Why have a dentist inject you with facial injectables? Why not? It makes perfect sense. Dentists are specially trained in injection techniques and know facial anatomy and aesthetics. Everyone deserves a spectacular smile, but creating one, with the teeth, is just the beginning. It was actually my patients who prompted me to offer facial injectables. Previously, I concentrated on giving patients a fabulous dental smile but, in many instances, other cosmetic facial improvements could have enhanced their new look even more. Early on, I realized how cosmetic dentistry and facial injectables went hand in hand. As the co-founder of the American Academy of Facial Cosmetics, I am among a small group of professionals sanctioned by the 2 major cosmetic companies to train other healthcare professionals in the use of their injectable products. Once patients see the excellent results of an improved smile they’re eager to take their makeover to the next level with cosmetic facial injectables. There are the muscle relaxers Botox and Dysport, which are used to smooth and eliminate the lines across the forehead, frown lines between the eyebrows, and lines around the eyes. Then there are facial fillers such as Restylane, Perlane, Juvéderm and Radiesse which are used to fill in folds and wrinkles or add volume to the face. As a dentist, we can oftentimes inject these inside the mouth, reducing the chance of bruising/swelling. All are used to minimize the signs of aging. Botox remains the most popular facial injectable but last year Dysport, a competitor, was approved. This year, it is likely that another neurotoxin will be approved by the FDA. Fortunately, public acceptance is so high that newer injectables are continually being brought to market. Cosmetic injectables are an excellent solution for the person who doesn’t want/need plastic surgery, yet wishes to realize an improvement from the tell-tale signs of aging.