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Botulinum Toxin in Aesthetic Medicineicon  
รหัส : 9783540340942
ยี่ห้อ : Springer
รุ่น : Maio, Mauricio de, Rzany, Berthold
ราคาปกติ :  7,995.00      
ราคาพิเศษ :  4,160.00
เว็บไซต์เกี่ยวข้อง : http://www.springer.com/medicine/dermatology/book/978-3-540-34094-2
รายละเอียดย่อ :
138 p. 151 illus. in color.
Hardcover.
2007.
รายละเอียดทั้งหมด :
Botulinum Toxin in Aesthetic Medicine
About this book
  • First book covering advanced indications and techniques in aesthetic medicine
  • Hands-on book with step-by-step approach
  • Reader-friendly format: All chapters with homogenous structure and uniform format with ‘Tips and Tricks’ section

Written by two renowned international experts, this book gives a brilliant overview of the use of botulinum toxin A in aesthetic medicine, including patient selection and evaluation, as well as rules and requirements.

The book provides hands-on information for the most common indications, such as forehead and glabella, lateral brow lift, crow’s feet and lower eyelid, bunny lines and marionette lines, nose and nasolabial folds, cheeks and "gummy smile," upper and lower lip, and the chin and neck.

Also included are more advanced indications, such as facial asymmetries, Btx-A lifting and microinjection techniques.

Combination therapy and complications are also covered and a section with tips and tricks makes this book an invaluable resource for the practicing dermatologist, plastic surgeons and all other physicians interested in the field of aesthetic medicine.

Written for:

Dermatologists and plastic surgeons in clinic and practice as well as all other physicians interested in aesthetic medicine, otorhinolaryngologists, GPs, ophthalmologists, surgeons

Keywords:
  • Botox
  • Dysport
  • brow lift
  • forehead
  • nasolabial folds

Contents

1

 

