ABSTRACT
Specialists also have the responsibility to tell patients what they should not do. For some this means that no amount of botulinum toxins are going to make them look like they did when they were 20; for others, it is the reality that using a cream may be enough to accomplish some of their goals in a gradual, cost-efficient manner. Patients with unrealistic expectations or body dysmorphic disease should be assessed and should not be treated. There are times when they will mask their symptoms and get treated with unfortunate results for all concerned.
