By Kate Coleman-Moriarty
Written via a best professional within the box, this source introduces the reader to the pharmacology of botulinum toxin and describes and the whole diversity of suggestions for its optimum administration-including secure dealing with, the choice and evaluate of sufferers, power problems and pitfalls, and asthetic thoughts. It additionally presents comparative details on different modalities similar to laser and hyaluronic acid, in addition to power danger components, so readers can pick out the simplest process for every sufferer.
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Extra resources for Botulinum Toxin in Facial Rejuvenation
This means that inferoorbital contents (muscle and fat) are prone to bulging in front of the orbital rim, creating ‘bags’. 5 Short orbital rim–lash distance allows safe botulinum toxin to the preseptal orbicularis if hypertrophied. (a) is before Botox® and (b) is after Botox®. b toxin successfully to pretarsal wrinkles without protrusion of orbital fat or folds of skin (Fig. 5ab). ó Examine the height and width of the zygomatic arch. Does the orbicularis muscle sag between the cheekbone and the eye?
An experienced practice nurse can cancel a treatment plan for an unsuitable patient. The patients who eventually see the physician are usually ideal for treatment, but some are still deemed unsuitable at the time of consultation because of unachievable expectations or more frequently, lack of psychological reserves to deal with a risk at that particular moment in time. Such patients may have their first treatment postponed and be given an appointment for review. A typical reason for postponement would be a recent bereavement.
PATIENT COMPLAINTS Complaint:‘It didn’t work’ Dysport® and NeuroBloc® usually start to work within 24 hours, but it is advisable to warn patients that results are not immediate, and that they may notice nothing for up to five days. It is possible to get a bad batch of toxin, albeit very rarely. Both Allergan and Dysport® will replace a faulty vial immediately, free of charge. Take care not to agitate the solution and to follow storage guidelines carefully (see Chapter 4). The most likely cause for a failure of the toxin to work is inappropriate handling of it.