Botulinum Toxin Therapy for Rapid Pain Relief and Sensation Restoration in the Occipital Region After Hair Transplant Surgery: A Modified Technique

ABSTRACT

Botulinum toxin traditionally has been used to manage rhytides by blocking the presynaptic acetylcholine release at the neuromuscular junction. Based on the author’s experience, however, botulinum toxin may also help relieve post-operative pain when injected into the occipital donor incision after follicular unit transplantation (FUT). The technique was first written about in 2020 and is highlighted as a notable article in this issue of the Forum. Additionally, it has since been included in various textbooks, with updates appearing in 2022 and 2023.^1-4

The original technique involved injecting at specific points of pain along the incision, which later evolved to include injecting along the entire suture line. The current method, however, now focuses on injecting at five key points to provide immediate pain relief. This updated technique differs significantly from previous methods outlined in earlier publications, as it not only aims to reduce post-operative pain but also includes additional goals, such as restoring sensation.

This article will recount the evolution of the technique, its successes and limitations, as well as new methodology, objectives, and results.