Abstract
I thank the Carruthers for their comment regarding our article Botulinum Toxin for the Treatment of Hyperfunctional Lines of the Face. 1 This article was the first of a series that our group wrote on the use of botulinum toxin for the management of facial lines. It was a report of our observations of the toxin's cosmetic effect on 26 patients who were being treated with botulinum toxin (... 24 patients had dystonic movements of the face, with hyperfunctional lines as a primary or secondary complaint). As is stated in the article, we and our patients noticed a diminution of the harshness of appearance and depth of hyperfunctional facial lines after the injection for facial spasms. The cosmetic benefits are not easily quantified, and the doses and injections were aimed at treating dystonic spasms. The purpose of this limited study was to address the possible benefit for cosmetic improvement of hyperfunctional
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