Small’s Practical Guide to Botulinum Toxin Procedures, Second Edition, is the highly anticipated revision of the best-selling step-by-step guide to performing minimally invasive botulinum toxin procedures. With over four hundred 5-star reviews online, the First Edition established itself as the go-to resource for providers looking to enhance their practice by performing medical aesthetic procedures. In the Second Edition, insights from Dr. Small’s additional 10 years of clinical practice, research, and teaching create an even more valuable resource, whether you are new to aesthetic medicine or an experienced practitioner. Small’s Practical Guide provides you with the latest information and techniques, best practices for risk reduction, and expert guidance for optimal results.
1. Section 2: Introduction and Foundation Concepts - p. 11 2. Facial Aging - p. 12 3. Anatomy - p. 14 4. Functional Anatomy - p. 15 5. Mechanism of Action - p. 15 6. Botulinum Toxin Products - p. 16 7. Dosing Ratios - p. 18 8. Botulinum Toxin Units - p. 18 9. Onset and Duration of Action - p. 18 10. Standard versus High-Dose Botulinum Toxin - p. 18 11. Patient Selection - p. 18 12. Glogau Classification of Photoaging - p. 18 13. Aesthetic Consultation - p. 19 14. Patient Intake - p. 19 15. Procedure Terminology - p. 20 16. Treatment Plans and Timing - p. 21 17. Informed Consent Process - p. 21 18. Photodocumentation - p. 22 19. Beauty Norms - p. 22 20. Treatment Goals - p. 22 21. Achieving a Natural Look - p. 23 22. Considerations for Specific Populations - p. 24 23. Millennials - p. 24 24. Asian Considerations - p. 25 25. Darker Skin Type Considerations - p. 25 26. Gender Considerations - p. 26 27. Advantages of Botulinum Toxin Treatments - p. 26 28. Disadvantages of Botulinum Toxin Treatments - p. 27 29. Indications - p. 27 30. Contraindications - p. 27 31. Basic, Intermediate, and Advanced Treatment Areas - p. 28 32. Equipment for Botulinum Toxin Reconstitution - p. 29 33. Equipment for Botulinum Toxin Treatment - p. 29 34. Reconstitution Concentrations - p. 30 35. Reconstitution Method - p. 31 36. Conversion Tables for Injection Volumes - p. 31 37. Diffusion - p. 31 38. Handling and Storage - p. 32 39. Preprocedure Checklist - p. 32 40. Procedure - p. 32 41. Anesthesia - p. 33 42. Botulinum Toxin Treatment Doses - p. 33 43. General Injection Techniques - p. 34 44. Aftercare - p. 35 45. Results and Follow-Up - p. 35 46. Learning the Techniques - p. 36 47. Complications and Management - p. 36 48. Treatment of Multiple Muscles - p. 40 49. Other Common Applications - p. 41 50. Microtox - p. 41 51. Depression - p. 42 52. Scars - p. 42 53. Headache - p. 43 54. Current Developments and New Products - p. 43 55. Combination Therapies - p. 44 56. Reimbursement and Financial Considerations - p. 45 57. Putting It All Together - p. 45 58. Section 3: Section 3: Treatment Areas - p. 51 59. 1 Frown Lines - p. 53 60. Anatomy - p. 53 61. Patient Assessment - p. 54 62. Contraindications - p. 54 63. Eliciting Contraction of Muscles to Be Treated - p. 55 64. Treatment Goals - p. 55 65. Reconstitution - p. 55 66. Starting Doses - p. 56 67. Anesthesia - p. 56 68. Equipment for Treatment - p. 56 69. Procedure Overview - p. 56 70. Technique - p. 57 71. Results - p. 59 72. Duration of Effects and Treatment Intervals - p. 60 73. Follow-ups and Management - p. 60 74. Complications and Management - p. 61 75. Botulinum Toxin Treatment of Other Areas - p. 63 76. Combining Aesthetic Treatments and Maximizing Results - p. 63 77. Other Considerations - p. 64 78. Pricing - p. 64 79. Case Studies - p. 65 80. 2 Horizontal Forehead Lines - p. 66 81. Anatomy - p. 66 82. Patient Assessment - p. 67 83. Contraindications - p. 68 84. Eliciting Contraction of Muscles to Be Treated - p. 68 85. Eliciting Relaxation of Muscles to Be Treated - p. 68 86. Treatment Goals - p. 68 87. Reconstitution - p. 68 88. Starting Doses - p. 68 89. Anesthesia - p. 68 90. Equipment for Treatment - p. 69 91. Procedure Overview - p. 69 92. Technique - p. 70 93. Results - p. 72 94. Duration of Effects and Treatment Intervals - p. 74 95. Follow-ups and Management - p. 74 96. Complications and Management - p. 76 97. Botulinum Toxin Treatment of Other Areas - p. 78 98. Combining Aesthetic Treatments and Maximizing Results - p. 78 99. Other Considerations - p. 78 100. Pricing - p. 79 101. Case Studies - p. 79 102. 