Botulinum Toxin in Facial Rejuvenation

Description:

Now thoroughly revised to reflect state-of-the-art advances in the field, Botulinum Toxin in Facial Rejuvenation, 2nd Edition, covers the entire range of the use of botulinum toxin for cosmetic purposes. Dr. Kate Coleman offers practical guidance for safe handling, selection and assessment of patients, potential complications and pitfalls, and aesthetic techniques, as well as comparative modalities and long-term management. This is an ideal resource for anyone who offers this sought-after procedure, including cosmetic surgeons, oculoplastic surgeons, dermatologists, physician’s assistants, and registered nurses.

• Features new, unique coverage of long-term management, picturing the same original patients 15 years later, as well as observations on how treatments should be adjusted as the patient gets older in order to respond to natural changes in bone density and underlying support structures.
• Presents new knowledge on neuromodulation and how treatment can be used to ‘retrain’ expressions to provide fewer frowns lines and better facial symmetry.
• Offers comparative information on other modalities such as laser and hyaluronic acid, as well as potential risk factors, so you can choose the best procedure for each patient.
• Discusses the various forms of botulinum toxin currently available on the market, with an emphasis on Botox, Xeomin, and Dysport.
• Uses full-color clinical photos of pre-, peri-, and post-operative results to illustrate nuances of techniques as well as the effectiveness of botulinum toxin on wrinkles and scars for the major facial areas.
• Provides current guidelines on treatment methods and best practices for reconstitution and storage.
• Discusses which patients may be at risk for adverse effects―or "worsening results"―and offers suitable alternatives.

1.    Table of Contents

2.    Copyright

3.    Foreword to the First Edition 2003

4.    Appreciation

5.    Introduction

6.    1.  Historical background

7.    Abstract

8.    Keywords

9.    2.  Botulinum toxin: Mode of action and serotypes

10. Abstract

11. Keywords

12. Muscular contraction: Normal cholinergic transmission (fig. 2.2)

13. Mode of action of botulinum toxin (fig. 2.3)

14. Serotypes

15. 3.  Clinical indications and use

16. Abstract

17. Keywords

18. Concentrations

19. Onset of effect

20. Diffusion and duration

21. Economics

22. 4.  Patient preparation and injection skills

23. Abstract

24. Keywords

25. Presentation

26. Reconstitution

27. Injection

28. Transport

29. Aspiration

30. Injection technique

31. Skill development

32. Patient skills

33. Patient preparation

34. Dosage

35. Patient treatment

36. Post injection

37. Time

38. 5.  Patient selection: The art of understanding neuromodulation and symmetry

39. Abstract

40. Keywords

41. Resting tone

42. Voluntary and involuntary movement

43. Botulinum toxin as a powerful neuromodulator

44. Seeing skills

45. Control of botulinum toxin-a placement

46. 6.  The art of patient selection and short- and long-term management

47. Abstract

48. Keywords

49. How to identify suitable patients

50. Selection process

51. Initial physical assessment: Age and skin condition

52. 7.  Contraindications and complications

53. Abstract

54. Keywords

55. Absolute contraindications

56. Relative contraindications

57. Patient complaints

58. Side effects

59. 8.  Management of crow’s feet

60. Abstract

61. Keywords

62. Patient examination

63. What to look for when examining a patient

64. Side effects of botulinum toxin treatment for crow’s feet

65. Method of treatment

66. 9.  Management of forehead wrinkles

67. Abstract

68. Keywords

69. Anatomy of frown muscles

70. Examination of brow/forehead rhytids

71. Brow examination

72. Principles of forehead rhytid treatment (see fig. 9.26)

73. Recommended treatment of forehead wrinkles (see tables 3.4 and 3.5)

74. Basic glabellar treatment (fig. 9.17)

75. Advanced glabellar treatment

76. Important considerations for glabellar treatment

77. Basic frontalis treatment

78. Different types of rhytids may be treated as follows:

79. 10.  Treatment of the perioral region, the neck and scars

80. Abstract

81. Key words

82. Ageing of the perioral region and neck

83. Treatment

84. Perioral indications

85. Corner of mouth

86. Botulinum toxin to the neck

87. Botulinum toxin for scars

88. Décolleté

89. 11.  Other solutions

90. Abstract

91. Key words

92. Introduction

93. Hyaluronic acid and other fillers

94. Indications

95. Patient preparation

96. Nasolabial folds

97. Marionette lines

98. Glabellar crease

99. The upper lip

100.              Scars

101.              Crow’s feet

102.              The chin

103.              Cheeks

104.              Laser resurfacing

105.              Upper lid blepharoplasty

106.              Lower lid blepharoplasty

107.              Combination treatments

108.              Lips

109.              Frown

110.              Face

111.              Rejuvenation of the skin

112.              Nonablative collagen stimulation