ABSTRACT

Neuromodulators based on the A strain of botulinum toxin and their cosmetic use has classically been limited to the softening of undesirable dynamic facial lines, pathognomonic of the aging face. The true mandate of the cosmetic physician, however, when dealing with the feminine form, is to strive beyond rejuvenation into the realm of beauty maximization. Contrary to the common requests of patients to eliminate unsightly lines, affecting facial beauty goes far beyond wrinkles and furrows. Creating the best rather than a different version of the patient requires a comprehensive approach to restore lost volume, smooth contours and enhance facial features naturally. The application of serotype A not only moderates dynamic expression, but the position of facial elements in the resting state through static muscle tension. When used in concert with filling agents, the effect is quite often synergistic, optimizing both the patient's experience and outcome.