PRE- READING COURSE MATERIAL ADVANCED BOTOX Module 2
|
|
- Victor Todd
- 5 years ago
- Views:
Transcription
1 PRE- READING COURSE MATERIAL ADVANCED BOTOX Module 2
2 Unit Overview Storage and shelf-life Cautions and contra-indications of treatment Reconstitution The treatment process Cosmetic indications for use - Foundation techniques (glabella, frontalis, crows feet) - Advanced techniques (bunny lines, neck lift, smokers lines, gummy smile, chin dimpling, hyperhidrosis) Technique Aftercare
3 Unit Overview Storage and shelf-life Cautions and contra-indications of treatment Reconstitution The treatment process Cosmetic indications for use - Foundation techniques (glabella, frontalis, crows feet) - Advanced techniques (bunny lines, neck lift, smokers lines, gummy smile, chin dimpling, hyperhidrosis) Technique Aftercare
4 Storage and Shelf-life Storage and Shelf Life: Each product has a different storage and handling profile. Refer to manufacturer instructions Botox should be delivered on dry ice Unopened vials of Botox must be stored in a refrigerator at 2-8 C Reconstituted Botox is kept refrigerated at 2-8 C Should be used within 24 hours (lack of preservative) Do not use if past expiration date / evidence of tampering
5 Cautions and Contra-indications Contra-indications: Aged under 18 years Known hypersensitivity to Botulinum toxin or any components within the chosen formulation Neuromuscular disorders (Myasthenia gravis, Eaton Lambert syndrome) Soft tissue infection Pregnancy Breast-feeding Contra-indicating medications (muscle relaxants, aminoglycosides, other medications that may interfere with neuromuscular transmission)
6 Reconstitution Different products need to be reconstituted differently (refer to manufacturer instructions) All products are reconstituted using 0.9% bacteriostatic Saline Examples from leading manufacturers listed in the table below Product type Units Excipients Volume 0.9% Saline (ml) Allergan Botox 50 HSA, NaCl 1 5 Galderma Dysport 300 HSA, Lactose Merz Xeomin 100 HAS, Sucrose 2 5 Strength (Units / 0.1ml)
7 Dilution Table Botox (Cosmetic use) Reconstitution
8 Reconstitution Reconstitution Botox (Cosmetic use) ConFirm the product is appropriate for use (expiration date, hologram, no evidence of tampering) Draw up 1.1ml 0.9% bacteriostatic Saline (non-preserved) into the syringe using the 21G needle. Drawing up 1.1 mls instead of 1ml ensures that you reconstitute correctly and allow for the 0.1ml of the saline that you will lose in the tip of the needle Insert the needle into the vial and slowly inject the Saline Disconnect the syringe only (leaving the needle in the vial) and mix the Botox using gentle rotary movements. Do not invert the vial Attach the syringe and draw up the product Disconnect the syringe only from the drawing up needle, expel any air bubbles and attach the 30 gauge needle used for treatment Aseptic technique is crucial. Clinicians should practice good hand hygiene, wear gloves and ensure a clean clinical environment.
9 Reconstitution Tips for Reconstitution Botox (Cosmetic use) Check for the presence of the vacuum by piercing the seal of the vial with the needle (without the syringe attached) and listen for the audible hiss of air as the vacuum is released. This reassures you the product has not been tampered with and prevents the uncontrolled pull of Saline into the vial which can create bubbles Avoid vigorous shaking. Gentle rotation of the vial will help prevent bubbles Do not invert the vial to mix the product Allow for losses of Saline in the drawing up needle (i.e. draw up 1.1ml Saline to reconstitute with a 50 unit vial to produce 1ml product with a strength of 5 units/ 0.1ml).
10 Unit Overview Storage and shelf-life Cautions and contra-indications of treatment Reconstitution The treatment process Cosmetic indications for use - Foundation techniques (glabella, frontalis, crows feet) - Advanced techniques (bunny lines, neck lift, smokers lines, gummy smile, chin dimpling, hyperhidrosis) Technique Aftercare
11 1. Apply topical anaesthetic (e.g. EMLA cream) to the target areas 15 minutes prior to injecting 2. Position the client in a semiupright position on the examination table 3. Ensure you have appropriate lighting 4. Cleanse the target areas of the face using a non-alcoholic cleanser such as witch hazel 5. Mark out the injection sites as guided by the client s activity lines. (e.g. white pencil eyeliner) 6. Deliver the product into the target areas 7. Aftercare instructions The Treatment Process
12 The Treatment Process General Points: Treat any bleeding points with moist gauze / cotton pads and sustained pressure Remain receptive and aware of the client at all times, provide rest breaks and reassurance where needed Provide all aftercare instructions including contact details to arrange follow-up appointments
13 Cosmetic Indications for Use Indications for Use in the Aesthetic Client: Eliminate or reduce dynamic facial wrinkles Soften static wrinkles Create a lift The 3 most common treatment zones for Botulinum toxin
14 Cosmetic Indications for Use SpeciSic Treatment Zones / Indications: Glabellar complex (frown lines) Frontalis (forehead) Crows feet Bunny lines Neck lift (nefertiti technique) Smoker s lines Gummy smiles Chin dimpling Hyperhidrosis
15 Unit Overview Storage and shelf-life Cautions and contra-indications of treatment Reconstitution The treatment process Cosmetic indications for use - Foundation techniques (glabella, frontalis, crows feet) - Advanced techniques (bunny lines, neck lift, smokers lines, gummy smile, chin dimpling, hyperhidrosis) Technique Aftercare
16 Frontalis Contraction of these key muscles causes wrinkling of the overlying skin. Origin: galea aponeurotica along the coronal suture Insertion: into the dermis at the level of the eyebrows. No bony insertions.
