Based on its unique botulinum toxin is referred to as the most poisono
us poison. Its specific inhibition of the acetyl-cholin-dependent neur
omuscular transmission is used by ophthalmologists and neurologists fo
r the relaxation of spastic or dystonic muscles, preferrably in muscle
groups in the head and neck area. Analogously, it is being used by de
rmatologists to remove facial wrinkles by paralyzing mimic muscles whi
ch account for mechanically induced wrinkling. Apart from this purely
cosmetic use, botulinum toxin has gained recent attention in dermatolo
gy as a potent treatment modality for circumscribed hyperhidrosis.