Botox treatment has revolutionized cosmetic dermatology, offering non-surgical solutions for facial rejuvenation and medical conditions. Understanding Botox pricing by treatment area and required units is essential for making informed decisions about this popular cosmetic procedure. This comprehensive guide explores every aspect of Botox treatments, from cost breakdowns and recovery timelines to risk assessment and optimal treatment strategies.

What You’ll Learn From This Guide:

🎯 How Botox pricing varies by facial area and geographic location
🎯 The medical science behind Botox and how it works
🎯 Detailed cost analysis for different treatment areas
🎯 Factors affecting your total treatment cost
🎯 Recovery expectations and risk management
🎯 How to choose the right provider for your needs
🎯 Latest trends and advancements in Botox treatments
🎯 Pre and post-treatment care instructions

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What is Botox and How Does It Work Scientifically?

Botox, derived from Clostridium botulinum bacterium, is a neurotoxic protein that temporarily paralyzes muscle activity. When injected in minute, controlled doses, it blocks nerve signals to targeted muscles, preventing contractions that cause dynamic wrinkles. The treatment specifically addresses expression lines formed by repetitive facial movements over time.

The science behind Botox involves three key mechanisms:

• Neuromuscular Blockade: Prevents acetylcholine release at nerve endings
• Muscle Relaxation: Reduces muscle contraction intensity
• Collagen Preservation: Minimizes repetitive skin folding that breaks down collagen

Botox treatments typically begin working within 24-72 hours, with full results visible within 7-14 days. The effects generally last 3-6 months, depending on individual metabolism, treatment area, and units administered.

How Much Does Botox Cost on Average in the United States?

Botox pricing in the United States varies significantly based on geographic location, provider expertise, and treatment complexity. The national average cost ranges from $300-$600 per treatment session, with most patients requiring 2-3 sessions annually to maintain results.

Current US Pricing Structure

• Cost per Unit: $10-$25
• Forehead Lines: $200-$400 (10-30 units)
• Glabellar Lines (Frown Lines): $250-$500 (20-40 units)
• Crow's Feet: $200-$400 (5-15 units per side)
• Brow Lift: $100-$300 (2-5 units per side)
• Masseter Reduction: $500-$1,000 (25-50 units per side)

Major metropolitan areas like New York, Los Angeles, and Chicago typically command premium pricing, while suburban and rural practices may offer more competitive rates. Board-certified dermatologists and plastic surgeons generally charge higher fees than medical spas or nurse practitioners, reflecting their advanced training and expertise.

What Factors Determine Botox Treatment Costs?

Multiple variables influence final Botox treatment expenses, making personalized consultations essential for accurate pricing. Understanding these factors helps patients budget appropriately and compare provider quotes effectively.

Geographic Location Impact

Urban centers with higher operating costs typically charge 15-30% more than suburban or rural practices. Regional cost of living differences directly affect medical service pricing, including cosmetic procedures.

Provider Qualifications and Expertise

• Board-Certified Dermatologists: Highest fee structure
• Plastic Surgeons: Premium pricing for surgical expertise
• Nurse Practitioners: Moderate pricing
• Medical Spas: Most competitive pricing

Treatment Complexity and Scope

Larger treatment areas requiring more units naturally cost more. Combination treatments addressing multiple facial zones increase overall costs but may offer package pricing advantages.

Product Pricing Variations

Allergan, the manufacturer of Botox Cosmetic, sets wholesale pricing that affects consumer costs. Some providers use alternative neurotoxins like Dysport or Xeomin, which may have different pricing structures.

How is Botox Priced in the European Union Compared to the US?

European Botox pricing demonstrates significant regional variation, with Western European countries matching US prices while Eastern European markets offer more affordable options. The average cost per unit in the EU ranges from €8-€20, compared to the US average of $12-$25.

Key European Market Differences

• United Kingdom: £8-£15 per unit
• Germany: €10-€20 per unit
• France: €9-€18 per unit
• Spain: €8-€16 per unit
• Poland: €6-€12 per unit

European regulations often mandate physician administration of Botox, unlike some US states that permit nurse injectors. This standardization ensures consistent quality but may increase costs in certain markets. EU pricing typically includes VAT (Value Added Tax) ranging from 17-27%, depending on the country.

What Are the Different Botox Treatment Areas and Their Specific Costs?