17 Contraction of Frontalis
18 Foundation Techniques Forehead Lines ChieFly the result of the frontalis muscle (epicranius, occipitofrontalis and venter frontalis) Acts as a brow elevator
19 Glabella Complex Frontalis Procerus Depressor supercilii Corrugator supercilii Orbicularis oculi
20 Contraction of the Glabella complex
21 Foundation Techniques Glabella frown lines Principally caused by the activity of procerus muscle and the corrugator supercilii muscles Muscles depress the brow and draw the brows medially Minor contribution from frontalis, orbicularis oculi and depressor supercilii
22 Orbicularis Oris Frontalis Procerus Depressor supercilii Corrugator supercilii Orbicularis oculi
23 Contraction of Orbicularis Oculi
24 Foundation Techniques Crows feet The crows feet (or lateral canthal lines) are the product of the lateral aspect of orbicularis oculi Acts to depress the lateral brow
25 Foundation Techniques Key target areas for Botulinum toxin are dictated by activity lines produced by facial expression These include the glabella (frown) lines, horizontal forehead (frontalis) lines and crows feet (lateral canthal lines)
26 Foundation Techniques Key Principles Exact administration sites and doses should be tailored to suit the individual client, their unique pattern of dynamic and static activity and their main concerns Treatment regimen must support a balanced result (e.g. frontalis should not be treated in isolation to avoid a brow drop) Be receptive to any pre-existing asymmetry, highlight to the client and document. Aim to improve symmetry and cosmetic balance
27 Unit Overview Storage and shelf-life Cautions and contra-indications of treatment Reconstitution The treatment process Cosmetic indications for use - Foundation techniques (glabella, frontalis, crows feet) - Advanced techniques (bunny lines, neck lift, smokers lines, gummy smile, chin dimpling, hyperhidrosis) Technique Aftercare
28 Advanced Techniques Bunny Lines Wrinkles on the dorsolateral aspect of the nose which develop due to the activity of nasalis muscle Exaggerated in laughing / squinting Treat with <2.5 units in the body of each nasalis muscle
29 Advanced Techniques Neck lift (Nefertiti lift) This technique relaxes the muscular bands of platysma which can exaggerate the jowling effect and create the turkey neck appearance Botulinum toxin enhances jawline definition, softens jowls and creates a lift in the lower face Product is injected along the jawline and along the bands of muscle in 2.5 unit doses
30 Advanced Techniques Smoker s Lines These perioral lines are created by the activity of orbicularis oris that encircles the mouth Early smokers lines can be treated with Botulinum toxin Small doses (1.25 units) can be injected above the upper lip (>4mm superior to the vermillion border) Note deeper / static smokers lines may require dermal Filler treatment.
31 Advanced Techniques Gummy Smile In full smile, the aesthetic ideal is considered 90% incisor display and minimal gingival display A gummy smile (excessive gingival display) can occur through overactivity of levator labii superioris and zygomaticus minor Botulinum toxin can be injected to relax these elevators and soften a gummy smile Small doses (<2.5 units) are injected at the corners of the nose
32 Advanced Techniques Chin Dimpling Contraction of the mentalis muscles in the chin can create this dimpling / pebbling effect Exaggerated by pouting./ drawing lower lip in and up Inject <2.5 units into each muscle belly Can also reduce a prominent mental crease
33 Advanced Techniques Hyperhidrosis Hyperhidrosis (excessive sweating) of the arm pits (axillae) and palms of the hands or soles of the feet can be treated with Botulinum toxin Botulinum toxin temporarily blocks cholinergic stimulation of apocrine sweat glands, giving up to 6 months relief from excessive sweating Can only be used to treat defined areas (not useful in generalised hyperhidrosis) Note treatment of palmar hyperhidrosis can be very painful and therefore a nerve block may be required In the axillae, mark out a grid of 20 injection sites across the main sweat producing zone with 2.5 units injected at each site (total 50 units / axilla)
34 Hyperhidrosis
35 Unit Overview Storage and shelf-life Cautions and contra-indications of treatment Reconstitution The treatment process Cosmetic indications for use - Foundation techniques (glabella, frontalis, crows feet) - Advanced techniques (bunny lines, neck lift, smokers lines, gummy smile, chin dimpling, hyperhidrosis) Technique Aftercare
36 Technique Injection Technique: Proceed through the injection sites systematically (avoid over/ undertreating areas) Identify and avoid any visible blood vessels, reducing the chance of significant bruising (crows feet area is notoriously vascular) Use a 30 gauge 1-inch needle Inject in a slow and steady manner to ensure accuracy and avoid discomfort Inject with the bevel of the needle facing upwards to allow for downwards spread of product
37 Technique Hand Positioning Tips: Use your non-dominant thumb to protect the orbital rim (typically when treating corrugators) Rest your injecting hand against the non-dominant hand or on the client s face for optimal control and accuracy Rest the syringe itself on your non-dominant hand
