Overview
In the preface to their most recent textbook, Botulinum Toxin in Aesthetic Medicine (Springer-Verlag, 2007), Mauricio de Maio, MD, and Bertold Rzany, MD, begin by asking the question, "Why another book on botulinum toxin in aesthetic medicine?" The authors are quick to answer this question by suggesting that the use of botulinum toxin rapidly "outstrips" the present literature, and that clinically, practitioners are learning more and more about these products, their performance, and their applicability to individualized treatment. The authors warn, however, that this rapid growth in product use can also lead to the increased risk of confusion and misconceptions about its use in aesthetic medicine.
The advent of a new agent in the United States should challenge the medical community and its educators to think about facial aesthetics in a different way. To date, education regarding the use of neurotoxins in treating facial wrinkles has had an "outside in" focus, with great emphasis on injection technique. However, new thinking suggests that one can achieve potentially greater results by using an "inside out" approach. This inside-out approach is based on the idea that having a better understanding of the facial anatomy, particularly muscle mass, will enable the injector to tailor dosing and overall treatment specifically to the individual patient based on her/his particular anatomy. Importantly, injectors will require a greater understanding of the effect of the toxin on each muscle, including the field of its effect.
This 2-hour on-demand program is designed to provide participants with emerging information on the advanced use of neurotoxins based on key muscle kinesiology, dosing, and product pharmacokinetics. It will offer a review of landmark clinical research and provide experiential insight from a recently held International Consensus Conference on the use of neurotoxins.
Participants viewing this program will gain a greater appreciation of the advanced use of these agents for achieving outstanding results and improved patient satisfaction.
Upon completion of this activity, participants will receive a maximum of 2 AMA PRA Category 1 Credit(s)™. If you participated in the live symposium, you may not receive CME credit for this on-demand version.

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