Botox effectively addresses numerous facial areas, with pricing directly correlating to the size of the treatment zone and units required. Understanding area-specific costs helps patients prioritize treatment goals within their budget.

Upper Face Treatments

Forehead Lines
Horizontal forehead lines respond well to Botox, typically requiring 10-30 units. The muscle fibers in this area are broader, necessitating more product for comprehensive coverage. Costs range from $200-$600 depending on line depth and treatment scope.

Glabellar Lines (11 Lines)
Between the eyebrows, these vertical lines form from squinting and concentrating. Treatment requires 20-40 units, with costs averaging $250-$600. This area demands precise technique to avoid eyelid ptosis (drooping).

Brow Lift
A non-surgical brow lift uses 2-5 units per side to create a subtle elevation, opening up the eye area. Costs range from $150-$400, providing dramatic results with minimal product.

Mid-Face and Lower Face Treatments

Crow's Feet
These lateral eye lines require 5-15 units per side, with total costs of $200-$500. Treatment softens the star-burst pattern that forms from smiling and squinting.

Bunny Lines
Nasal scrunching lines respond to 5-10 units, costing $100-$250. This subtle treatment enhances overall facial harmony.

Gummy Smile
Excessive gum exposure during smiling can be corrected with 2-5 units, costing $100-$300. This treatment relaxes the upper lip elevator muscles.

Lip Flip
2-6 units create a subtle lip enhancement without filler, costing $100-$300. The treatment everts the upper lip slightly for a fuller appearance.

Jawline and Neck Treatments

Masseter Reduction
Jaw slimming treatments require significant product—15-50 units per side—with costs of $500-$1,200. This treatment addresses teeth grinding and creates a more tapered facial contour.

Neck Bands (Platysmal Bands)
Vertical neck cords require 10-30 units, costing $300-$800. This advanced treatment demands experienced injectors for optimal safety and results.

How Many Botox Units Are Typically Needed for Different Treatment Areas?

Botox dosing follows established guidelines while allowing for individual customization based on muscle mass, gender, and treatment goals. Understanding typical unit ranges helps patients evaluate provider recommendations.

Standard Unit Guidelines by Area

• Forehead Lines: 10-30 units
• Glabellar Lines: 20-40 units
• Crow's Feet: 5-15 units per side
• Brow Lift: 2-5 units per side
• Lip Flip: 2-6 units
• Gummy Smile: 2-5 units
• Bunny Lines: 5-10 units
• Chin: 2-6 units
• Masseter: 15-50 units per side
• Neck Bands: 10-30 units
• Hyperhidrosis (Underarms): 50-100 units per side

Male patients typically require 10-20% more units than females due to greater muscle mass. Treatment history also affects dosing, with regular patients sometimes needing adjusted protocols as muscles adapt over time.

What is the Difference Between Botox Pricing Per Unit vs. Per Area?

Botox providers use two primary pricing models: per unit and per area. Understanding these approaches helps patients compare quotes and understand what they're paying for.

Per Unit Pricing Model

The per unit model charges for each unit of Botox administered. This transparent approach ensures patients pay only for the product used. Rates typically range from $10-$25 per unit, varying by provider expertise and geographic location.

Advantages of Per Unit Pricing:

• Transparent cost structure
• Pay only for product used
• Easy to compare between providers
• Flexible for customized treatment plans

Per Area Pricing Model

The per area model charges a flat fee for treating specific facial zones, regardless of units used. This approach simplifies pricing but may limit customization.

Common Per Area Pricing Ranges:

• Forehead: $200-$400
• Glabella: $250-$500
• Crow's Feet: $200-$400
• Brow Lift: $150-$300
• Lip Flip: $100-$250

Some providers combine these models, charging per area for standard treatments while using per unit pricing for complex or combination procedures.

How Does Provider Experience Affect Botox Costs and Results?

Provider expertise significantly influences both Botox costs and outcomes. While experienced practitioners command higher fees, their advanced technique typically delivers superior, longer-lasting results with reduced complication risks.

Board-Certified Dermatologists vs. Medical Spas

Board-certified dermatologists complete extensive medical training specifically in skin anatomy and injection techniques. Their expertise justifies premium pricing of $15-$25 per unit compared to medical spa rates of $10-$15 per unit.