38 Technique Forehead Region Standard Injection Sites: Typically 5 injection sites Low dose, superficial injections to treat the broad and Flat frontalis muscle Injections can be administered in a line across the width of the forehead or in a zig-zag pattern depending on client s anatomy Do not inject the Fibrous aponeurosis (black lines)
39 Technique Forehead Region Standard Dosing Regimen:
40 Technique Forehead Region Treatment Tips: Straight row or zig-zag pattern Inject into the peaks of the wrinkles and not the troughs Inject superficially Angle the needle at 45 degrees to facilitate superficial administration Avoid injecting the aponeurosis Injection sites can be tailored to suit each individual client
41 Technique Glabellar Zone Standard Injection Sites: Standard treatment for the Glabella involves 5 injections: Ø Central deep injection targeting procerus Ø 2 injections to target medial aspect of the corrugators Ø 2 injections to target the lateral aspect of the corrugators Note - Injections to the glabellar should stay medial to the midpupillary line which is demonstrated by the 2 vertical axes here
42 Technique Glabellar Zone Standard Dosing Regimen
43 Technique Glabella Zone Injection sites: 1. Procerus (deep, central) 2. Medial aspect of corrugators (deep) 3. Lateral aspect of corrugators (superficial) Glabella Zone Treatment Tips: Be mindful of avoiding injections near levator palpebrae superioris Do not inject Botox within 1cm above the medial aspect of the eyebrow Position lateral corrugator injections at least 1cm above the supraorbital ridge Keep the needle bevel upward facing
44 Technique Crows Feet Standard Injection Sites: Typically consists of 3 small and superficial injections on each side Mark out the central site at least 1.5cm lateral to the lateral canthus and ensure the site is outside of the orbital rim Mark out the upper and lower sites 1.5cm above and below the central site. These sites may be at an angle of up to 30 degrees to the central site but must remain outside the orbital rim and lateral to the lateral canthus
45 Technique Crows Feet Standard Dosing Regimen
46 Technique Crows Feet Treatment Tips: Palpate for the orbital rim to ensure all injections to the crows feet area are outside of this border Keep all injections lateral to the lateral canthus Keep the needle bevel tip up and the syringe orientated away from the eye to avoid injury Ask the client to turn their head to the side to facilitate smooth administration of product and comfortable hand positioning
47 Technique
48 Unit Overview Storage and shelf-life Cautions and contra-indications of treatment Reconstitution The treatment process Cosmetic indications for use - Foundation techniques (glabella, frontalis, crows feet) - Advanced techniques (bunny lines, neck lift, smokers lines, gummy smile, chin dimpling, hyperhidrosis) Technique Aftercare
49 Aftercare Aftercare Instructions: Reiterate the potential for slight bruising and discomfort Seek medical attention in the event of any major concerns Do not lie down, fall asleep or rub / massage the treated areas for at least 4 hours after treatment Gently exercising the muscles that have been treated (i.e. frowning / smiling) can help to activate the toxin and expedite results Clients should avoid consuming alcohol for 24 hours after treatment or wearing makeup Advise the patient that the effects can take up to a week to become apparent Remember the effects are temporary and treatment is recommended every 3-6 months Contact details for follow up assessment / further treatment provided
50 Summary Storage and shelf-life Cautions and contra-indications of treatment Reconstitution The treatment process Cosmetic indications for use - Foundation techniques (glabella, frontalis, crows feet) - Advanced techniques (bunny lines, neck lift, smokers lines, gummy smile, chin dimpling, hyperhidrosis) Technique Aftercare
51
Botulinum toxin: Getting started with cosmetic treatment Learning Objectives The Aging Face The Aging Face The Aging Face
1 2 Botulinum toxin: Getting started with cosmetic treatment Suzanne K. Freitag, M.D. Director, Ophthalmic Plastic Surgery Service Massachusetts Eye and Ear Infirmary Harvard Medical School 3 I have no
More informationBotulinum Toxin Application
Botulinum Toxin Application Clostridium botulinum: rod-shaped bacterium producing the neurotoxin botulin Gram-positive anaerobic bacterium Seven serotypes - A, B, C, D, E, F, G http://standeyo.com/news/08_health/081202.biological.weapons.html
More informationMuscles of the Face, Head, and Neck
Muscles of the Face, Head, and Neck 1 How Muscles Are Named Many muscles named using such features as Location Function Shape Direction of fibers Number of heads or divisions Points of attachment Size
More informationINSTRUCTIONS INTRODUCTION RISKS OF BOTULINUM TOXIN / DERMAL FILLER INJECTIONS
INSTRUCTIONS This is an informed consent document that has been prepared to help inform you concerning botulinum toxin / dermal filler injections and the risks involved. It is important that you read this
More informationBotulinum Neuromodulators: The Basics. Karol A Gutowski, MD, FACS
Botulinum Neuromodulators: The Basics Karol A Gutowski, MD, FACS Disclosures AxcelRx Pharmacuticals - Advisory Board Suneva Medical - Instructor Will discuss off-label uses Will use brand names for ease
More informationPlease see Approved Uses and Important Safety Information, including Boxed Warning, inside.