3 Crow’s Feet - p. 80 103. Anatomy - p. 80 104. Patient Assessment - p. 81 105. Contraindications - p. 82 106. Eliciting Contraction of Muscles to Be Treated - p. 82 107. Treatment Goals - p. 82 108. Reconstitution - p. 82 109. Starting Doses - p. 82 110. Anesthesia - p. 82 111. Equipment for Treatment - p. 82 112. Procedure Overview - p. 83 113. Technique - p. 84 114. Results - p. 86 115. Duration of Effects and Treatment Intervals - p. 87 116. Follow-ups and Management - p. 88 117. Complications and Management - p. 88 118. Botulinum Toxin Treatment of Other Areas - p. 90 119. Combining Aesthetic Treatments and Maximizing Results - p. 90 120. Pricing - p. 92 121. Case Studies - p. 92 122. 4 Lower Eyelid Wrinkles - p. 93 123. Anatomy - p. 93 124. Patient Assessment - p. 94 125. Contraindications - p. 97 126. Eliciting Contraction of Muscles to Be Treated - p. 98 127. Treatment Goal - p. 98 128. Reconstitution - p. 98 129. Starting Doses - p. 98 130. Anesthesia - p. 98 131. Equipment for Treatment - p. 98 132. Procedure Overview - p. 98 133. Technique - p. 100 134. Results - p. 101 135. Duration of Effects and Treatment Intervals - p. 102 136. Follow-ups and Management - p. 102 137. Complications and Management - p. 103 138. Botulinum Toxin Treatment of Other Areas - p. 104 139. Combining Aesthetic Treatments and Maximizing Results - p. 104 140. Pricing - p. 104 141. Case Studies - p. 104 142. 5 Eyebrow Lift - p. 105 143. Anatomy - p. 105 144. Patient Assessment - p. 106 145. Contraindications - p. 107 146. Eliciting Contraction of the Muscles to Be Treated - p. 107 147. Treatment Goal - p. 107 148. Reconstitution - p. 107 149. Starting Doses - p. 108 150. Anesthesia - p. 108 151. Equipment for Treatment - p. 108 152. Procedure Overview - p. 108 153. Technique - p. 109 154. Results - p. 110 155. Duration of Effects and Treatment Intervals - p. 111 156. Follow-ups and Management - p. 111 157. Complications and Management - p. 111 158. Botulinum Toxin Treatment of Other Areas - p. 112 159. Combining Aesthetic Treatments and Maximizing Results - p. 112 160. Pricing - p. 112 161. Case Studies - p. 112 162. 6 Bunny Lines - p. 113 163. Anatomy - p. 113 164. Patient Assessment - p. 114 165. Contraindications - p. 114 166. Eliciting Contraction of Muscles to Be Treated - p. 114 167. Treatment Goal - p. 114 168. Reconstitution - p. 114 169. Starting Doses - p. 115 170. Anesthesia - p. 115 171. Equipment for Treatment - p. 115 172. Procedure Overview - p. 115 173. Technique - p. 115 174. Results - p. 118 175. Duration of Effects and Treatment Intervals - p. 119 176. Follow-ups and Management - p. 119 177. Complications and Management - p. 119 178. Botulinum Toxin Treatment of Other Areas - p. 120 179. Combining Aesthetic Treatments and Maximizing Results - p. 120 180. Pricing - p. 120 181. Case Studies - p. 120 182. 7 Lip Lines and Lip Flip - p. 121 183. Anatomy - p. 121 184. Patient Assessment - p. 122 185. Contraindications - p. 122 186. Eliciting Contraction of Muscles to Be Treated - p. 122 187. Treatment Goal - p. 122 188. Reconstitution - p. 122 189. Starting Doses - p. 122 190. Anesthesia - p. 123 191. Equipment for Treatment - p. 123 192. Procedure Overview - p. 123 193. Technique - p. 124 194. Results - p. 126 195. Duration of Effects and Treatment Intervals - p. 126 196. Follow-ups and Management - p. 126 197. Complications and Management - p. 128 198. Botulinum Toxin Treatment of Other Areas - p. 129 199. Combining Aesthetic Treatments and Maximizing Results - p. 129 200. Pricing - p. 131 201. Case Studies - p. 132 202. 8 Gummy Smile - p. 133 203. Anatomy - p. 133 204. Patient Assessment - p. 134 205. Contraindications - p. 134 206. Eliciting Contraction of Muscles to Be Treated - p. 134 207. Treatment Goals - p. 134 208. Reconstitution - p. 135 209. Starting Doses - p. 135 210. Anesthesia - p. 135 211. Equipment for Treatment - p. 135 212. Procedure Overview - p. 135 213. Technique - p. 136 214. Results - p. 137 215. Duration of Effects and Treatment Intervals - p. 138 216. Follow-ups and Management - p. 138 217. Complications and Management - p. 138 218. Botulinum Toxin Treatment of Other Areas - p. 139 219. Combining Aesthetic Treatments and Maximizing Results - p. 139 220. Pricing - p. 139 221. Case Studies - p. 139 222. 