Do you want more satisfied Botox patients? Classify them correctly

Dear Editor, Botulinum toxin (BT) is a well-established treatment for dynamic glabellar line and it is the most popular nonsurgical cosmetic procedure in the world. To obtain satisfied patients, it is important to identify not only the anatomical patterns of the facial muscles, but also to explore the psychoemotional features of the patients. We would like to propose a new classification of BT treatment categories based on the social and emotional conditions of our patients. As far as we know, there is no such classification and we believe that it is crucial to build patients' loyalty. We must adapt our technique to the type of BT patients we encounter for their satisfaction. The six types of BT patients, classified emotionally, that we propose include (Figure 1):

[1]  S. Morrison,et al.  Predicting Public Interest in Nonsurgical Cosmetic Procedures Using Google Trends. , 2020, Aesthetic surgery journal.

[2]  Ju-Hyun Park,et al.  Effect of Botulinum Toxin Injection on Asymmetric Lower Face with Chin Deviation , 2020, Toxins.

[3]  M. Renga.  A personalized treatment approach of frontalis muscle with botulinum toxin A (Bont-A) related to functional anatomy: case studies , 2020, Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology.

[4]  Tae-Kwang Jeong,et al.  Classification of Mouth Corners in Asian Women , 2020, Plastic and reconstructive surgery. Global open.

[5]  J. Zampella,et al.  Demographics of Men and Minorities in Cosmetic Clinical Trials of Botulinum Toxin and Hyaluronic Acid Fillers. , 2019, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[6]  S. Dayan,et al.  Introducing a novel model: The special theory of relativity for attractiveness to define a natural and pleasing outcome following cosmetic treatments , 2018, Journal of cosmetic dermatology.

[7]  B. Guyuron,et al.  Horizontal Forehead Lines: A Reflection of Eyelid Ptosis or Blepharodermachalasia , 2018, Aesthetic Plastic Surgery.

[8]  H. Chan,et al.  Consensus on Changing Trends, Attitudes, and Concepts of Asian Beauty , 2015, Aesthetic Plastic Surgery.

[9]  H. Chan,et al.  Consensus on Changing Trends, Attitudes, and Concepts of Asian Beauty , 2015, Aesthetic Plastic Surgery.

[10]  H. Kim,et al.  A study on glabellar wrinkle patterns in Koreans , 2014, Journal of the European Academy of Dermatology and Venereology : JEADV.

[11]  M. Naylor,et al.  The aging African-American face. , 2010, Facial plastic surgery : FPS.

[12]  P. Grimes,et al.  A Four‐Month Randomized, Double‐Blind Evaluation of the Efficacy of Botulinum Toxin Type A for the Treatment of Glabellar Lines in Women with Skin Types V and VI , 2009, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[13]  M. Kane.  Classification of Crow’s Feet Patterns among Caucasian Women: The Key to Individualizing Treatment , 2003, Plastic and reconstructive surgery.

[14]  A. Braz,et al.  Patterns of contraction of the frontalis muscle : a pilot study , 2010 .