Please see Approved Uses and Important Safety Information, including Boxed Warning, inside. IT S YOUR STORY, TELL IT YOUR WAY You ve probably heard of BOTOX Cosmetic, but did you know: It s the first and
More informationBotulinum Neuromodulators: Clinical Uses. Karol A Gutowski, MD, FACS
Botulinum Neuromodulators: Clinical Uses Karol A Gutowski, MD, FACS Disclosures Angiotech/Surgical Specialties - Advisory Board AxcelRx Pharmacuticals - Advisory Board Suneva Medical - Instructor Will
More informationThe Scalp and Face Protocol. Julie Goodwin, BA, LMT
The Scalp and Face Protocol Julie Goodwin, BA, LMT The Scalp and Face Protocol Julie Goodwin, BA, LMT Julie Goodwin 2014 2 Agenda Pertinent Anatomy and Physiology Treatment Planning Strokes, Techniques
More informationHead and Face Anatomy
Head and Face Anatomy Epicranial region The Scalp The soft tissue that covers the vault of skull. Extends from supraorbital margin to superior nuchal line. Layers of the scalp S C A L P = skin = connective
More informationThis lab activity is aligned with Visible Body s Anatomy and Physiology app. Learn more at visiblebody.com/professors
1 This lab activity is aligned with Visible Body s Anatomy and Physiology app. Learn more at visiblebody.com/professors 2 PRE-LAB EXERCISES A. Watch the video 13.1 Muscular System Overview and observe
More informationEvaluation of the patient for cosmetic Botox injections
Facial Plast Surg Clin N Am 11 (2003) 349 358 Evaluation of the patient for cosmetic Botox injections Steven H. Dayan, MD, FACS*, Benjamin A. Bassichis, MD Department of Otolaryngology, Division of Facial
More informationSierra Smith Bio 205 Extra Credit Essay. My Face. Growing up I was always told that it takes 43 muscles to frown but only 17
Sierra Smith Bio 205 Extra Credit Essay My Face Growing up I was always told that it takes 43 muscles to frown but only 17 muscles to smile and I should just smile because it's easier. It wasn't until
More informationPlease see Important Safety Information, including Boxed Warning, inside.
Sandra was treated in her frown lines and crow s feet areas. Results may vary. Please see Important Safety Information, including Boxed Warning, inside. Approved Uses BOTOX Cosmetic (onabotulinumtoxina)
More informationBotulinum Toxin
Botulinum Toxin Botulinum toxin type A injections are one of the most popular minimally-invasive cosmetic procedures performed to treat facial lines and wrinkles, called frown lines, on the forehead. Botulinum
More informationBotox , The Patient Education Institute, Inc. rxf60101 Last reviewed: 01/11/2018 1
Botox Introduction Botox is a well known brand name for a medicinal form of a toxin, or poison. When injected in small doses into specific muscles, Botox doesn't poison you. Instead, it acts as a muscle
More informationBOTOX Cosmetic (onabotulinumtoxina) before-and-after
BOTOX Cosmetic (onabotulinumtoxina) before-and-after Moderate to severe crow s feet lines Before After (Day 7) Actual patient. Results may vary. Photos taken at full smile before and after treatment with
More informationBOTOX Cosmetic (onabotulinumtoxina) before-and-after photo files
BOTOX Cosmetic (onabotulinumtoxina) before-and-after photo files INSTRUCTIONS FOR USE This zip file contains PDF files with images and Important Safety Information to copy and paste into your practice
More informationCynthia was treated for her frown lines and crow s feet. Results may vary. Please see Important Safety Information, including Boxed Warning, inside.
Cynthia was treated for her frown lines and crow s feet. Results may vary. Please see Important Safety Information, including Boxed Warning, inside. Your lines don t define you Get the subtle results you
More informationTo successfully perform any facial injection,
INJECTABLES Newer Understanding of Specific Anatomic Targets in the Aging Face as Applied to Injectables: Facial Muscles Identifying Optimal Targets for Neuromodulators Jonathan M. Sykes, MD Patrick Trevidic,
More informationPlease see Important Safety Information, including Boxed Warning, inside.
Sandra was treated in her frown lines and crow s feet areas. Results may vary. Please see Important Safety Information, including Boxed Warning, inside. Approved Uses BOTOX Cosmetic (onabotulinumtoxina)
More informationYou know you want to. Ask us today. Please see Important Safety Information, including Boxed Warning, inside.
You know you want to Ask us today. Please see Important Safety Information inside. 2016 Allergan. All rights reserved. All trademarks are the property of their respective owners. BotoxCosmetic.com 1-800-BOTOXMD
More informationFrequently Asked Questions
Frequently Asked Questions What are the causes of wrinkles and facial expression lines? As noted above, lines and wrinkles develop, at least in part, from the action of facial muscles under the skin. After
More informationHeadache and Migraine Treatment
Many of us think of Botox primarily as a cosmetic treatment for lines and wrinkles on the face, but the botulinum toxin that Botox is derived from has a long history of medically therapeutic uses. In fact,
More informationInformed Consent Botulina Toxins Botox, Dysport, Xeomin Neurotoxins
Informed Consent Botulina Toxins - Botox Neurotoxins Informed Consent Botulina Toxins Botox, Dysport, Xeomin Neurotoxins INSTRUCTIONS This is an informed-consent document that has been prepared to help
More information200 SW 8 th St, STE A, Ocala, FL PH: FAX: Dr. Omar Garcia, Medical Director
200 SW 8 th St, STE A, Ocala, FL 34471 PH: 352-369-0104 FAX: 352-369-0107 Dr. Omar Garcia, Medical Director BRIEF MEDICAL HISTORY Name Phone Age Height Weight Address City State Zip Current Physician's
More informationThe FIRST and ONLY FDA-APPROVED botulinum toxin for the treatment of LOWER LIMB SPASTICITY in pediatric patients 2 years of age and older 1.
