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).