Small's Practical Guide to Botulinum Toxin Procedures: Print + eBook with Multimedia

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Contents
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About the Author v
For ewor d vii
For ewor d to the First Edition ix
Pr eface xi
Acknowledgments xiii
Section 1: Anatomy
Musculature of the Face Anterior-Posterior ..................................................... 1
Musculature of the Face Oblique .................................................................... 2
Superfi cial and Deep Musculature of the Face ............................................... 3
Wrinkles and Folds of the Face Anterior-Posterior .......................................... 4
Wrinkles and Folds of the Face Oblique ......................................................... 5
Facial Landmarks ............................................................................................. 6
Functional Anatomy ........................................................................................ 7
Muscles of Facial Expression ........................................................................... 8
Quick Guide to Botulinum Toxin Dosing for Upper and Mid Face ................. 9
Quick Guide to Botulinum Toxin Dosing for Lower Face and Neck .............. 10
Section 2: Introduction and Foundation Concepts
Facial Aging ................................................................................................... 12
Anatomy ........................................................................................................ 15
Functional Anatomy ...................................................................................... 15
Mechanism of Action ..................................................................................... 15
Botulinum T oxin Pr oducts .............................................................................. 16 Dosing Ratios ................................................................................................17
Botulinum Toxin Units ...................................................................................18
Onset and Duration of Action ......................................................................18
Standard versus High-Dose Botulinum Toxin ...............................................18
Patient Selection ...........................................................................................18
Glogau Classification of Photoaging ............................................................. 18
Aesthetic Consultation .................................................................................19
Patient Intake ................................................................................................20
Procedure Terminology .................................................................................20
Treatment Plans and Timing .........................................................................21
Informed Consent Process ...........................................................................21
Photodocumentation .....................................................................................22
Beauty Norms ................................................................................................22
Treatment Goals ............................................................................................22
Achieving a Natural Look ..............................................................................23
Considerations for Specific Populations ........................................................ 24
Millennials .....................................................................................................25
Asian Considerations ....................................................................................25
Darker Skin Type Considerations ...................................................................26
Gender Considerations .................................................................................26
Advantages of Botulinum Toxin Treatments .................................................27
Disadvantages of Botulinum Toxin Treatments .............................................27
Indications .....................................................................................................27
Contraindications ..........................................................................................27
Basic, Intermediate, and Advanced Treatment Areas ...................................29
Equipment for Botulinum Toxin Reconstitution .............................................29
Equipment for Botulinum Toxin Treatment....................................................29
Reconstitution Concentrations ......................................................................30
Reconstitution Method ..................................................................................31
Conversion Tables for Injection Volumes ......................................................31
Diffusion .......................................................................................................31
Handling and Storage ...................................................................................32
Preprocedure Checklist .................................................................................32
Procedure .....................................................................................................32
Anesthesia .....................................................................................................33
Botulinum Toxin Treatment Doses .................................................................33
General Injection Techniques ........................................................................34
Aftercare .......................................................................................................35
Results and Follow-Up ...................................................................................35
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Complications and Management ..................................................................36
Treatment of Multiple Muscles ......................................................................40
Other Common Applications ........................................................................41
Microtox .......................................................................................................42
Depression ....................................................................................................42
Scars ..............................................................................................................42
Headache ......................................................................................................43
Current Developments and New Products ...................................................43
Combination Therapies .................................................................................44
Reimbursement and Financial Considerations ..............................................45
Putting It All Together ...................................................................................45
Section 3: Treatment Areas
1 Frown Lines ..............................................................................................53
2 Horizontal Forehead Lines ......................................................................66
3 Crow’s Feet ..............................................................................................80
4 Lower Eyelid Wrinkles ..............................................................................93
5 Eyebrow Lift ..........................................................................................105
6 Bunny Lines ...........................................................................................113
7 Lip Lines and Lip Flip ............................................................................121
8 Gummy Smile .......................................................................................133
9 Marionette Lines ....................................................................................140
10 Chin .......................................................................................................150
11 Masseter ...............................................................................................161
12 Anterior Neck Bands ..............................................................................172
13 Nefertiti Lift: Lateral Neck Bands ...........................................................183
14 Axillary Hyperhidrosis ............................................................................194
15 Necklace Lines .......................................................................................202
16 Chest Lines ...........................................................................................208
17 Nasal Tip Lift .........................................................................................213
18 Facial Asymmetry ..................................................................................219
19 High-Dose Toxin ...................................................................................226
Section 4: Cases
Basic Treatment Areas ................................................................................237
Intermediate Treatment Areas ....................................................................243
Advanced Treatment Areas ........................................................................246
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RSmdAestheticsTraining.comSection 5: Appendices
Botulinum Toxin Treatment Tables ................................................................... 253
Aesthetic Intake Form ....................................................................................... 259
Patient Information Handouts .......................................................................... 261
Consent Forms ................................................................................................... 263
Procedure Notes ................................................................................................ 267
Supply Sources .................................................................................................. 269
Bibliography ........................................................................................ 271
Index .................................................................................................... 291
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