Botulinum Toxin in Aesthetic Medicine

Description:

Botulinum Toxin in Aesthetic Medicine: Injection Protocols and Complication Management

This practical book is a quick review of the necessary details for safe and effective deployment of botulinum toxins in day-to-day practice, covering basic background information about the products, patient consultation, and treatment preparation, with more emphasis on injection patterns, relevant anatomy, and avoiding and treating complications.

• Offers a succinct but practical synopsis of treatment
• Presents a user’s guide to the world’s most popular aesthetic treatment
• Showcases the experience and viewpoint of a busy, dedicated aesthetic practice

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Introduction:

Dear colleagues,

As the field of aesthetic medicine grows, more and more aesthetic physicians seek structured education in order to optimize the safety and quality of the treatments they offer. I enjoy being a trainer and educator as much as I enjoy treating my patients and feel an obligation to share my experience and practical tips with my fellow aesthetic physicians. I have therefore started UMA Academy as a basis for quality aesthetic education, focusing predominantly on handson training.

Protocols

As protocols and standardized treatments play an increasingly important part in the development of aesthetic medicine as a medical field, various consensus papers have been published to provide physicians with standard protocols for botulinum toxin injection therapy. The protocols described here have been developed using consensus recommendations from a number of consensus groups and various publications published by the Dutch Society of Aesthetic Medicine, the Deutsche Gesellschaft für Dermatologie, The European Academy of Dermatology and Venereology, The American Society for Dermatologic Surgery, The American Academy of Otolaryngology, Head and Neck Surgery, and the American Academy of Cosmetic Surgery. For the final recommendations in these standard protocols, we, the physicians of UMA Institute, have adjusted the injection patterns and doses slightly to optimize efficacy, while minimizing risks of side effects.

eBook

This practical book is meant for quick review during day-to-day practice in aesthetic medicine. We have included limited background information about botulinum toxin: the history, mechanism of action, the different available products with similarities and differences, reconstitution, patient consultation, documentation and photography, physical examination, marking and preparing for injection. More emphasis academy@uma-institute.com is placed on practical uses of botulinum toxin such as injection patterns, relevant anatomy and avoiding and treating complications.

The use of Bocouture® (Xeomin®)

In our clinic, we use IncobotulinumtoxinA (Bocouture® / Xeomin®; Merz Aesthetics GmbH, Frankfurt, Germany). The reason for this choice is that we do not introduce an unnecessary risk of immunogenicity to our patients as this product is free from complexing proteins. For patients who are very keen on having natural results, we have introduced a new way of treating with this product which uses only half the recommended doses shown in the protocols

in this book. Of course, this reduces duration, so we retreat these patients every 2-3 months instead of every 4 months. This provides a non-blocked, more subtle refreshed and relaxed result and is typically what many of our patients want nowadays. Bocouture®/ Xeomin® is the only toxin that can be used with such short treatment intervals. Other patients prefer a more blocked effect with very long duration. For these individuals, the recommended dose may be increased up to 5 times, keeping in mind that the risk of side effects increases. In this book we also discuss OnabotulinumtoxinA (Vistabel®/ Botox®; Allergan Inc., Irvine, CA, USA) and AbobotulinumtoxinA (Azzalure®/ Dysport®; Ipsen, Paris, France) and provide recommended doses and injection schemes.

We hope this book will be of value to you, your clinic and your patients. Please let us know if you have any ideas for improvement as we would love to hear from you.

Table of contents :
Cover
Title Page
Copyright Page
table of contents
Introduction by founder
01. general background
Introduction
1.1. History of botulinum toxin
1.2. Mechanism of action
1.3. Training and continuing medical education
1.4. Manufacturers
1.5. Diffusion and spread of botulinum toxin products
1.6. Reconstitution of botulinum toxin products
1.7. Contra indications
1.8. Patient consultation and documentation
1.9. Patient information
1.10. Complications and side effects
1.11. Pre and post procedure
1.12. General injection techniques
02. upper third of the face
Introduction
2.1. Horizontal forehead lines
2.2. Personal tweaks
2.3. GRID21 and Grid ONE21 methods
2.4. Glabella
2.5. Periorbital wrinkles
2.6. Brow lift
2.7. Tension headache and migraine
2.8. Lower eyelid wrinkles and widening of the eyes
03. middle third of the face
Introduction
3.1. Bunny lines
3.2. Nasolabial fold and gummy smile
3.3. Perioral radial wrinkles
3.4. Nose tip depression
04. lower third of the face
Introduction
4.1. Oral commissures
4.2. Mental crease and mentalis dimples
4.3. Masseter hypertrophy
4.4. Jawline lift
05. non-facial indications
Introduction
5.1. Vertical muscle bands in the neck and horizontal neck lines
5.2. Primary focal hyperhidrosis
5.3. Palmar and plantar hyperhidrosis
5.4. Calf shaping with botulinum toxin
06. skin quality improvement with botulinum toxin
Introduction
6.1. Botulinum toxin for the treatment of abnormal scarring
6.2. Reduction of pore size and sebum production
6.3. Microtoxin injections for facial lifting
6.4. Androgenetic alopecia reduction
6.5. Reduction of flushing, facial erythema and rosacea
References
About the author
Index