Facial expressions are central to human connection but standardised botulinum toxin (BoNTA) injection techniques may be working against them. This new consensus review explores how following “on-label” protocols without accounting for individual anatomy can lead to brow ptosis, frozen smiles, flattened cheeks and unnatural expressions.
Drawing on expert analysis, anatomical insights, and real-world experience, the paper identifies why even well-intentioned treatments can produce poor aesthetic outcomes. More importantly, it offers practical, patient-specific strategies to improve results, rethinking dose, depth and muscle targeting.
If you’re a clinician or practitioner aiming to refine your technique and avoid the tell-tale signs of bad Botox, this paper is essential reading.
