ABSTRACT
Constantly evolving technology has given cosmetic
physicians and surgeons an ever-increasing armamen-
tarium with which to deliver more effective treat-
ments with minimal or no downtime. Combining a
variety of therapeutic options can yield an enhanced
effect that is more than the sum of its individual
parts. Understanding the balance of facial muscula-
ture is essential for facial rejuvenation and facial
reshaping utilizing botulinum toxin. The concept of
facial muscle relaxation and balance is the foundation
on which further rejuvenation with fillers can
be built. The expanding menu of fillers gives us an
enlarging palate of materials for facial filling,
volumizing, and rhytid ablation (Fig. 17.1).