9 Marionette Lines - p. 140 223. Anatomy - p. 140 224. Patient Assessment - p. 141 225. Contraindications - p. 141 226. Eliciting Contraction of Muscles to Be Treated - p. 141 227. Treatment Goal - p. 141 228. Reconstitution - p. 141 229. Starting Doses - p. 141 230. Anesthesia - p. 141 231. Equipment for Treatment - p. 142 232. Procedure Overview - p. 142 233. Technique - p. 144 234. Results - p. 145 235. Duration of Effects and Treatment Intervals - p. 146 236. Follow-ups and Management - p. 146 237. Complications and Management - p. 146 238. Botulinum Toxin Treatment of Other Areas - p. 147 239. Combining Aesthetic Treatments and Maximizing Results - p. 147 240. Pricing - p. 148 241. Case Studies - p. 149 242. 10 Chin - p. 150 243. Anatomy - p. 150 244. Patient Assessment - p. 151 245. Contraindications - p. 151 246. Eliciting Contraction of Muscles to Be Treated - p. 151 247. Treatment Goal - p. 151 248. Reconstitution - p. 151 249. Starting Doses - p. 151 250. Anesthesia - p. 152 251. Equipment for Treatment - p. 152 252. Procedure Overview - p. 152 253. Technique - p. 153 254. Results - p. 154 255. Duration of Effects and Treatment Intervals - p. 155 256. Follow-ups and Management - p. 155 257. Complications and Management - p. 157 258. Botulinum Toxin Treatments of Other Areas - p. 158 259. Combining Aesthetic Treatments and Maximizing Results - p. 159 260. Pricing - p. 159 261. Case Studies - p. 159 262. 11 Masseter - p. 161 263. Anatomy - p. 161 264. Patient Assessment - p. 162 265. Contraindications - p. 163 266. Eliciting Contraction of Muscles to Be Treated - p. 163 267. Treatment Goals - p. 163 268. Reconstitution - p. 163 269. Starting Doses - p. 163 270. Anesthesia - p. 163 271. Equipment for Treatment - p. 163 272. Procedure Overview - p. 164 273. Technique - p. 164 274. Results - p. 166 275. Duration of Effects and Treatment Intervals - p. 168 276. Follow-ups and Management - p. 168 277. Complications and Management - p. 169 278. Botulinum Toxin Treatment of Other Areas - p. 170 279. Combining Aesthetic Treatments and Maximizing Results - p. 170 280. Other Considerations - p. 171 281. Pricing - p. 171 282. Case Studies - p. 171 283. 12 Anterior Neck Bands - p. 172 284. Anatomy - p. 172 285. Patient Assessment - p. 173 286. Contraindications - p. 173 287. Eliciting Contraction of Muscles to Be Treated - p. 174 288. Treatment Goals - p. 174 289. Reconstitution - p. 175 290. Starting Doses - p. 175 291. Anesthesia - p. 175 292. Equipment for Treatment - p. 175 293. Procedure Overview - p. 175 294. Technique - p. 177 295. Results - p. 178 296. Duration of Effects and Treatment Intervals - p. 178 297. Follow-ups and Management - p. 179 298. Complications and Management - p. 180 299. Botulinum Toxin Treatment of Other Areas - p. 181 300. Combining Aesthetic Treatments and Maximizing Results - p. 181 301. Pricing - p. 182 302. Case Studies - p. 182 303. 13 Nefertiti Lift: Lateral Neck Bands - p. 183 304. Anatomy - p. 183 305. Patient Assessment - p. 185 306. Contraindications - p. 185 307. Eliciting Contraction of Muscles to be Treated - p. 185 308. Treatment Goals - p. 185 309. Reconstitution - p. 186 310. Starting Doses - p. 186 311. Anesthesia - p. 186 312. Equipment for Treatment - p. 186 313. Procedure Overview - p. 186 314. Technique - p. 188 315. Results - p. 189 316. Duration of Effects and Treatment Intervals - p. 189 317. Follow-ups and Management - p. 189 318. Complications and Management - p. 190 319. Botulinum Toxin Treatment of Other Areas - p. 191 320. Combining Aesthetic Treatments and Maximizing Results - p. 192 321. Pricing - p. 192 322. Case Studies - p. 193 323. 