GSK retains the Botox rights in these countries for medical indications. It never made sense to me that GSK, a company with zero presence in cosmeceuticals, was marketing Botox for cosmetic indications.
Botox has been used off-label for this indication, but the FDA approval should help with reimbursement. Botox was FDA-approved for upper-limb spasticity in 2010 (#msg-47616915).