By Kate Coleman-Moriarty
Written via a most sensible professional within the box, this source introduces the reader to the pharmacology of botulinum toxin and describes and the whole diversity of ideas for its optimum administration-including secure dealing with, the choice and evaluation of sufferers, power problems and pitfalls, and asthetic strategies. It additionally offers comparative info on different modalities comparable to laser and hyaluronic acid, in addition to strength hazard components, so readers can pick out the simplest process for every sufferer.
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Extra resources for Botulinum Toxin in Facial Rejuvenation
USER TIP óóóóó Avoid treating patients who cannot fully understand the risks being discussed. 1. Patients’complaints after injections of botulinum toxin (BTX) for their rhytids. Complaint Most likely cause It didn’t work! It didn’t last! I’m still frowning! BTX denatured. BTX too dilute or too old. Patients don’t understand what you have told them about their low brows and the treatment of frown! (see Chapter 8) BTX to forehead causes brow ptosis. Due to protrusion of upper and lower lid orbital fat and skin from weight of flaccid brows and flaccid lower septum.
Be sure that your patients understand what has been said fully before they sign the consent form. Physical assessment is an art, which becomes intuitive with experience. A variety of different complaints are dealt with in detail in this book with all their caveats. Time must be taken over the initial examination and in order to be certain that the patient will be happy after treatment. SELECTION PROCESS All new patients must be assessed physically and mentally. Written information about botulinum toxin should be provided at the time of consultation and patients should have time to digest this before an opportunity is provided to ask the physician any relevant questions.
14 Deep wrinkles at rest extending over zygomatic arch. 05 ml. 05 ó wrinkles at rest extending over the zygomatic arch (Fig. 05 ml one cm inferolateral to lateral canthus. ó wrinkles at rest with orbicularis hypertrophy and no contraindication (see above) (Fig. 0125 ml above and below pretarsal crease, lateral to the mid papillary line. ó high wide cheekbone (Fig. 5 cm below zygomatic arch. 15 Treatment of crows feet with orbicularis hypertrophy. 16 Treatment of high wide cheekbones.