Main

Pickett A. Fac Dent J 2012; 3: 184–190

Not only are non-surgical facial aesthetic therapies increasingly being performed but there is an almost rapacious desire for them. For example, Asian people want 'more shaped features than a round lower face'. When considering BoNT, only type A products are licenced for aesthetic use in the UK and this is restricted to the management of glabellar lines. Botulinum toxin is not licenced for the management of masseteric hypertrophy and bruxism despite such treatments having favourable outcomes. Dermal fillers based on collagen are no longer available and have been replaced by hyaluronic acid products derived from bacteria. A cocktail of BoNT, hydroxyapatite filler, adrenaline and lidocaine 'is not to be recommended under any circumstances'.