Cosmetic use of botulinum toxin in the upper face

The use of Botox for upper facial rhytids and dynamic line applications (most commonly for the treatment of glabelar lines, horizontal forehead lines, and crow’s feet) continues to increase in popularity. This chapter details the use of Botox for the effective treatment of upper facial rhytids. Although Botox injections are not technically challenging, an essential understanding of the facial analysis, Botox dosages, potential adverse outcomes, and preventative techniques and treatments allows the physician to optimize patient outcomes.