Why another book on botulinum toxin in aesthetic medicine? There are a couple of reasons. First: the main reason is the tremendous progress that we are seeing in the use of this drug, which rapidly outstrips the present literature. Second: we still think there is a need for good books as there is still a lot of confusion and misconceptions around the different indications and the different drugs. Unlike in the beginning, when botulinum toxin A was used along the principles of ‘the same injection points and doses for everybody’ and ‘bigger doses for bigger effects’ it is now used in a much more differentiated way. Based.