14 Axillary Hyperhidrosis - p. 194 324. Anatomy - p. 194 325. Patient Assessment - p. 194 326. Contraindications - p. 195 327. Treatment Goal - p. 195 328. Reconstitution - p. 195 329. Starting Doses - p. 195 330. Anesthesia - p. 196 331. Equipment for Minor’s Iodine-Starch Test - p. 196 332. Equipment for Treatment - p. 196 333. Procedure Overview Minor’s Iodine-Starch Test - p. 196 334. Minor’s Iodine-Starch Test - p. 196 335. Procedure Overview - p. 198 336. Technique - p. 199 337. Results - p. 200 338. Duration of Effects and Treatment Intervals - p. 200 339. Follow-ups and Management - p. 200 340. Complications and Management - p. 200 341. Botulinum Toxin Treatment of Other Areas - p. 200 342. Combining Aesthetic Treatments and Maximizing Results - p. 200 343. Pricing - p. 201 344. 15 Necklace Lines - p. 202 345. Anatomy - p. 202 346. Patient Assessment - p. 203 347. Contraindications - p. 204 348. Treatment Goals - p. 204 349. Reconstitution - p. 204 350. Starting Doses - p. 204 351. Procedure Overview - p. 204 352. Technique - p. 205 353. Results - p. 206 354. Duration of Effects and Treatment Intervals - p. 206 355. Follow-ups and Management - p. 206 356. Complications and Management - p. 207 357. Botulinum Toxin Treatment of Other Areas - p. 207 358. Combining Aesthetic Treatments and Maximizing Results - p. 207 359. Pricing - p. 207 360. Case Studies - p. 207 361. 16 Chest Lines - p. 208 362. Anatomy - p. 208 363. Patient Assessment - p. 208 364. Contraindications - p. 209 365. Treatment Goals - p. 209 366. Reconstitution - p. 210 367. Starting Doses - p. 210 368. Anesthesia - p. 210 369. Equipment for Treatment - p. 210 370. Procedure Overview - p. 210 371. Technique - p. 211 372. Results - p. 211 373. Duration of Effects and Treatment Intervals - p. 211 374. Follow-ups and Management - p. 211 375. Complications and Management - p. 212 376. Botulinum Toxin Treatment of Other Areas - p. 212 377. Combining Aesthetic Treatments and Maximizing Results - p. 212 378. Pricing - p. 212 379. 17 Nasal Tip Lift - p. 213 380. Anatomy - p. 213 381. Patient Assessment - p. 214 382. Contraindications - p. 214 383. Eliciting Contraction of Muscles to Be Treated - p. 214 384. Treatment Goals - p. 215 385. Reconstitution - p. 215 386. Starting Doses - p. 215 387. Anesthesia - p. 215 388. Equipment for Treatment - p. 215 389. Procedure Overview - p. 215 390. Technique - p. 216 391. Results - p. 216 392. Duration of Effects and Treatment Intervals - p. 217 393. Follow-ups and Management - p. 217 394. Complications and Management - p. 217 395. Combining Aesthetic Treatments and Maximizing Results - p. 218 396. Pricing - p. 218 397. 18 Facial Asymmetry - p. 219 398. Anatomy - p. 219 399. Patient Assessment - p. 220 400. Contraindications - p. 220 401. Safety Considerations - p. 220 402. Treatment Goals - p. 220 403. Reconstitution - p. 221 404. Starting Doses - p. 221 405. Anesthesia and Equipment for Treatment - p. 221 406. Procedure Overview and Technique - p. 221 407. Hyperdynamic Asymmetry Case - p. 221 408. Hypodynamic Asymmetry Case - p. 222 409. Duration of Effects and Treatment Intervals, Follow-ups and Management, Complications and Management - p. 224 410. Botulinum Toxin Treatment of Other Areas - p. 224 411. Combining Aesthetic Treatments and Maximizing Results - p. 224 412. Pricing - p. 224 413. Case Studies - p. 225 414. 19 High-Dose Toxin - p. 226 415. Patient Assessment - p. 227 416. Contraindication - p. 227 417. Reconstitution - p. 227 418. Starting Doses for High-Dose Treatments - p. 228 419. Equipment for Treatment - p. 228 420. Procedure Overview - p. 229 421. Technique - p. 229 422. Results - p. 230 423. Duration of Effects and Treatment Intervals - p. 230 424. Complications and Management - p. 231 425. High-Dose Botulinum Toxin Treatment of Other Areas - p. 232 426. Combining Aesthetic Treatments and Maximizing Results - p. 232 427. Treatment of Other Conditions - p. 233 428. “Ceiling” Effect - p. 233 429. Natural Looking Results - p. 233 430. Pricing - p. 233 431. Section 4: Cases - p. 235 432. Cases: Applying the Techniques - p. 235 433. Injection Key - p. 236 434. Section 5: Appendices - p. 253 435. Appendix 1 Botulinum Toxin Treatment Tables - p. 253 436. Appendix 2 Aesthetic Intake Form - p. 259 437. Appendix 3 Patient Information Handouts - p. 261 438. Appendix 4 Consent Forms - p. 263 439. Appendix 5 Procedure Notes - p. 267 440. Appendix 6 Supply Sources - p. 269 441. Bibliography - p. 271 442. Index - p. 291