Overview of Botulinum Toxin . 1

Berthold Rzany, Hendrik Zielke

1.1 Introduction . . . . . . . . . 1

1.2 Different Subtypes

of Botulinum Toxin . . . . . . . 1

1.3 Mode of Action . . . . . 1

1.4 Antidote . . . . . 3

1.5 Different Products . . . . . 3

1.6 Units of Botulinum Toxin . . . . 3

1.7 Off-Label Use . . . . . . 4

1.8 New Drugs . . . . . . . . . . . 4

1.9 Evidence Behind the Use

of BNT-A . . . . . . . . . . . 4

1.10 Efficacy: Optimal Dosage . . . . 5

1.10.1 Botox . . . . . 5

1.10.2 Dysport . . . . . . 6

1.11 Effectiveness: Dosages

and Repeated Treatments . . . . 6

1.11.1 Botox . . . . . 7

1.11.2 Dysport . . . . . . . . . 7

1.12 Safety . . . . . 7

1.13 Short-term Safety: Eyelid Ptosis . 7

1.13.1 Botox . . . . . . . 7

1.13.2 Dysport . . . . . . . . . 7

1.14 Long-term Safety: Eyelid Ptosis . 8

1.14.1 Botox . . . . . . . . . 8

1.14.2 Dysport . . . . . . . . . 8

1.15 Marketing and Evidence . . . . 8

1.16 References . . . . . 9

2

Patient Selection . . . . . 11

Mauricio de Maio, Berthold Rzany

2.1 Indications for BNT . . . . . 11

2.1.1 Introduction . . . . . . 11

2.1.2 Kinetic Patients . . . . . 13

2.1.3 Hyperkinetic Patients . . 14

2.1.4 Hypertonic Patients . . . 15

2.1.5 Outcome Analysis . . . . 17

2.1.6 Tips and Tricks . . . . . 18

2.1.7 References . . . . . . . 18

2.2 Contraindications

for Botulinum Toxin . . . . . . 18

2.2.1 General

Contraindications . . . . 18

2.2.2 Drug specific

Contraindications . . . . 18

2.2.3 References . . . . . . . 19

3

Requirements and Rules . . . . 21

Berthold Rzany

3.1 Introduction . . . . . . . . . . 21

3.2 Documentation . . . . . 21

3.2.1 Chart . . . . . . . 21

3.2.2 Photograph . . . . . . . 22

3.2.3 Consent . . . . . 22

3.2.4 Treatment Plan . . . . . 22

3.3 Staff . . . . . . . . . . . . . . 22

3.4 Technical Requirements . . . . . 22

3.4.1 Room . . . . . . . . . . 22

3.4.2 Chair . . . . . . . . . . 22

3.4.3 Mirror . . . . . . . . . 22

3.4.4 Cosmetic Marker . . . . 22

3.4.5 Standard Setting . . . . 22

3.4.6 The Toxin . . . . . 23

3.4.7 Tips and Tricks . . . . . 24

3.4.8 References . . . . . 24

4

Injection Technique . . . . . . 25

Berthold Rzany

4.1 Introduction . . . . . . 25

XIV Contents

4.2 Standard Technique . . . . . 25

4.3 Microinjection Technique . . . . 25

4.4 Other Techniques . . . . . 26

5

The Most Common Indications 27

Berthold Rzany, Mauricio de Maio

5.1 Forehead . . . . . 28

5.1.1 Introduction . . . . . . 28

5.1.2 Anatomy . . . . . . . . 28

5.1.3 Aim of Treatment . . . . 28

5.1.4 Patient Selection . . . . . 29

5.1.5 Technique . . . . . 32

5.1.6 Complications . . . . . . 33

5.1.7 Tips and Tricks . . . . . 33

5.2 Glabella . . . . . 33

5.2.1 Introduction . . . . . . 33

5.2.2 Anatomy . . . . . . 33

5.2.3 Aim of Treatment . . . . 34

5.2.4 Patient Selection . . . . . 34

5.2.5 Technique . . . . . 35

5.2.6 Complications . . . . . . 36

5.2.7 Tips and Tricks . . . . . 37

5.3 Brow lift . . . . . 37

5.3.1 Introduction . . . . . . 37

5.3.2 Anatomy . . . . . . . 37

5.3.3 Aim of Treatment . . . . 38

5.3.4 Patient Selection . . . . . 38

5.3.5 Technique . . . . 39

5.3.6 Complications . . . . . . 45

5.3.7 Tips and Tricks . . . . . 45

5.3.8 References . . . . . . . 45

5.4 Crow’s Feet and Lower Eyelid . . 46

5.4.1 Introduction . . . . . 46

5.4.2 Anatomy . . . . . 46

5.4.3 Aim of Treatment . . . . 47

5.4.4 Patient Selection . . . . . 47

5.4.5 Technique . . . . . 48

5.4.6 Results . . . . . 51

5.4.7 Complications . . . . 51

5.4.8 Tips and Tricks . . . . 54

5.4.9 References . . . . 54

5.5 Bunny Lines . . . . . . . . . . 56

5.5.1 Introduction . . . . . 56

5.5.2 Anatomy . . . . 56

5.5.3 Aim of the Treatment . . 57

5.5.4 Patient Selection . . . . . 57

5.5.5 Technique . . . . 58

5.5.6 Complications . . . . . . 58

5.5.7 Tips and Tricks . . . . . 61

5.5.8 References . . . . . . . 61

5.6 Nose . . . . . . . . . . . . . . 61

5.6.1 Introduction . . . . . 61

5.6.2 Anatomy . . . . . 61

5.6.3 Aim of Treatment . . . . 62

5.6.4 Patient Selection . . . . 62

5.6.5 Technique . . . . . . . . 62

5.6.6 Results . . . . . . . . . 64

5.6.7 Complications . . . . . . 64

5.6.8 Tips and Tricks . . . . 66

5.6.9 References . . . . . . 66

5.7 Nasolabial Fold . . . . . 66

5.7.1 Introduction . . . . . . 66

5.7.2 Anatomy . . . . . . . . 67

5.7.3 Aim of Treatment . . . . 67

5.7.4 Patient Selection . . . . 67

5.7.5 Technique . . . . . . . . 68

5.7.6 Complications . . . . . . 69

5.7.7 Tips and Tricks . . . . . 69

5.7.8 References . . . . . . . 69

5.8 Cheek Lines . . . . . 71

