• D Scharschmidt, S Preiß, E Brähler, T Fischer, and A Borkenhagen.
• Praxis Berlin, Haut-und Lasercentrum Berlin-Potsdam, Richard-Strauss-Str. 27, 14193, Berlin, Deutschland.
• Hautarzt. 2017 Dec 1; 68 (12): 959-967.

BackgroundMore and more people worldwide and also in Germany are using botulinum toxin type A (BoNT-A) and hyaluronic acid injections for skin rejuvenation.ObjectiveStudy on body image and self-esteem of women with BoNT-A and/or hyaluronic acid filler treatment.Material And MethodsA total of 145 women who requested BoNT-A and/or hyaluronic acid injections completed a survey comprised of the body dysmorphic disorder questionnaire, the Rosenberg self-esteem scale and questionnaires on the attitudes and motives on measures for optimization of the body and demographic features. Using this instrument data on the body image and self-esteem as well as attitudes and motives for utilization of minimally invasive skin rejuvenation were collated.ResultsFemale users of minimally invasive skin rejuvenation showed an overall higher socioeconomic status and an above average high monthly income. They lived in a partnership more often in comparison to women of equal age living in Berlin. The users of BoNT-A and/or hyaluronic acid fillers showed no conspicuous differences in body image and self-esteem. They showed a moderately positive attitude to body optimization procedures and 91% achieved their standard weight with a body mass index (BMI) of ≤25 kg/m2 in comparison to 56% of German women in the same age range (25 to ≥75 years old).ConclusionIn the first study of body image and self-esteem in users of BoNT‑A and/or dermal fillers in German women, the users showed no signs of body dysmorphic patterns or disorders of self-esteem.

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