Key Differences in Provider Qualifications

• Medical Training Depth: Physicians understand facial anatomy at a cellular level
• Complication Management: Experienced providers can address adverse effects immediately
• Artistic Eye: Advanced injectors create natural-looking results that enhance facial harmony
• Product Knowledge: Understanding of different neurotoxin properties and applications

Patients should prioritize injector skill over cost savings, as improperly administered Botox can lead to unnatural results, asymmetry, or more serious complications.

What Are the Hidden Costs Associated with Botox Treatments?

Beyond the basic procedure cost, several additional expenses may impact total Botox treatment investment. Understanding these potential hidden costs helps patients budget accurately.

Consultation Fees

Some practices charge separate consultation fees ranging from $50-$200, though many providers apply this toward treatment costs if booked.

Touch-Up Appointments

Minor adjustments within 2-4 weeks of initial treatment may incur additional charges, though many established providers include one complimentary touch-up.

Combination Treatments

Botox is often combined with dermal fillers, skin resurfacing, or other cosmetic procedures, significantly increasing total costs.

Maintenance Treatments

With results lasting 3-6 months, annual maintenance typically requires 2-3 treatments, doubling or tripling yearly expenditure.

Geographic Price Variations

Patients in major metropolitan areas should budget 15-30% higher than national averages due to increased practice overhead.

How Does Age Affect Botox Requirements and Pricing?

Age significantly influences Botox treatment strategies, with younger preventative approaches differing from mature correction protocols. Understanding age-based considerations optimizes treatment outcomes.

Preventative Botox (Late 20s to Early 30s)

Younger patients seeking preventative treatment typically require fewer units—approximately 20-40% less than corrective treatments. The focus is on slowing wrinkle formation rather than reversing established lines.

Corrective Botox (Mid 30s to 50s)

This age range represents the majority of Botox patients, requiring standard dosing to address moderate to severe dynamic lines that have become static at rest.

Mature Botox (50+)

Older patients often need combination approaches with higher units (sometimes 10-20% more) and complementary treatments like fillers to address volume loss alongside muscular aging.

Age also affects treatment frequency, with younger metabolisms potentially processing Botox more quickly, requiring more frequent maintenance.

What is the Typical Recovery Time After Botox Injections?

Botox recovery is minimal compared to surgical procedures, with most patients resuming normal activities immediately. However, understanding the recovery timeline and post-treatment guidelines ensures optimal results.

Immediate Post-Treatment Period (First 4 Hours)

• Avoid rubbing or massaging treated areas
• Remain upright; avoid lying down
• Skip strenuous exercise
• Abstain from alcohol consumption
• Avoid excessive heat exposure (saunas, hot yoga)

First 24-48 Hours

• Minimal to no downtime required
• Possible minor redness, swelling, or bruising at injection sites
• Makeup can typically be applied after 4-6 hours
• Normal activities can resume immediately with minor restrictions

Results Timeline

• Initial effects: 24-72 hours
• Full results: 7-14 days
• Peak effectiveness: 2-4 weeks
• Duration: 3-6 months

Most providers schedule follow-up appointments at 2 weeks to assess results and perform minor touch-ups if needed.

What Are the Potential Risks and Side Effects of Botox?

While Botox is generally safe when administered by qualified professionals, understanding potential side effects and risks helps patients make informed decisions and recognize when to seek medical attention.

Common Temporary Side Effects

• Mild pain or discomfort at injection sites
• Temporary redness or swelling
• Minor bruising
• Headache (rare)
• Mild flu-like symptoms

Less Common Complications

• Eyelid ptosis (drooping)
• Asymmetrical results
• "Spock eyebrow" (overarched brows)
• Double vision or blurred vision
• Difficulty swallowing (when used for medical purposes)

Serious Adverse Effects (Rare)

• Allergic reactions
• Muscle weakness beyond treatment area
• Difficulty breathing
• Vision problems
• Loss of bladder control

Patients should choose experienced, board-certified providers to minimize complication risks and ensure proper management if side effects occur.

How Can I Calculate My Botox Costs Before Treatment?

Our Botox Cost Calculator provides personalized estimates based on your specific treatment goals, geographic location, and provider preferences. The tool considers multiple variables to generate accurate cost projections.

