RT Book, Section A1 Purpera, Paula A1 Baumann, Leslie S. A2 Baumann, Leslie S. A2 Rieder, Evan A. A2 Sun, Mary D. SR Print(0) ID 1197534271 T1 Botulinum Toxins T2 Baumann’s Cosmetic Dermatology, 3e YR 2022 FD 2022 PB McGraw Hill LLC PP New York, NY SN 9780071794190 LK dermatology.mhmedical.com/content.aspx?aid=1197534271 RD 2024/04/19 AB SUMMARY POINTSWhat’s Important?All BTX-A work the same way and are basically interchangeable.What’s New?A new BTX-A with a stabilizing peptide called RTP004 from Revance has joined the market.BTX-A tends to “prejuvenate” the skin and prevent aging when used consistently.What’s Coming?More research is necessary to determine how to titrate diffusion and how much diffusion is preferred for cosmetic indications.More studies are needed to determine the safety of intradermal BTX-A to treat fine lines.Preliminary data suggest BTX-A has an anti-aging effect separate from its ability to immobilize muscles. More data are needed to understand the “prejuvenation” abilities of BTX-A.Shorter acting toxins are coming.Studies evaluating the use of BTX-A to treat rosacea and acne as well as to reduce oil secretion are on the horizon.