Public perception and knowledge toward the non-cosmetic use of botulinum toxin in dermatology practices

Background: While botulinum toxin is widely known for its cosmetic applications, its therapeutic potential in dermatology remains under-recognized by the general public. This study aimed to assess public awareness and perception of the non-cosmetic medical uses of Botulinum toxin in the central region of Saudi Arabia. Methods: A descriptive cross-sectional survey was conducted in 2024, involving 647 participants aged 18 years and older. Data were collected using a validated bilingual electronic questionnaire disseminated via social media platforms. The survey assessed sociodemographic characteristics, awareness of therapeutic Botulinum toxin indications, and preferences regarding treatment providers. Descriptive and inferential statistical analyses were performed. Results: Of the respondents, 54.3% reported being aware of Botulinum toxin non-cosmetic medical applications. Hyperhidrosis was the most commonly recognized indication (66.9%), while awareness of its use for migraine (41.6%), bruxism (36.9%), and rosacea (26.9%) was relatively limited. A majority (59.5%) believed there was insufficient public education on the therapeutic uses of Botulinum toxin. Social media was identified as the primary source of information, followed by input from family, friends, and healthcare professionals. Dermatologists and plastic surgeons were the most preferred specialists for administering Botulinum toxin for non-cosmetic purposes. Conclusion: Public awareness of the non-cosmetic uses of Botulinum toxin is moderate but remains fragmented. These findings highlight the need for targeted educational strategies, particularly through social media and healthcare provider engagement, to enhance public understanding and acceptance of Botulinum toxin therapeutic potential.