Calculator Input Parameters

• Treatment areas selected
• Number of units per area
• Geographic region
• Provider type and expertise level
• Medical history factors affecting risk

Calculation Methodology

The algorithm processes your inputs against current market data, adjusting for regional pricing variations and provider fee structures. Risk assessment incorporates your medical history to provide complication probability estimates.

Result Interpretation

Your personalized report includes:

• Total cost estimate range
• Risk assessment with color-coded indicators
• Recovery time projection
• Total units required
• Cost-saving recommendations

This comprehensive analysis empowers informed decision-making and helps patients budget appropriately for their Botox journey.

What Are the Latest Advancements in Botox Formulations and Techniques?

The Botox landscape continues evolving with new formulations, injection techniques, and applications expanding treatment possibilities and improving patient outcomes.

New Neurotoxin Formulations

Daxxify: Recently approved formulation offering longer duration—up to 6-9 months compared to traditional 3-4 months.

Nuceiva: New competitor offering similar efficacy to traditional Botox with potentially faster onset.

Advanced Injection Techniques

MicroBotox: Using very diluted Botox in multiple superficial injections to reduce pore size and control oil production.

Brow Shaping: Advanced techniques creating customized brow arches and shapes beyond simple wrinkle reduction.

Neck Rejuvenation: New protocols addressing horizontal neck lines and skin laxity beyond traditional vertical band treatment.

Combination Approaches

Baby Botox: Using minimal units for subtle, natural-looking results popular among younger patients.

Brotox: Customized protocols addressing masculine facial anatomy and aging patterns.

These advancements offer patients more customized, natural-looking results with potentially longer duration and expanded treatment applications.

How Does Botox Compare to Other Anti-Aging Treatments Cost-Wise?

Understanding Botox's cost position within the broader anti-aging treatment landscape helps patients evaluate value and make appropriate choices for their concerns and budget.

Botox vs. Dermal Fillers

Botox addresses dynamic wrinkles caused by muscle movement, while fillers treat static wrinkles and volume loss. Fillers typically cost more per treatment ($500-$2,000) but last longer (6-24 months).

Botox vs. Laser Treatments

Fractional laser resurfacing ($1,000-$3,000 per treatment) addresses skin texture, pigmentation, and finer wrinkles but requires significant downtime compared to Botox.

Botox vs. Surgical Options

Brow lifts ($3,000-$8,000) and facelifts ($7,000-$15,000) provide more dramatic, longer-lasting results but involve surgical risks and extended recovery periods.

Botox vs. Skincare Regimens

High-quality skincare routines ($500-$2,000 annually) provide gradual improvement but cannot replicate Botox's muscle-relaxing effects on dynamic wrinkles.

Botox remains the gold standard for dynamic wrinkle treatment, offering an optimal balance of effectiveness, safety, and cost-efficiency for targeted concerns.

What Pre-Treatment Considerations Affect Botox Pricing and Outcomes?

Several pre-treatment factors influence both Botox costs and final results. Addressing these considerations during consultation ensures optimal outcomes and accurate pricing.

Medical History Assessment

Certain conditions and medications may affect Botox suitability, dosing, or pricing:

• Neuromuscular disorders (myasthenia gravis, ALS)
• Blood thinning medications (increased bruising risk)
• Pregnancy or breastfeeding (contraindicated)
• Previous allergic reactions to neurotoxins

Skin Quality and Aging Severity

Patients with significant sun damage, very thin skin, or extremely deep wrinkles may require adjusted techniques or complementary treatments, affecting total costs.

Muscle Mass and Strength

Patients with well-developed facial muscles (often from certain occupations or athletic backgrounds) may require higher doses for effective results.

Treatment History

First-time patients sometimes need different dosing than established patients, with some providers offering beginner packages at introductory pricing.

How Should I Prepare for My Botox Treatment Session?

Proper preparation optimizes treatment outcomes, minimizes side effects, and ensures accurate cost estimation. Follow these guidelines before your Botox appointment.