The FIRST and ONLY FDA-APPROVED botulinum toxin for the treatment of LOWER LIMB SPASTICITY in pediatric patients years of age and older 5 Steps to dosing and dilution with Indication is indicated for the
More informationAndy was treated for frown lines and crow s feet. Results may vary. Please see Important Safety Information, including Boxed Warning, inside.
Andy was treated for frown lines and crow s feet. Results may vary. Please see Important Safety Information, including Boxed Warning, inside. Feel confident that you can still look like yourself With BOTOX
More informationFREE CPE OPPORTUNITY
FREE CPE OPPORTUNITY REVISION The Muscular System Lab Activity Head and Neck office@maa.org.au Collect Total 20 CPE Points Use any good Anatomy text book or Atlas go to the Muscular System Head and Neck
More informationALTERNATIVE TREATMENTS
Botox Consent INSTRUCTIONS This is an informed- consent document which has been prepared to help your plastic surgeon inform you concerning BOTOX (Botulina Toxin Type A, Allergan) injection, its risks,
More informationInformed Consent Form
Informed Consent Form Botox Cosmetic (onabotulinumtoxin A) Dysport (abobotulinumtoxin A) Xeomin (incobotulinumtoxin A) INSTRUCTIONS This is an informed-consent document that has been prepared to help inform
More informationSpaMedica Botox Injection Techniques
SpaMedica Botox Injection Techniques You have diluted the 100 units of Botox with the 2 cc of preservative free normal saline and have drawn up 6 syringes of Botox, each with 15 units of BTX A. Each incremental
More informationThe Effect of Periorbital Botox Injection on the Eye
Kasr El Aini Journal of Surgery VOL., 11, NO 3 September 2010 61 The Effect of Periorbital Botox Injection on the Eye HishamM.El-Minawi M.D.* and Malak I. ElShazly M.D.**AmiraA.Zayed*** Department of Plastic
More informationCrow's Feet Treatment with Botulinum Toxin Type A. I Petropoulos, G Noussios, P Chouridis, G Kontzoglou, K Karagiannidis
ISPUB.COM The Internet Journal of Aesthetic and Antiaging Medicine Volume 1 Number 2 Crow's Feet Treatment with Botulinum Toxin Type A I Petropoulos, G Noussios, P Chouridis, G Kontzoglou, K Karagiannidis
More informationModule 6 - The Muscular System Introduction to the Muscular System and Muscles of the Head, Neck and Shoulder
Module 6 - The Muscular System Introduction to the Muscular System and Muscles of the Head, Neck and Shoulder There will be three modules to cover the muscle anatomy of the body. The first module will
More informationTreatment of mid face expression rhytides:
Dental Facial Aesthetics Treatment of mid face expression rhytides: a new injection protocol for treatment of the mid face. Warren Roberts, DMD and Janet Roberts, BSc, DMD Abstract: Botulinum toxin type
More informationTreatment of Facial Palsy with Botulinum Toxin (Botox)
Treatment of Facial Palsy with Botulinum Toxin (Botox) You have been recommended treatment with Botulinum Toxin. This leaflet aims to explain the treatment, what to expect during the procedure and how
More informationAnatomy & Physiology B. Chapter 6: Muscles
Anatomy & Physiology B Chapter 6: Muscles Warm-up What are the three types of muscle tissue? Where are each located? Which are voluntary and which are involuntary? Which are striated which are unstriated?
More informationINFORMED CONSENT BOTOX INJECTION
. Purchasers of the Patient Consultation Resource Book are given a limited license to modify documents contained herein and reproduce the modified version for use in the Purchaser's own practice only.
More informationDYSPORT (Clostridium botulinum type A toxin-haemagglutinin complex)
DYSPORT (Clostridium botulinum type A toxin-haemagglutinin complex) CONSUMER MEDICINE INFORMATION What is in this leaflet This leaflet answers some common questions about Dysport. It does not contain all
More informationTreatment of facial palsy with Botulinum Toxin (Botox) Information for patients
Treatment of facial palsy with Botulinum Toxin (Botox) Information for patients page 2 of 8 You have been recommended treatment with Botulinum Toxin. This leaflet aims to explain the treatment, what to
More informationTikrit University College of Dentistry Dr.Ban I.S. head & neck anatomy 2 nd y.
Lec [3]/The scalp The scalp extends from the supraorbital margins anteriorly to the nuchal lines at the back of the skull and down to the temporal lines at the sides. The forehead, from eyebrows to hairline,
More informationDisclaimer. All information shared in this presentation is in the public domain.