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Small’s Practical Guide to Botulinum Toxin Procedures, Second Edition, is the highly anticipated revision of the best-selling step-by-step guide to performing minimally invasive botulinum toxin procedures. With over four hundred 5-star reviews online, the First Edition established itself as the go-to resource for providers looking to enhance their practice by performing medical aesthetic procedures. In the Second Edition, insights from Dr. Small’s additional 10 years of clinical practice, research, and teaching create an even more valuable resource, whether you are new to aesthetic medicine or an experienced practitioner. Small’s Practical Guide provides you with the latest information and techniques, best practices for risk reduction, and expert guidance for optimal results.
1. Section 2: Introduction and Foundation Concepts - p. 11 2. Facial Aging - p. 12 3. Anatomy - p. 14 4. Functional Anatomy - p. 15 5. Mechanism of Action - p. 15 6. Botulinum Toxin Products - p. 16 7. Dosing Ratios - p. 18 8. Botulinum Toxin Units - p. 18 9. Onset and Duration of Action - p. 18 10. Standard versus High-Dose Botulinum Toxin - p. 18 11. Patient Selection - p. 18 12. Glogau Classification of Photoaging - p. 18 13. Aesthetic Consultation - p. 19 14. Patient Intake - p. 19 15. Procedure Terminology - p. 20 16. Treatment Plans and Timing - p. 21 17. Informed Consent Process - p. 21 18. Photodocumentation - p. 22 19. Beauty Norms - p. 22 20. Treatment Goals - p. 22 21. Achieving a Natural Look - p. 23 22. Considerations for Specific Populations - p. 24 23. Millennials - p. 24 24. Asian Considerations - p. 25 25. Darker Skin Type Considerations - p. 25 26. Gender Considerations - p. 26 27. Advantages of Botulinum Toxin Treatments - p. 26 28. Disadvantages of Botulinum Toxin Treatments - p. 27 29. Indications - p. 27 30. Contraindications - p. 27 31. Basic, Intermediate, and Advanced Treatment Areas - p. 28 32. Equipment for Botulinum Toxin Reconstitution - p. 29 33. Equipment for Botulinum Toxin Treatment - p. 29 34. Reconstitution Concentrations - p. 30 35. Reconstitution Method - p. 31 36. Conversion Tables for Injection Volumes - p. 31 37. Diffusion - p. 31 38. Handling and Storage - p. 32 39. Preprocedure Checklist - p. 32 40. Procedure - p. 32 41. Anesthesia - p. 33 42. Botulinum Toxin Treatment Doses - p. 33 43. General Injection Techniques - p. 34 44. Aftercare - p. 35 45. Results and Follow-Up - p. 35 46. Learning the Techniques - p. 36 47. Complications and Management - p. 36 48. Treatment of Multiple Muscles - p. 40 49. Other Common Applications - p. 41 50. Microtox - p. 41 51. Depression - p. 42 52. Scars - p. 42 53. Headache - p. 43 54. Current Developments and New Products - p. 43 55. Combination Therapies - p. 44 56. Reimbursement and Financial Considerations - p. 45 57. Putting It All Together - p. 45 58. Section 3: Section 3: Treatment Areas - p. 51 59. 1 Frown Lines - p. 53 60. Anatomy - p. 53 61. Patient Assessment - p. 54 62. Contraindications - p. 54 63. Eliciting Contraction of Muscles to Be Treated - p. 55 64. Treatment Goals - p. 55 65. Reconstitution - p. 55 66. Starting Doses - p. 56 67. Anesthesia - p. 56 68. Equipment for Treatment - p. 56 69. Procedure Overview - p. 56 70. Technique - p. 57 71. Results - p. 59 72. Duration of Effects and Treatment Intervals - p. 60 73. Follow-ups and Management - p. 60 74. Complications and Management - p. 61 75. Botulinum Toxin Treatment of Other Areas - p. 63 76. Combining Aesthetic Treatments and Maximizing Results - p. 63 77. Other Considerations - p. 64 78. Pricing - p. 64 79. Case Studies - p. 65 80. 2 Horizontal Forehead Lines - p. 66 81. Anatomy - p. 66 82. Patient Assessment - p. 67 83. Contraindications - p. 68 84. Eliciting Contraction of Muscles to Be Treated - p. 68 85. Eliciting Relaxation of Muscles to Be Treated - p. 68 86. Treatment Goals - p. 68 87. Reconstitution - p. 68 88. Starting Doses - p. 68 89. Anesthesia - p. 68 90. Equipment for Treatment - p. 69 91. Procedure Overview - p. 69 92. Technique - p. 70 93. Results - p. 72 94. Duration of Effects and Treatment Intervals - p. 74 95. Follow-ups and Management - p. 74 96. Complications and Management - p. 76 97. Botulinum Toxin Treatment of Other Areas - p. 78 98. Combining Aesthetic Treatments and Maximizing Results - p. 78 99. Other Considerations - p. 78 100. Pricing - p. 79 101. Case Studies - p. 79 102. 