Two Weeks Before Treatment

• Discontinue blood-thinning medications (aspirin, ibuprofen, NSAIDs) after physician approval
• Avoid supplements that increase bleeding risk (vitamin E, fish oil, ginkgo biloba)
• Schedule treatments at least two weeks before special events

One Week Before Treatment

• Limit alcohol consumption
• Avoid facial treatments (chemical peels, laser therapy, microdermabrasion)
• Discuss any recent illnesses or infections with your provider

Day of Treatment

• Arrive with clean skin, no makeup
• Eat a normal meal to prevent lightheadedness
• Be prepared to discuss your goals and concerns thoroughly
• Bring a list of current medications and supplements

Proper preparation ensures your provider can deliver optimal results while minimizing complication risks and unexpected costs.

What Post-Treatment Care Maximizes Botox Results and Longevity?

Following proper aftercare protocols extends Botox results, maintains natural appearance, and protects your investment. These guidelines optimize your treatment outcomes.

Immediate Aftercare (First 4 Hours)

• Exercise treated facial muscles by frowning, raising eyebrows, and squinting
• Avoid rubbing, massaging, or applying pressure to treated areas
• Remain upright; avoid bending over or lying down
• Apply cool compresses if minor swelling occurs

First 24-48 Hours

• Avoid strenuous exercise and excessive heat exposure
• Skip alcohol consumption to minimize bruising
• Sleep on your back if possible
• Gently cleanse face without aggressive rubbing
• Avoid facials, facial massage, or other cosmetic treatments

Long-Term Maintenance

• Schedule touch-ups at 3-4 month intervals
• Use high-quality skincare with SPF protection
• Maintain consistent treatment schedule for cumulative benefits
• Discuss any concerns with your provider promptly

Following these guidelines typically extends results by 15-30% compared to patients who neglect aftercare protocols.

How Can I Choose the Right Botox Provider for My Needs and Budget?

Selecting an appropriate Botox provider ensures safety, optimal results, and fair pricing. Consider these factors when evaluating potential injectors.

Credentials and Training

• Board certification in dermatology or plastic surgery
• Specific training in cosmetic injectables
• Ongoing education in advanced techniques
• Hospital privileges (for physicians)

Experience and Specialization

• Years performing Botox injections
• Volume of procedures performed monthly
• Before-and-after portfolio of actual patients
• Specialization in specific treatment areas

Consultation Process

• Thorough medical history review
• Clear communication of realistic expectations
• Transparent pricing discussion
• Customized treatment plan development

Practice Environment

• Clean, professional facility
• Emergency protocols and equipment
• Staff qualifications and demeanor
• Before-and-after photos displayed

Balancing cost considerations with provider expertise ensures optimal value—the best results for your investment rather than simply the lowest price.

What Are Common Myths and Misconceptions About Botox Treatments?

Numerous Botox myths persist despite decades of clinical use and research. Understanding fact versus fiction helps patients make informed decisions.

Myth: Botox Creates Frozen, Expressionless Faces

Reality: Properly administered Botox preserves natural expression while softening wrinkles. Over-treatment causes frozen appearances, not the product itself.

Myth: Botox is Only for Older Patients

Reality: Preventative Botox in the late 20s and 30s can delay wrinkle formation, making it appropriate for various age groups with different goals.

Myth: Botox is Toxic and Dangerous

Reality: Botox is FDA-approved with an excellent safety profile when administered by qualified professionals. The doses used cosmetically are extremely small and localized.

Myth: Once You Start Botox, You Must Continue Forever

Reality: While optimal results require maintenance, stopping treatment simply allows muscles to gradually return to pre-treatment function without worsening aging.

Myth: Botox and Fillers Are Interchangeable

Reality: These treatments address different concerns—Botox relaxes muscles causing dynamic wrinkles, while fillers add volume to address static lines and contour deficiencies.

How Does Botox Treatment for Medical Conditions Differ from Cosmetic Use?

While cosmetic Botox dominates public awareness, medical applications represent significant therapeutic tools for various conditions, with different dosing, pricing, and insurance considerations.

Common Medical Applications

Chronic Migraine: 155 units administered across 7 head/neck muscle areas every 12 weeks
Hyperhidrosis (Excessive Sweating): 50-100 units per underarm, lasting 6-12 months
Bruxism (Teeth Grinding): 30-100 units total in masseter muscles
Overactive Bladder: 100-200 units injected into the bladder muscle
Cervical Dystonia: 100-200 units into affected neck muscles

Insurance Coverage Differences

Medical Botox often receives insurance coverage when deemed medically necessary, significantly reducing patient costs compared to cosmetic applications.