THE BOTOX STORY Disclaimer All information shared in this presentation is in the public domain. Hence, no trade secret related to drug formulation, manufacturing process, commercial practice, etc. The
More informationIt is now widely recognized that there is a critical. Dental Facial Aesthetics Aesthetic shaping of the neck/positive side effects on the gingiva
Dental Facial Aesthetics Aesthetic shaping of the neck/positive side effects on the gingiva Warren Roberts, DMD This article discusses the relationship between Platysma, a large muscle of the face and
More informationDYSPORT (Clostridium botulinum type A toxin-haemagglutinin complex)
DYSPORT (Clostridium botulinum type A toxin-haemagglutinin complex) CONSUMER MEDICINE INFORMATION What is in this leaflet This leaflet answers some common questions about Dysport. It does not contain all
More informationPatient Information Publications Warren Grant Magnuson Clinical Center National Institutes of Health
Warren Grant Magnuson Clinical Center National Institutes of Health What is a subcutaneous injection? A subcutaneous injection is given in the fatty layer of tissue just under the skin. A subcutaneous
More informationCONSUMER MEDICINE INFORMATION
CONSUMER MEDICINE INFORMATION BOTOX (botulinum toxin, type A) purified neurotoxin complex The information in this leaflet is ONLY a summary and is not a complete statement about BOTOX injection. Your doctor
More informationHOW TO USE... 5mg. Pocket Guide
HOW TO USE... Pocket Guide 4 ZOMACTON [somatropin (rdna origin)] for Injection Supplies ZOMACTON 5 mg (powder) Preparation syringe Syringe and injection needle Diluent (liquid) Diluent (liquid) contains
More informationSEE IMPORTANT SAFETY INFORMATION ON PAGE 2. See Important Safety Information inside.
See Important Safety Information inside. Visit BotoxCosmetic.com to learn more. By prescription only. 1-800-BOTOX-MD Also from the Allergan family of brands: 2010 Allergan, Inc., Irvine, CA 92612. marks
More information3-Deep fascia: is absent (except over the parotid gland & buccopharngeal fascia covering the buccinator muscle)
The Face 1-Skin of the Face The skin of the face is: Elastic Vascular (bleed profusely however heal rapidly) Rich in sweat and sebaceous glands (can cause acne in adults) It is connected to the underlying
More informationP atients seeking facial rejuvenation
By Hema Sundaram, MD A Practical Primer For Dysport, Part 2: Strategies for Success with the Periorbital Frame and Special Considerations for Skin of Color Comprehensive patient assessment, a thorough
More informationInstructions for Use Enbrel (en-brel) (etanercept) for injection, for subcutaneous use Multiple-dose Vial
Instructions for Use Enbrel (en-brel) (etanercept) for injection, for subcutaneous use Multiple-dose Vial How do I prepare and give an injection with Enbrel multiple-dose vial? A multiple-dose vial contains
More informationThe Truth About Botox
SPECIAL REPORT The Truth About Botox Worry lines, frown lines, laugh or smile lines, crow s feet these are all dynamic wrinkles caused from years of living and using facial muscles to show expression.
More informationORIGINAL ARTICLE. Keywords Botulinum toxin type A, consensus, facial wrinkles, Speywood
DOI: 10.1111/j.1468-3083.2010.03728.x JEADV ORIGINAL ARTICLE International consensus recommendations on the aesthetic usage of botulinum toxin type A (Speywood Unit) part II: wrinkles on the middle and
More informationOverview of Botulinum Toxin
Chapter 1 Overview of Botulinum Toxin Berthold Rzany, Hendrik Zielke 1 Contents 1.1 Introduction............. 1 1.2 Different Subtypes of Botulinum Toxin. 1 1.3 Mode of Action............ 1 1.4 Antidote...............
More informationTHIEME. Scalp and Superficial Temporal Region
CHAPTER 2 Scalp and Superficial Temporal Region Scalp Learning Objectives At the end of the dissection of the scalp, you should be able to identify, understand and correlate the clinical aspects: Layers
More informationBOTOX (onabotulinumtoxina) for Therapeutic Use
BOTOX (onabotulinumtoxina) for Therapeutic Use BOTOX (onabotulinumtoxina) & BOTOX Cosmetic (onabotulinumtoxina) Important Information IMPORTANT SAFETY INFORMATION BOTOX and BOTOX Cosmetic may cause serious
More informationBiology 218 Human Anatomy. Adapted from Martini Human Anatomy 7th ed. Chapter 10 The Muscular System Axial Musculature
Adapted from Martini Human Anatomy 7th ed. Chapter 10 The Muscular System Axial Musculature Introduction The skeletal muscle of the body can be subdivided into: Axial musculature Muscles that position
More informationBotox pearls, perils, and pitfalls. Patient comfort. Patient comfort. Higher doses give longer results. Botox (onabotulinumtoxina) starting doses
Botox pearls, perils, and pitfalls Ronald L. Moy, M.D, Beverly Hills, CA No financial conflicts of interests. Botox before Botox after Risks, rewards, happy, unhappy- higher doses, fewer injection sites,
More informationInternational consensus recommendations on the aesthetic usage of botulinum toxin type A (Speywood Unit) part I: upper facial wrinkles
DOI: 10.1111/j.1468-3083.2010.03631.x JEADV ORIGINAL ARTICLE International consensus recommendations on the aesthetic usage of botulinum toxin type A (Speywood Unit) part I: upper facial wrinkles B Ascher,,
More informationPIEDMONT ACCESS TO HEALTH SERVICES, INC.