3 Crow’s Feet - p. 80 103. Anatomy - p. 80 104. Patient Assessment - p. 81 105. Contraindications - p. 82 106. Eliciting Contraction of Muscles to Be Treated - p. 82 107. Treatment Goals - p. 82 108. Reconstitution - p. 82 109. Starting Doses - p. 82 110. Anesthesia - p. 82 111. Equipment for Treatment - p. 82 112. Procedure Overview - p. 83 113. Technique - p. 84 114. Results - p. 86 115. Duration of Effects and Treatment Intervals - p. 87 116. Follow-ups and Management - p. 88 117. Complications and Management - p. 88 118. Botulinum Toxin Treatment of Other Areas - p. 90 119. Combining Aesthetic Treatments and Maximizing Results - p. 90 120. Pricing - p. 92 121. Case Studies - p. 92 122. 4 Lower Eyelid Wrinkles - p. 93 123. Anatomy - p. 93 124. Patient Assessment - p. 94 125. Contraindications - p. 97 126. Eliciting Contraction of Muscles to Be Treated - p. 98 127. Treatment Goal - p. 98 128. Reconstitution - p. 98 129. Starting Doses - p. 98 130. Anesthesia - p. 98 131. Equipment for Treatment - p. 98 132. Procedure Overview - p. 98 133. Technique - p. 100 134. Results - p. 101 135. Duration of Effects and Treatment Intervals - p. 102 136. Follow-ups and Management - p. 102 137. Complications and Management - p. 103 138. Botulinum Toxin Treatment of Other Areas - p. 104 139. Combining Aesthetic Treatments and Maximizing Results - p. 104 140. Pricing - p. 104 141. Case Studies - p. 104 142. 5 Eyebrow Lift - p. 105 143. Anatomy - p. 105 144. Patient Assessment - p. 106 145. Contraindications - p. 107 146. Eliciting Contraction of the Muscles to Be Treated - p. 107 147. Treatment Goal - p. 107 148. Reconstitution - p. 107 149. Starting Doses - p. 108 150. Anesthesia - p. 108 151. Equipment for Treatment - p. 108 152. Procedure Overview - p. 108 153. Technique - p. 109 154. Results - p. 110 155. Duration of Effects and Treatment Intervals - p. 111 156. Follow-ups and Management - p. 111 157. Complications and Management - p. 111 158. Botulinum Toxin Treatment of Other Areas - p. 112 159. Combining Aesthetic Treatments and Maximizing Results - p. 112 160. Pricing - p. 112 161. Case Studies - p. 112 162. 6 Bunny Lines - p. 113 163. Anatomy - p. 113 164. Patient Assessment - p. 114 165. Contraindications - p. 114 166. Eliciting Contraction of Muscles to Be Treated - p. 114 167. Treatment Goal - p. 114 168. Reconstitution - p. 114 169. Starting Doses - p. 115 170. Anesthesia - p. 115 171. Equipment for Treatment - p. 115 172. Procedure Overview - p. 115 173. Technique - p. 115 174. Results - p. 118 175. Duration of Effects and Treatment Intervals - p. 119 176. Follow-ups and Management - p. 119 177. Complications and Management - p. 119 178. Botulinum Toxin Treatment of Other Areas - p. 120 179. Combining Aesthetic Treatments and Maximizing Results - p. 120 180. Pricing - p. 120 181. Case Studies - p. 120 182. 7 Lip Lines and Lip Flip - p. 121 183. Anatomy - p. 121 184. Patient Assessment - p. 122 185. Contraindications - p. 122 186. Eliciting Contraction of Muscles to Be Treated - p. 122 187. Treatment Goal - p. 122 188. Reconstitution - p. 122 189. Starting Doses - p. 122 190. Anesthesia - p. 123 191. Equipment for Treatment - p. 123 192. Procedure Overview - p. 123 193. Technique - p. 124 194. Results - p. 126 195. Duration of Effects and Treatment Intervals - p. 126 196. Follow-ups and Management - p. 126 197. Complications and Management - p. 128 198. Botulinum Toxin Treatment of Other Areas - p. 129 199. Combining Aesthetic Treatments and Maximizing Results - p. 129 200. Pricing - p. 131 201. Case Studies - p. 132 202. 8 Gummy Smile - p. 133 203. Anatomy - p. 133 204. Patient Assessment - p. 134 205. Contraindications - p. 134 206. Eliciting Contraction of Muscles to Be Treated - p. 134 207. Treatment Goals - p. 134 208. Reconstitution - p. 135 209. Starting Doses - p. 135 210. Anesthesia - p. 135 211. Equipment for Treatment - p. 135 212. Procedure Overview - p. 135 213. Technique - p. 136 214. Results - p. 137 215. Duration of Effects and Treatment Intervals - p. 138 216. Follow-ups and Management - p. 138 217. Complications and Management - p. 138 218. Botulinum Toxin Treatment of Other Areas - p. 139 219. Combining Aesthetic Treatments and Maximizing Results - p. 139 220. Pricing - p. 139 221. Case Studies - p. 139 222. 