Probably the most important event in the evolution of minimally invasive cosmetic procedures is the development of botulinum toxin for cosmetic usage. From a single region and procedure for the treatment of the frown lines over a decade ago, the use of botulinum toxin has evolved into multiple areas, techniques, dosages and now new toxins in this ever expanding field. To capture it all in a comprehensive yet easily read and organized text, Drs de Maio and Rzany have put together this new volume in their approach to facial cosmetics.
This is a welcome addition to their first text on injectable fillers in Aesthetic Medicine. It is organized in a similar fashion, first giving an overview of the toxin discussing pharmacochemistry, sub-types and products, efficacy, dosage, effectiveness and finally safety. The clinical applications are divided into patient selection, basic requirements and injection techniques. The unique approach of correlating individual anatomic differences in patients as to dosage and injection points with muscle mass gives the clinician a new guide to successful treatment. The technique injection sections discuss all the treatable areas from upper face to lower face and neck, covering anatomy, treatment aims, patient selection, technique, complications and “tips and tricks”.
In this text the clinician will find a wealth of information collected over years of experience by these two renowned aesthetic researchers and clinicians. This is a highly recommended text for all aesthetic clinicians from the novice to those with years of experience as the learning curve is applicable for all.
1 Overview of Botulinum Toxin
1.1 Introduction
1.2 Different Subtypes of Botulinum Toxin
1.3 Mode of Action
1.4 Antidote
1.5 Different Products
1.6 Units of Botulinum Toxin
1.7 Off-Label Use
1.8 New Drugs
1.9 Evidence Behind the Use of BNT-A
1.10 Efficacy: Optimal Dosage
1.10.1 Botox
1.10.2 Dysport
1.11 Effectiveness: Dosages and Repeated Treatments
1.11.1 Botox
1.11.2 Dysport
1.12 Safety
1.13 Short-term Safety: Eyelid Ptosis
1.13.1 Botox
1.13.2 Dysport
1.14 Long-term Safety: Eyelid Ptosis
1.14.1 Botox
1.14.2 Dysport
1.15 Marketing and Evidence
1.16 References
2 Patient Selection
2.1 Indications for BNT
2.1.1 Introduction
2.1.2 Kinetic Patients
2.1.3 Hyperkinetic Patients
2.1.4 Hypertonic Patients
2.1.5 Outcome Analysis
2.1.6 Tips and Tricks
2.1.7 References
2.2 Contraindications for Botulinum Toxin
2.2.1 General Contraindications
2.2.2 Drug specific Contraindications
2.2.3 References
3 Requirements and Rules
3.1 Introduction
3.2 Documentation
3.2.1 Chart
3.2.2 Photograph
3.2.3 Consent
3.2.4 Treatment Plan
3.3 Staff
3.4 Technical Requirements
3.4.1 Room
3.4.2 Chair
3.4.3 Mirror
3.4.4 Cosmetic Marker
3.4.5 Standard Setting
3.4.6 The Toxin
3.4.7 Tips and Tricks
3.4.8 References
4 Injection Technique
4.1 Introduction
4.2 Standard Technique
4.3 Microinjection Technique
4.4 Other Techniques
5 The Most Common Indications
5.1 Forehead
5.1.1 Introduction
5.1.2 Anatomy
5.1.3 Aim of Treatment
5.1.4 Patient Selection
5.1.5 Technique
5.1.6 Complications
5.1.7 Tips and Tricks
5.2 Glabella
5.2.1 Introduction
5.2.2 Anatomy
5.2.3 Aim of Treatment
5.2.4 Patient Selection
5.2.5 Technique
5.2.6 Complications
5.2.7 Tips and Tricks
5.3 Brow lift
5.3.1 Introduction
5.3.2 Anatomy
5.3.3 Aim of Treatment
5.3.4 Patient Selection
5.3.5 Technique
5.3.6 Complications
5.3.7 Tips and Tricks
5.3.8 References
5.4 Crow’s Feet and Lower Eyelid
5.4.1 Introduction
5.4.2 Anatomy
5.4.3 Aim of Treatment
5.4.4 Patient Selection
5.4.5 Technique
5.4.6 Results
5.4.7 Complications
5.4.8 Tips and Tricks
5.4.9 References
5.5 Bunny Lines