PIEDMONT ACCESS TO HEALTH SERVICES, INC. Policy Number: 01-10-039 SUBJECT: I. M. Injections EFFECTIVE DATE: 3/2010 REVIEWED/REVISED: 7/21/2011, 07/27/2012, 10/7/2013, 10/27/2014, 05/16/2016 POLICY: I.
More informationLATISSE (bimatoprost ophthalmic solution) 0.03% Important Information
LATISSE (bimatoprost ophthalmic solution) 0.03% Important Information Indication LATISSE (bimatoprost ophthalmic solution) 0.03% is indicated to treat hypotrichosis of the eyelashes by increasing their
More informationBASIC ORTHOPEDIC ASSESSMENT Muscle and Joint Testing
BASIC ORTHOPEDIC ASSESSMENT Muscle and Joint Testing The following tests are for the purpose of determining relative shortening, restriction or bind of muscle tissues. In this context the term bind in
More informationInstructions for Use HEMLIBRA (hem-lee-bruh) (emicizumab-kxwh) injection, for subcutaneous use
Instructions for Use HEMLIBRA (hem-lee-bruh) (emicizumab-kxwh) injection, for subcutaneous use Be sure that you read, understand, and follow the Instructions for Use before injecting HEMLIBRA. Your healthcare
More informationA Patient s Guide to Aesthetic Treatments
A Patient s Guide to Aesthetic Treatments See Important Safety Considerations on Slides 28-30 2009 Medicis Aesthetics Inc. RES 09-106 10/30/10 What happens as we age? Hyaluronic acid (HA) is a naturally
More informationBone Practical. Labs Muscle Labs. Final Practical. Divisions of the Muscular System. Quiz format
Bone Practical Labs 17 + 18 Muscles Wed 7/11 @ 8am 40 50 stations About half axial, half appendicular bones Disarticulated bones: Skulls, partial skulls, vertebrae, ribs, skeletons, arm bones, leg bones,
More informationBotulinum Toxin Injections
KAISER PERMANENTE SAN FRANCISCO DEPARTMENT OF NEUROLOGY Office Procedures included: - Botulinum Toxin Injections - Electroencephalogram (EEG) - Electromyography (EMG) and Nerve Condition Studies (NCS)
More informationPATIENT INSTRUCTIONS FOR USE SINGLE- DOSE PREFILLED SYRINGE
PATIENT INSTRUCTIONS FOR USE EXEMPTIA TM (ADALIMUMAB) SINGLE- DOSE PREFILLED SYRINGE Do not try to inject EXEMPTIA TM yourself until you have been shown the right way to give the injections and have read
More informationDr. F Didar CEO Cosmetic Facial UK(CFUK) Limited
Dr. F Didar CEO Cosmetic Facial UK(CFUK) Limited www.cosmeticfacial.co.uk, info@cosmeticfacial.co.uk 1. 1895:professor Emile Pierre Van Ermengem discovered(identified) bacterium bacillus botulinum. It
More informationWARNING: DISTANT SPREAD OF TOXIN EFFECT
Dear Doctor, We have enclosed a sample XEOMIN (incobotulinumtoxina) treatment patient consent form for your information. Please be aware that this form is merely intended for use as an example. Merz Aesthetics,
More informationSARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: Nursing DATE: REVIEWED: PAGES: RESPONSIBILITY: RN, LPN 07/81 9/10 1 of 5 PURPOSE: 1. To maintain aseptic technique in preparing and administering
More informationInstructions for Use Enbrel (en-brel) (etanercept) injection, for subcutaneous use Single-dose Prefilled Syringe
Instructions for Use Enbrel (en-brel) (etanercept) injection, for subcutaneous use Single-dose Prefilled Syringe How do I prepare and give an injection with Enbrel Single-dose Prefilled Syringe? There
More informationTips for Successful Venipuncture
Page 1 of 5 Patient Positioning Have patient lie or sit down. Never draw blood on a patient who is standing. Make the patient as comfortable as you possibly can. Always watch and ask patient if he/she
More informationHIGHLIGHTS OF PRESCRIBING INFORMATION
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use safely and effectively. See full prescribing information for. for injection, for intramuscular use
More informationGlabellar Contraction Patterns: A Tool to Optimize Botulinum Toxin Treatment
See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/229159191 Glabellar Contraction Patterns: A Tool to Optimize Botulinum Toxin Treatment ARTICLE
More informationFace. Definition: The area between the two ears and from the chin to the eye brows. The muscles of the face
Face Definition: The area between the two ears and from the chin to the eye brows. The muscles of the face The muscle of facial expression (include the muscle of the face and the scalp). All are derived
More informationImportant Safety Information
Important Safety Information What is the most important information you should know about Oysport? Spread of Toxin Effects: In some cases, the effects of Dysport and all botulinum toxin products may affect
More informationCM01 Facelift. Copyright 2007 Page 1 of 6
CM01 Facelift What is a facelift? A facelift is an operation to tighten and lift the soft tissues of your face and neck. Your surgeon will assess you and let you know if a facelift is suitable for you.