Dosing and Technique Variations

Medical applications typically use higher doses than cosmetic treatments and target different muscle groups or glands. Administration often requires specialized training beyond cosmetic protocols.

What Are the Ethical Considerations in Botox Marketing and Pricing?

The Botox industry faces ethical challenges regarding marketing practices, pricing transparency, and patient education. Understanding these issues helps patients identify reputable providers.

Informed Consent Standards

Ethical providers thoroughly discuss:

• Realistic outcome expectations
• Potential risks and complications
• Alternative treatment options
• Total cost breakdown without hidden fees

Marketing Transparency Issues

Problematic practices include:

• "Too good to be true" pricing offers
• Using stock instead of actual patient photos
• Promoting unnecessary treatments
• Failing to disclose provider qualifications

Pricing Ethics

Ethical pricing reflects:

• Fair profit margins without price gouging
• Transparent cost structures
• No hidden fees or mandatory add-ons
• Clear policies on touch-ups and corrections

Patients should seek providers who prioritize education and realistic expectations over aggressive sales tactics.

How is the Botox Market Evolving and What Future Trends Should Patients Watch?

The Botox industry continues evolving with new technologies, expanded applications, and changing consumer preferences shaping future treatment approaches.

Market Growth Projections

The global Botox market continues expanding at approximately 8-10% annually, driven by:

• Increasing social acceptance of cosmetic treatments
• Growing male patient demographics
• Expanding medical applications
• Emerging market adoption

Technology Innovations

AI-Assisted Injection Planning: Software analyzing facial anatomy to optimize injection patterns
Advanced Delivery Systems: Potential for topical or alternative delivery methods
Longer-Lasting Formulations: Research focused on extending duration beyond current limits

Consumer Trends

Preventative Approach: Younger patients seeking early intervention
Natural Aesthetics: Demand for subtle enhancement over dramatic transformation
Combination Protocols: Integrated approaches addressing multiple aging components simultaneously
Personalized Medicine: Genetic testing to predict treatment response and optimal dosing

These evolving trends will continue shaping Botox accessibility, pricing, and treatment approaches in coming years.

Frequently Asked Questions About Botox Treatments

How Painful is Botox Really?

Botox injections cause minimal discomfort, often described as tiny pinpricks or mosquito bites. Most providers use ultra-fine needles, and treatment typically completes within 10-20 minutes without anesthesia. Topical numbing cream can be applied if desired, though most patients find it unnecessary.

Can Botox Help with Excessive Sweating?

Yes, Botox is FDA-approved for severe underarm sweating (primary axillary hyperhidrosis) when topical treatments fail. The treatment blocks chemical signals that stimulate sweat glands, reducing sweating by 82-87% with results lasting 6-12 months. Treatment requires approximately 50-100 units per underarm.

What Happens If I Stop Botox Treatments?

If you discontinue Botox, treated muscles gradually regain movement over several weeks to months. Your appearance slowly returns to its pre-treatment state without worsening wrinkles. Some patients notice improved muscle conditioning over time, potentially requiring less frequent maintenance.

How Soon Will I See Botox Results?

Initial effects typically appear within 24-72 hours, with full results developing over 7-14 days. The gradual onset allows natural adjustment period. Maximum muscle relaxation occurs around week 3-4, with results maintained for 3-6 months depending on individual metabolism and treatment area.

Is There Any Way to Make Botox Last Longer?

Several strategies may extend Botox duration:

• Consistent maintenance every 3-4 months
• Zinc supplementation (some studies suggest 30-50% longer duration)
• Avoiding excessive sun exposure and smoking
• Choosing experienced injectors using proper techniques
• Maintaining healthy lifestyle with balanced nutrition

Can Botox Be Reversed If I Don't Like the Results?

No direct reversal agent exists for Botox, but effects naturally fade over weeks to months. Some providers use techniques to potentially accelerate metabolism of the product, though evidence remains limited. Choosing an experienced injector remains the best prevention for undesirable outcomes.

Are There Any Long-Term Side Effects of Regular Botox Use?

Decades of clinical use have demonstrated excellent long-term safety profiles for Botox. Some studies suggest regular use may actually train muscles to contract less forcefully over time, potentially allowing longer intervals between treatments. No evidence exists of systemic accumulation or permanent damage from appropriate cosmetic use.

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