Using enough clinical evidence, support the use of botulinum toxin type A for anti- wrinkle treatment.

Mrs H was prescribed Bocouture to treat her wrinkles. This was the best choice, following evaluation of previous studies, due to its low immunogenic potential. She will be reviewed 2 weeks post treatment to observe the success of her treatment. Although there were other treatment options, Mrs H was at the forefront of the decision to use botulinum toxin type A, with the decision being made taking into account the patient’s best interest. Mrs H was well-informed of the treatment including the implications of not adhering to aftercare advice, minimising the chances of complications arising as a result of poor clinical governance. Professional responsibilities had been accomplished and the prescriber had built a trusting relationship with Mrs H. This has a positive impact on the patient’s treatment as well as her future care.

Using enough clinical evidence, support the use of botulinum toxin type A for anti- wrinkle treatment.