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Viewpoint |

Assessment of Botulinum Toxin Aesthetic Outcomes Clinical Study vs Real-World Practice

Richard Glogau, MD1; Brian Biesman, MD2; Michael Kane, MD3
[+] Author Affiliations
1Department of Dermatology, University of California, San Francisco, San Francisco
2Divisions of Otolaryngology and Dermatology, Department of Ophthalmology, Vanderbilt University Medical Center, Nashville, Tennessee
3Manhattan Eye, Ear & Throat Hospital, New York, New York
JAMA Dermatol. 2015;151(11):1177-1178. doi:10.1001/jamadermatol.2015.2881.
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This Viewpoint describes a draft guidance by the US Food and Drug Administration regarding aesthetic outcomes of botulinum toxin use but notes that some measures outlined might lead to overtreatment and poorly reflect contemporary aesthetic practices.

Thirty years ago, few of us could have envisioned today’s practice of aesthetic medicine. Led by botulinum toxin type A (BoNTA), innovation in facial injectables has revolutionized our practices. New technologies are poised to further expand aesthetic treatment opportunities in the near future. To fuel continued progress, regulatory bodies must accurately reflect the knowledge and best practices shaped from the research and experience of the past 3 decades.

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