Upper Face Rejuvenation

One hallmark of an aging face is the change that occurs in the upper face as soft tissue loss, photodamage, and dynamic rhytides combine to produce sagging, wrinkles, and surface changes. The advent of botulinum toxin type A allowed physicians to challenge dynamic rhytides and focus attention on possible treatments for the upper face. New fillers, lasers, suspension threads, intense pulsed light devices, and cosmeceuticals have ushered in a renaissance of facial rejuvenation. In this article, the use of botulinum toxin type A and fillers for facial rejuvenation is considered; additionally, the techniques for injecting botulinum toxin type A and fillers, as well as the facial areas that may be treated, are discussed.