The Pan Am smile, also known as the "Botox smile", is the name given to a fake smile, in which only the zygomatic major muscle is voluntarily contracted to show politeness. It is named after the now-defunct airline Pan American World Airways, whose flight attendants would always flash every passenger the same perfunctory smile. Botox was introduced for cosmetic use in 2002. Chronic use of Botox injections to deal with eye wrinkle can result in the paralysis of the small muscles around the eyes, preventing the appearance of a Duchenne smile.