5.5.1 Introduction
5.5.2 Anatomy
5.5.3 Aim of the Treatment
5.5.4 Patient Selection
5.5.5 Technique
5.5.6 Complications
5.5.7 Tips and Tricks
5.5.8 References
5.6 Nose
5.6.1 Introduction
5.6.2 Anatomy
5.6.3 Aim of Treatment
5.6.4 Patient Selection
5.6.5 Technique
5.6.6 Results
5.6.7 Complications
5.6.8 Tips and Tricks
5.6.9 References
5.7 Nasolabial Fold
5.7.1 Introduction
5.7.2 Anatomy
5.7.3 Aim of Treatment
5.7.4 Patient Selection
5.7.5 Technique
5.7.6 Complications
5.7.7 Tips and Tricks
5.7.8 References
5.8 Cheek Lines
5.8.1 Introduction
5.8.2 Anatomy
5.8.3 Aim of Treatment
5.8.4 Patient Selection
5.8.5 Technique
5.8.6 Complications
5.8.7 Tips and Tricks
5.8.8 References
5.9 Gummy smile
5.9.1 Introduction
5.9.2 Anatomy
5.9.3 Aim of Treatment
5.9.4 Patient Selection
5.9.5 Technique
5.9.6 Complications
5.9.7 Tips and Tricks
5.9.8 References
5.10 Upper and Lower Lip Wrinkling
5.10.1 Introduction
5.10.2 Anatomy
5.10.3 Aim of Treatment
5.10.4 Patient Selection and Evaluation
5.10.5 Technique
5.10.6 Complications
5.10.7 Tips and Tricks
5.10.8 References
5.11 Marionette Lines
5.11.1 Introduction
5.11.2 Anatomy
5.11.3 Aim of Treatment
5.11.4 Patient Selection and Evaluation
5.11.5 Technique
5.11.6 Complications
5.11.7 Tips and Tricks
5.12 Cobblestone chin
5.12.1 Introduction
5.12.2 Anatomy
5.12.3 Aim of Treatment
5.12.4 Patient Selection and Evaluation
5.12.5 Technique
5.12.6 Complications
5.12.7 Tips and Tricks
5.13 Platysmal bands
5.13.1 Introduction
5.13.2 Anatomy
5.13.3 Aim of Treatment
5.13.4 Patient Selection
5.13.5 Technique
5.13.6 Complications
5.13.7 Tips and Tricks
6 Advanced Indications and Techniques
6.1 Facial Asymmetries
6.1.1 Introduction
6.1.2 Anatomy
6.1.3 Aim of Treatment
6.1.4 Patient Selection
6.1.5 Technique
6.1.6 Results
6.1.7 Complications
6.1.8 Conclusions
6.1.9 Tips and Tricks
6.1.10 References
6.2 Facial Lifting with Botulinum Toxin
6.2.1 Introduction
6.2.2 Anatomy Antagonists and Synergists
6.2.3 Aim of Treatment
6.2.4 Patient Selection
6.2.5 Technique
6.2.6 Complications
6.2.7 Tips and Tricks
6.2.8 References
6.3 Treatment with Microinjections
6.3.1 Introduction
6.3.2 Microinjections of the Crow’s Feet Area
6.3.3 Microinjections of the Longitudinal Lines of the Cheeks
6.3.4 Doses to be Used
6.3.5 Combination of Macroand Microinjections
6.3.6 Disadvantages of the Microinjection Technique
6.3.7 Tips and Tricks
7 Safety of Botulinum Toxin in Aesthetic Medicine
7.1 Introduction
7.2 Adverse Side Effects Due to Injection
7.2.1 Injection Pain
7.2.2 Hematoma/Injection Site Bruising
7.2.3 Headache
7.2.4 Localized Skin Dryness
7.3 Adverse Events Due to Local Diffusion/Distribution
7.3.1 Eyelid Ptosis
7.3.2 Ectropion
7.3.3 Strabismus
7.3.4 Pseudoherniation
7.3.5 Complications After Perioral and Neck Treatment
7.4 Adverse Events Due to Hyperactivity of Adjacent Muscles/Brow Malposition
7.5 Adverse Events due to Generalized Distribution
7.6 Allergies to Botulinum Toxin-A
7.7 Formation of Antibodies
7.9 References
8 Combination Therapy – The Microlift Procedure
8.1 Introduction
8.2 Botulinum Toxin and Chemical Peels
8.3 Botulinum Toxin and Laser Resurfacing
8.4 Botulinum Toxin and Fillers
8.5 Botulinum Toxin and Brow Lift with Suspension Threads
8.6 Botulinum Toxin, Eye Surgery & Other Tiny Details
8.7 Botulinum Toxin and Facelift
8.8 The Microlift Procedure: BNT-A as an Important Ally!
8.9 Tips and Tricks
8.10 References
Product Details
- Authors: Mauricio de Maio and Berthold Rzany
- Hardcover: 158 pages
- Publisher: Springer; 2nd printing edition (May 28, 2009)
- Language: English
- ISBN-10: 3540340947
- ISBN-13: 978-3540340942
- Product Dimensions: 9.6 x 6.7 x 0.3 inches