[Scratched faces: treatment of dynamic facial wrinkles through the simultaneous combined use of botulinium toxin A and hyaluronic acid].

We use the term "scratched face" to define a face which has been streaked by deep wrinkles stretching from the orbital frame up to the temples and neck. Although the origin of these wrinkles seems to be the mime muscle effect; it may also be linked to the presence of Acetylcholine skin receptors in the superficial skin. This would certainly explain the reason for the presence of these wrinkles far from the muscle areas. We can therefore offer very superficial and targeted injections of diluted botulinium Toxin A. In the case of a strongly dehydrated skin, the toxin will be combined in the same syringe with a weak or not reticulated hyaluronic acid. We present a case study of 25 patients who have received this treatment, with a follow-up from 3 to 18 months. These patients had not received until now a satisfactory answer to the problem of their particularly striking facial distortions.