More informationThe muscular system I Muscles of the head neck and trunk
The muscular system I Muscles of the head neck and trunk Dr. Nabil Khouri Dr. Nabil Khouri MD MSc, PhD Interactions of Skeletal Muscles Skeletal muscles work together or in opposition Muscles only pull
More informationTypes of Anaesthesia for dermal and lip fillers at Simply Fox
Types of Anaesthesia for dermal and lip fillers at Simply Fox The Juvederm range we use contains lidocaine- a local anaesthetic, however this does not work instantly as the needle is inserted, it is mixed
More informationA Treatment Guide for Adults With Upper Limb Spasticity
A Treatment Guide for Adults With Upper Limb Spasticity For the elbow, wrist, and fingers What you need to know about Dysport Dysport (abobotulinumtoxina) is a prescription medicine that is injected into
More informationSince botulinum toxin type A was approved by the
Treating the lower face and neck with neuromodulators: benefits and complications Abstract This article is will educate practitioners on the possibilities that botulinum toxin type A can offer their patients,
More informationPRODUCT MONOGRAPH. abobotulinumtoxina for injection, Ph. Eur. Sterile lyophilized powder for solution for injection. 300 Units per vial
PRODUCT MONOGRAPH Pr DYSPORT AESTHETIC abobotulinumtoxina for injection, Ph. Eur. Sterile lyophilized powder for solution for injection 300 Units per vial Neuromuscular Blocking Agent Manufactured by:
More informationCONSUMER MEDICINE INFORMATION
CONSUMER MEDICINE INFORMATION BOTOX (botulinum toxin, type A) purified neurotoxin complex The information in this leaflet is ONLY a summary and is not a complete statement about BOTOX injection. Your doctor
More informationINSTRUCTIONS FOR PREPARING AND GIVING AN INJECTION OF ENBREL POWDER
INSTRUCTIONS FOR PREPARING AND GIVING AN INJECTION OF ENBREL POWDER Introduction The following instructions explain how to prepare and inject Enbrel powder for injection. Please read the instructions carefully
More informationDYSPORT (abobotulinumtoxina) for injection, for intramuscular use Initial U.S. Approval: 2009
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use safely and effectively. See full prescribing information for. (abobotulinumtoxina) for injection,
More informationProtocol. Title: The Effect of Needle Size on Pain Perception in Patients Treated with Botulinum Toxin A Injections
Protocol Title: The Effect of Needle Size on Pain Perception in Patients Treated with Botulinum Toxin A Injections Principal Investigator: Murad Alam, MD 1 Table of contents Table of contents List of abbreviations
More informationEarly management of post operative facial weakness Left side affected
Early management of post operative facial weakness side affected In order to move your face, messages are sent from your brain to your facial muscles via a nerve called the facial nerve. The right and
More informationBLOOD COLLECTION GUIDELINES
I. Patient Identification Lee Memorial Health System Lee County, FL CLINICAL LABORATORY BLOOD COLLECTION GUIDELINES A. Inpatient / Outpatient with armband 1. When possible, ask patient to state their name
More informationPatient information factsheet. Ptosis. What is ptosis?
Patient information factsheet Ptosis What is ptosis? Ptosis (pronounced toe sys) is a droopy upper eyelid. The upper lid is lifted up by the levator muscle, which is attached to the lid by a tendon called
More informationSave Face Sculptra TM Fact Sheet
Save Face Sculptra TM Fact Sheet Patient information Sculptra TM ª ª Injectable collagen stimulator ª ª Restores lost volume and facial contours ª ª Results achieved over time ª ª More than one treatment
More informationThe Role of Muscles in Movement
The Role of Muscles in Movement Muscles can t push, they can only pull as they contract, so most often body movements are the result of the activity of pairs or teams of muscles acting together or against
More informationComplications in Fillers and Botox
Complications in Fillers and Botox Joseph Niamtu III, DMD KEYWORDS Botox Injectable fillers Botox complications Filler complications Injectable filler complications Minimally invasive cosmetic facial surgery
More informationInsulin Basic facts. Patient Education Patient Care Services. What is insulin? What types of insulin are there? Basal Insulin
Patient Education Insulin Basic facts Insulin is a protein made by the pancreas that allows your cells to use glucose for energy. There are different types of insulin: Basal long-acting insulin that controls
More informationHIGHLIGHTS OF PRESCRIBING INFORMATION
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use JEUVEAU safely and effectively. See full prescribing information for JEUVEAU. JEUVEAU (prabotulinumtoxina-xvfs)
More informationNursing women should consider feeding their infants before exercising in order to avoid the discomfort of engorged breasts.
POSTPARTUM EXERCISE Physical activity can be resumed as soon as you are physically and medically safe. This will certainly vary from one woman to another and will depend on the mode of delivery. Women
More informationMEDICATION GUIDE BOTOX BOTOX Cosmetic (Boe-tox) (onabotulinumtoxina) for Injection
17.2 Ability to Operate Machinery or Vehicles Advise patients that if loss of strength, muscle weakness, blurred vision, or drooping eyelids occur, they should avoid driving a car or engaging in other
More information