Relaxation of facial musculature is routinely accomplished for cosmetic use by the use of Clostridium botulinum type A. Clostridium botulinum type A toxin reduces the recruitment of specific muscle groups. Many studies have been published in peer-reviewed medical journals regarding the cosmetic use of this biologic.2-11 Clostridium botulinum in the form of Botox® Cosmetic is FDA-approved for cosmetic use in the treatment of rhytids in the glabellar region. Dysport®, the brand name of the Ipsen product marketed outside the United States and under clinical studies in the United States for cosmetic and non-cosmetic use, and the current name now used under FDA-approval.