, botulinum toxin type A (BoNT-A) is best known for its use as a neuromodulator for the treatment of dynamic facial lines; however, when injected intradermally as microdroplets, BoNT-A can improve skin quality and overall skin appearance. OBJECTIVES: To discuss key aspects of microtoxin use in clinical practice and provide expert guidance on utilization. METHODS: As part of...

Journal Article

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tier_other Botulinum Toxin in the Oily Skin: Advantage of a Multi-Needle Device for a Controlled Release. Journal of drugs in dermatology : JDD · 2023 · PMID 36607753

Abstract summary (English) BACKGROUND: Oily skin is one of the most common dermatological complaints. With the obligation to use masks to protect themselves from the Covid-19 virus, the problem has become even more evident. One of the treatments proposed is the use of onabotulinumtoxin-A injected sub-dermally.

Journal Article

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tier_other A Single-blind, Split-face, Randomized, Pilot Study Comparing the Effects of Intradermal and Intramuscular Injection of Two Commercially Available Botulinum Toxin A Formulas to Reduce Signs of Facial Aging. The Journal of clinical and aesthetic dermatology · 2017 · PMID 28367260

Abstract summary (English) Objective: To examine the effectiveness of intradermal botulinum toxin type A injection in improving skin texture and midface lift while reducing pore size and sebum production, as well as investigate the differences in effectiveness between onabotulinumtoxinA and abobotulinumtoxinA using intradermal and intramuscular injection methods. Design: A 16-week, single-blind, split-face, randomized study....

Journal Article

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tier_other Safety and efficacy of intradermal injection of botulinum toxin for the treatment of oily skin. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2013 · PMID 23293895

Abstract summary (English) OBJECTIVE: To evaluate the safety and efficacy of intradermal injection of abobotulinumtoxinA for the treatment of oily skin. METHODS AND MATERIALS: Twenty-five patients with oily skin were treated in the forehead region with intradermal injections of botulinum toxin. Baseline and post-treatment sebum production was measured using a sebometer.

Journal Article

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tier_other Use of intradermal botulinum toxin to reduce sebum production and facial pore size. Journal of drugs in dermatology : JDD · 2008 · PMID 19112798

Abstract summary (English) OBJECTIVE: Review the safety profile and subjective efficacy of intradermal botulinum toxin type A in facial pore size and sebum production. DESIGN: Retrospective analysis of 20 patients. RESULTS: Twenty consecutive patients with a single application of intradermal botulinum toxin type A were examined: Patients (17/20) noted an improvement in sebum production and a decrease in pores size at 1 month after injection.

Journal Article

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Suggested interpretation

Limited evidence

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