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Mycobacterium Massiliense Infection After Thread-Lift Insertion.

Although the pathogenesis of the atrophy of coup de sabre is unknown, one possible mechanism is neuralbased vasoconstriction causing atrophy of skin, muscle, periosteum, and bone. By blocking the transmission of norepinephrine, botulinum toxin prevents the signal that causes vasoconstriction in vascular smooth muscle, leading to subsequent vasodilation, which is its basis for helping in Raynaud phenomenon. Thus, the cosmetic improvement that we saw with OnabotulinumtoxinA may be secondary to therapeutic denervation.