9 Marionette Lines - p. 140 223. Anatomy - p. 140 224. Patient Assessment - p. 141 225. Contraindications - p. 141 226. Eliciting Contraction of Muscles to Be Treated - p. 141 227. Treatment Goal - p. 141 228. Reconstitution - p. 141 229. Starting Doses - p. 141 230. Anesthesia - p. 141 231. Equipment for Treatment - p. 142 232. Procedure Overview - p. 142 233. Technique - p. 144 234. Results - p. 145 235. Duration of Effects and Treatment Intervals - p. 146 236. Follow-ups and Management - p. 146 237. Complications and Management - p. 146 238. Botulinum Toxin Treatment of Other Areas - p. 147 239. Combining Aesthetic Treatments and Maximizing Results - p. 147 240. Pricing - p. 148 241. Case Studies - p. 149 242. 10 Chin - p. 150 243. Anatomy - p. 150 244. Patient Assessment - p. 151 245. Contraindications - p. 151 246. Eliciting Contraction of Muscles to Be Treated - p. 151 247. Treatment Goal - p. 151 248. Reconstitution - p. 151 249. Starting Doses - p. 151 250. Anesthesia - p. 152 251. Equipment for Treatment - p. 152 252. Procedure Overview - p. 152 253. Technique - p. 153 254. Results - p. 154 255. Duration of Effects and Treatment Intervals - p. 155 256. Follow-ups and Management - p. 155 257. Complications and Management - p. 157 258. Botulinum Toxin Treatments of Other Areas - p. 158 259. Combining Aesthetic Treatments and Maximizing Results - p. 159 260. Pricing - p. 159 261. Case Studies - p. 159 262. 11 Masseter - p. 161 263. Anatomy - p. 161 264. Patient Assessment - p. 162 265. Contraindications - p. 163 266. Eliciting Contraction of Muscles to Be Treated - p. 163 267. Treatment Goals - p. 163 268. Reconstitution - p. 163 269. Starting Doses - p. 163 270. Anesthesia - p. 163 271. Equipment for Treatment - p. 163 272. Procedure Overview - p. 164 273. Technique - p. 164 274. Results - p. 166 275. Duration of Effects and Treatment Intervals - p. 168 276. Follow-ups and Management - p. 168 277. Complications and Management - p. 169 278. Botulinum Toxin Treatment of Other Areas - p. 170 279. Combining Aesthetic Treatments and Maximizing Results - p. 170 280. Other Considerations - p. 171 281. Pricing - p. 171 282. Case Studies - p. 171 283. 12 Anterior Neck Bands - p. 172 284. Anatomy - p. 172 285. Patient Assessment - p. 173 286. Contraindications - p. 173 287. Eliciting Contraction of Muscles to Be Treated - p. 174 288. Treatment Goals - p. 174 289. Reconstitution - p. 175 290. Starting Doses - p. 175 291. Anesthesia - p. 175 292. Equipment for Treatment - p. 175 293. Procedure Overview - p. 175 294. Technique - p. 177 295. Results - p. 178 296. Duration of Effects and Treatment Intervals - p. 178 297. Follow-ups and Management - p. 179 298. Complications and Management - p. 180 299. Botulinum Toxin Treatment of Other Areas - p. 181 300. Combining Aesthetic Treatments and Maximizing Results - p. 181 301. Pricing - p. 182 302. Case Studies - p. 182 303. 13 Nefertiti Lift: Lateral Neck Bands - p. 183 304. Anatomy - p. 183 305. Patient Assessment - p. 185 306. Contraindications - p. 185 307. Eliciting Contraction of Muscles to be Treated - p. 185 308. Treatment Goals - p. 185 309. Reconstitution - p. 186 310. Starting Doses - p. 186 311. Anesthesia - p. 186 312. Equipment for Treatment - p. 186 313. Procedure Overview - p. 186 314. Technique - p. 188 315. Results - p. 189 316. Duration of Effects and Treatment Intervals - p. 189 317. Follow-ups and Management - p. 189 318. Complications and Management - p. 190 319. Botulinum Toxin Treatment of Other Areas - p. 191 320. Combining Aesthetic Treatments and Maximizing Results - p. 192 321. Pricing - p. 192 322. Case Studies - p. 193 323. 