Commentary on Aesthetic Treatment With Botulinum Toxin

The commentary discusses the increasing trend of male patients seeking nonsurgical facial rejuvenation, particularly with botulinum toxin treatments. The author, Nowell Solish, MD, concurs with Green and Keaney's observations that male patients have unique anatomical differences, muscle mass, and expression patterns that must be considered during treatment. Men tend to desire a natural look, fearing that others will notice they have undergone treatment, and often require higher doses than women to achieve similar effects. The most common areas treated in men are crow's feet, glabellar frown lines, and forehead lines. Solish notes that men are loyal patients and appreciates the industry's efforts to cater to them, including direct marketing and office modifications. He emphasizes the need for more research on male-specific aesthetic treatments and commends Green and Keaney for highlighting the differences in facial botulinum toxin injections between genders.