5.8.1 Introduction . . . . . . 71

5.8.2 Anatomy . . . . . . . . 71

5.8.3 Aim of Treatment . . . 71

5.8.4 Patient Selection . . . . . 73

5.8.5 Technique . . . . . 73

5.8.6 Complications . . . . 76

5.8.7 Tips and Tricks . . . . . 76

5.8.8 References . . . . 76

5.9 Gummy smile . . . . . 77

5.9.1 Introduction . . . . . 77

5.9.2 Anatomy . . . . . 77

5.9.3 Aim of Treatment . . . . 78

5.9.4 Patient Selection . . . . . 78

5.9.5 Technique . . . . . 79

5.9.6 Complications . . . . . . 82

5.9.7 Tips and Tricks . . . . . 82

5.9.8 References . . . . . . . 82

5.10 Upper and Lower Lip Wrinkling 82

5.10.1 Introduction . . . . . . 82

5.10.2 Anatomy . . . . . . . . 82

Contents XV

5.10.3 Aim of Treatment . . . . 83

5.10.4 Patient Selection

and Evaluation . . . . 83

5.10.5 Technique . . . . . 83

5.10.6 Complications . . . . . . 85

5.10.7 Tips and Tricks . . . . . 85

5.10.8 References . . . . . . . 85

5.11 Marionette Lines . . . . . 86

5.11.1 Introduction . . . . . . 86

5.11.2 Anatomy . . . . . . . . 86

5.11.3 Aim of Treatment . . . . 86

5.11.4 Patient Selection

and Evaluation . . . . . 86

5.11.5 Technique . . . . . . . . 86

5.11.6 Complications . . . . . . 88

5.11.7 Tips and Tricks . . . . . 88

5.12 Cobblestone chin . . . . . 88

5.12.1 Introduction . . . . . 88

5.12.2 Anatomy . . . . . 88

5.12.3 Aim of Treatment . . . . 89

5.12.4 Patient Selection

and Evaluation . . . . . 89

5.12.5 Technique . . . . . 89

5.12.6 Complications . . . . 89

5.12.7 Tips and Tricks . . . . . 90

5.13 Platysmal bands . . . . . . . . 90

5.13.1 Introduction . . . . . . 90

5.13.2 Anatomy . . . . . . . . 90

5.13.3 Aim of Treatment . . . . 90

5.13.4 Patient Selection . . . . 91

5.13.5 Technique . . . . 91

5.13.6 Complications . . . . . 92

5.13.7 Tips and Tricks . . . . . 92

6

and Techniques

Advanced Indications. . . . . . . . 93

Mauricio de Maio, Berthold Rzany

6.1 Facial Asymmetries . . . . . 93

6.1.1 Introduction . . . . . 93

6.1.2 Anatomy . . . . . 94

6.1.3 Aim of Treatment . . . . 97

6.1.4 Patient Selection . . . . . 97

6.1.5 Technique . . . . . 97

6.1.6 Results . . . . . . . . . 99

6.1.7 Complications . . . . 99

6.1.8 Conclusions . . . . 99

6.1.9 Tips and Tricks . . . . 101

6.1.10 References . . . . . . 101

6.2 Facial Lifting

with Botulinum Toxin . . . . 102

6.2.1 Introduction . . . . . 102

6.2.2 Anatomy Antagonists

and Synergists . . . . . 103

6.2.3 Aim of Treatment . . . 105

6.2.4 Patient Selection . . . . 105

6.2.5 Technique . . . . . 109

6.2.6 Complications . . . . 114

6.2.7 Tips and Tricks . . . . 114

6.2.8 References . . . . 114

6.3 Treatment with Microinjections 115

6.3.1 Introduction . . . . . 115

6.3.2 Microinjections of the

Crow’s Feet Area . . . 115

6.3.3 Microinjections

of the Longitudinal Lines

of the Cheeks . . . . . 115

6.3.4 Doses to be Used . . . 116

6.3.5 Combination of Macroand

Microinjections . . 116

6.3.6 Disadvantages

of the Microinjection

Technique . . . . . . . 116

6.3.7 Tips and Tricks . . . . 116

7

in Aesthetic Medicine

Safety of Botulinum Toxin. . . . 119

Berthold Rzany, Hendrik Zielke

7.1 Introduction . . . . . . . . . 119

7.2 Adverse Side Effects Due

to Injection . . . . . . . . . . 119

7.2.1 Injection Pain . . . . . 120

7.2.2 Hematoma/Injection Site

Bruising . . . . . . 120

7.2.3 Headache . . . . . 120

7.2.4 Localized Skin Dryness 122

7.3 Adverse Events Due to Local

Diffusion/Distribution . . . . 122

7.3.1 Eyelid Ptosis . . . . . 122

7.3.2 Ectropion . . . . . . . 122

7.3.3 Strabismus . . . . . . 122

XVI Contents

7.3.4 Pseudoherniation . . . 123

7.3.5 Complications After

Perioral and Neck

Treatment . . . . . . . 123

7.4 Adverse Events Due

to Hyperactivity of Adjacent

Muscles/Brow Malposition . . 123

7.5 Adverse Events due

to Generalized Distribution . . 124

7.6 Allergies to Botulinum Toxin-A 124

7.7 Formation of Antibodies . . 124

7.9 References . . . . . 124

8

The Microlift Procedure

Combination Therapy –. . . 127

Mauricio de Maio

8.1 Introduction . . . . . 127

8.2 Botulinum Toxin

and Chemical Peels . . . . . . 128

8.3 Botulinum Toxin

and Laser Resurfacing . . . . . 128

8.4 Botulinum Toxin and Fillers . . 128

8.5 Botulinum Toxin and Brow Lift

with Suspension Threads . . . 132

8.6 Botulinum Toxin,

Eye Surgery & Other Tiny

Details . . . . . 132

8.7 Botulinum Toxin and Facelift . 132

8.8 The Microlift Procedure:

BNT-A as an Important Ally! . 134

8.9 Tips and Tricks . . . . . . . . 135

8.10 References . . . . . . . . . . 135

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