key: cord-0693767-abutfxtf authors: Searle, Tamara; Ali, Faisal R.; Al‐Niaimi, Firas title: Screen rhytides: the cosmetic legacy of COVID‐19 date: 2020-08-21 journal: Dermatol Ther DOI: 10.1111/dth.14211 sha: 290adcbff3fd8b9223b656f441199b0f05c7069c doc_id: 693767 cord_uid: abutfxtf nan contraction may reduce the length of time that botulinum toxin exerts its effects, resulting in an increased demand for more sessions of botulinum toxin with shorter intervals between each treatment. The authors are observing a sharp increase and awareness of glabellar and lateral canthal lines with patients directly referring the effects to increased "screen activity". Emerging reports of patients self-administering botulinum toxin with black-market at home kits demonstrates some patients' desperation, with devastating potential adverse effects. 3 COVID-19 lockdown restrictions necessarily prohibited access to most aesthetic injectable treatments and as cosmetic clinics start to reopen, cosmetic dermatologists are likely to have a backlog of patients. 4 We suggest cosmetic practitioners should assess for and treat wrinkles and other facial changes resulting from prolonged screen activities. Locked-down digital work