The majority of practitioners in aesthetic medicine use botulinum toxin (BoNT-A) when rejuvenating the upper face. In fact, around three-quarters of practitioners use BoNT-A alone in this area with others using it in combination with hyaluronic acid (HA) fillers.1,2 The efficacy and safety of BoNT-A in treating lines in the upper face – forehead, glabellar and lateral canthus lines – is well established.3-5 It is also commonly used in elevating and shaping the eyebrows and in the reduction of hooding.2,6 It has been suggested by one author at least, that treating the lines and features of the upper face has become a particular focus during the pandemic over the past two years. Face mask use obscures the lower face, making the expressive communication of the upper face even more significant.7
Whether you are experienced or newly qualified, it is important to ensure that we offer our patients the best outcomes from the use of BoNT-A in the upper face. This article gives a brief overview of…