14 Axillary Hyperhidrosis - p. 194 324. Anatomy - p. 194 325. Patient Assessment - p. 194 326. Contraindications - p. 195 327. Treatment Goal - p. 195 328. Reconstitution - p. 195 329. Starting Doses - p. 195 330. Anesthesia - p. 196 331. Equipment for Minor’s Iodine-Starch Test - p. 196 332. Equipment for Treatment - p. 196 333. Procedure Overview Minor’s Iodine-Starch Test - p. 196 334. Minor’s Iodine-Starch Test - p. 196 335. Procedure Overview - p. 198 336. Technique - p. 199 337. Results - p. 200 338. Duration of Effects and Treatment Intervals - p. 200 339. Follow-ups and Management - p. 200 340. Complications and Management - p. 200 341. Botulinum Toxin Treatment of Other Areas - p. 200 342. Combining Aesthetic Treatments and Maximizing Results - p. 200 343. Pricing - p. 201 344. 15 Necklace Lines - p. 202 345. Anatomy - p. 202 346. Patient Assessment - p. 203 347. Contraindications - p. 204 348. Treatment Goals - p. 204 349. Reconstitution - p. 204 350. Starting Doses - p. 204 351. Procedure Overview - p. 204 352. Technique - p. 205 353. Results - p. 206 354. Duration of Effects and Treatment Intervals - p. 206 355. Follow-ups and Management - p. 206 356. Complications and Management - p. 207 357. Botulinum Toxin Treatment of Other Areas - p. 207 358. Combining Aesthetic Treatments and Maximizing Results - p. 207 359. Pricing - p. 207 360. Case Studies - p. 207 361. 16 Chest Lines - p. 208 362. Anatomy - p. 208 363. Patient Assessment - p. 208 364. Contraindications - p. 209 365. Treatment Goals - p. 209 366. Reconstitution - p. 210 367. Starting Doses - p. 210 368. Anesthesia - p. 210 369. Equipment for Treatment - p. 210 370. Procedure Overview - p. 210 371. Technique - p. 211 372. Results - p. 211 373. Duration of Effects and Treatment Intervals - p. 211 374. Follow-ups and Management - p. 211 375. Complications and Management - p. 212 376. Botulinum Toxin Treatment of Other Areas - p. 212 377. Combining Aesthetic Treatments and Maximizing Results - p. 212 378. Pricing - p. 212 379. 17 Nasal Tip Lift - p. 213 380. Anatomy - p. 213 381. Patient Assessment - p. 214 382. Contraindications - p. 214 383. Eliciting Contraction of Muscles to Be Treated - p. 214 384. Treatment Goals - p. 215 385. Reconstitution - p. 215 386. Starting Doses - p. 215 387. Anesthesia - p. 215 388. Equipment for Treatment - p. 215 389. Procedure Overview - p. 215 390. Technique - p. 216 391. Results - p. 216 392. Duration of Effects and Treatment Intervals - p. 217 393. Follow-ups and Management - p. 217 394. Complications and Management - p. 217 395. Combining Aesthetic Treatments and Maximizing Results - p. 218 396. Pricing - p. 218 397. 18 Facial Asymmetry - p. 219 398. Anatomy - p. 219 399. Patient Assessment - p. 220 400. Contraindications - p. 220 401. Safety Considerations - p. 220 402. Treatment Goals - p. 220 403. Reconstitution - p. 221 404. Starting Doses - p. 221 405. Anesthesia and Equipment for Treatment - p. 221 406. Procedure Overview and Technique - p. 221 407. Hyperdynamic Asymmetry Case - p. 221 408. Hypodynamic Asymmetry Case - p. 222 409. Duration of Effects and Treatment Intervals, Follow-ups and Management, Complications and Management - p. 224 410. Botulinum Toxin Treatment of Other Areas - p. 224 411. Combining Aesthetic Treatments and Maximizing Results - p. 224 412. Pricing - p. 224 413. Case Studies - p. 225 414. 19 High-Dose Toxin - p. 226 415. Patient Assessment - p. 227 416. Contraindication - p. 227 417. Reconstitution - p. 227 418. Starting Doses for High-Dose Treatments - p. 228 419. Equipment for Treatment - p. 228 420. Procedure Overview - p. 229 421. Technique - p. 229 422. Results - p. 230 423. Duration of Effects and Treatment Intervals - p. 230 424. Complications and Management - p. 231 425. High-Dose Botulinum Toxin Treatment of Other Areas - p. 232 426. Combining Aesthetic Treatments and Maximizing Results - p. 232 427. Treatment of Other Conditions - p. 233 428. “Ceiling” Effect - p. 233 429. Natural Looking Results - p. 233 430. Pricing - p. 233 431. Section 4: Cases - p. 235 432. Cases: Applying the Techniques - p. 235 433. Injection Key - p. 236 434. Section 5: Appendices - p. 253 435. Appendix 1 Botulinum Toxin Treatment Tables - p. 253 436. Appendix 2 Aesthetic Intake Form - p. 259 437. Appendix 3 Patient Information Handouts - p. 261 438. Appendix 4 Consent Forms - p. 263 439. Appendix 5 Procedure Notes - p. 267 440. Appendix 6 Supply Sources - p. 269 441. Bibliography - p. 271 442. Index - p. 291
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