ABSTRACT

Cosmetic dermatology is the science and art of creating similar effects in a semipermanent or permanent manner and is one of the most rapidly developing branches of dermatology. As would be expected, most cosmetic dermatology treatments are used for the face, but there are various treatments for other parts of the body. The results of treatment should improve not only the resting appearance of the face, but also the dynamic appearance of the face in movement when laughing or smiling. Botulinum toxin is injected into the muscles of the upper face in order to limit their movement – this effect lasts for several months during which the ‘dynamic’ wrinkles of the upper face are dramatically diminished. In fair skin there is often an increase in background facial erythema and even the development of visible telangiectatic blood vessels with photoageing. These changes can be very successfully treated with lasers or 532 or 595 nm wavelength or with intense pulsed light systems.