Essentials of Neuromodulation

Description

Essentials of Neuromodulation describes the application of neuromodulation for aesthetic purposes. Detailed for readers are all essential aspects of neuromodulation treatment, including how to best safeguard patients. This volume provides an increased anatomical understanding of the injection anatomy within the face in an effort to focus on standard of care and set an industry standard in cosmetic injectables. Given the highly specialized training required for this skill, it details the history as well as the mechanism of action for each FDA-approved neuromodulating drug on the market. Unique anatomical renderings by medical artist Kevin Cease provide accurate and detailed anatomy to correlate beautifully with the content. With before, during, and after photos of more than 20 models and written detailed descriptions, diagrams, tables, and charts, all types of learners with every style of learning will benefit from this one-of-a-kind book. This book is a stepping stone for in-depth knowledge into this specialty field and begin to set the standard for entrance into the practice of aesthetics. Front Cover Essentials of Neuromodulation: A Comprehensive Guide for Aesthetic Practitioners Copyright Dedication Contents About the author Acknowledgments Disclaimer Chapter 1: Introduction References Chapter 2: Statistics in esthetics Reference Chapter 3: Understanding esthetic terminology Understanding the interchangeable terms Chapter 4: What is botulinum toxin Understanding the nervous system Mechanism of action of BoNT-A Step by step on how BoNT-A work Nerve terminal with release of acetylcholine Review of the variety of BoNT-As commercially available in the United States Cosmetic and therapeutic uses of BoNT-A Cosmetic uses Therapeutic use in ophthalmology Therapeutic use in neurology Therapeutic use in otolaryngology Therapeutic use in pain Therapeutic use in autonomic dysfunction Therapeutic use in gastroenterology References Further reading Chapter 5: History of neuromodulators History of onabotulinumtoxinA (Botox), incobotulinumtoxinA (Xeomin), abobotulinumtoxinA (Dysport), prabotulinumtoxinA-xvfs ... Reference Further reading Chapter 6: Safety of neuromodulators Caution with the silicone stoppers Possible side effects with ALL neuromodulators Possible emotionally charged side effects Contraindications with the use of ALL neuromodulators Contraindications for the injector to consider Drug to drug interactions References Chapter 7: Common myths about neuromodulators Common myths FAQs from the patient Chapter 8: Anatomy Beginning to understand facial anatomy Soft tissue Hypodermis Fat pads Muscles of the face Circumorbital group Nasal muscle group Buccolabial muscle group Upper lip (elevators, retractors, and evertors) Lower lip (elevators, retractors, and evertors) Compound sphincter muscle group Muscles by facial groups and areas Circumorbital and palpebral muscle group Buccolabial muscle group Nasal muscle group Skeletal structure Further reading Chapter 9: The esthetics of aging The aging face Aging occurs in two ways; intrinsically and extrinsically Youthfulness is expressed through shape, structure, and contour Aging muscles Patient selection Patient assessment Consider sharing the following ideas with the patients: Physical assessment Assessment of the upper face Assessment of the frontalis Assessment of the orbicularis oculi Brow assessment Static versus dynamic lines Setting patient expectations Consult process Concomitant procedures and their efficacy References Chapter 10: Injection preparation Reconstitution Example of calculation for reconstitution of Botox Examples of calculation for reconstitution of Xeomin Examples of calculation for reconstitution of Jeuveau Examples of calculation for reconstitution of Dysport Storage and handling Novice areas and advanced areas for neuromodulation Commonly treated areas Advanced areas Novice (N) areas and advanced areas (A) References Further reading Chapter 11: Neuromodulation injection technique procedural steps Areas for injection Neuromodulation for frown lines-Glabellar complex injections Indications for treatment Emotion Muscles in treatment area Muscles to be treated in the targeted zone Special considerations Complimentary locations to increase efficacy Treatment goals Dosing Documentation Equipment Assessment Pre-procedure steps Technique Results Duration Follow up and special consideration Details on Dysport allergy Before and after photos Treatment Treatment Treatment Treatment Initial treatment Treatment Treatment Neuromodulation for the frontalis-forehead wrinkles Indication for treatment Emotions Muscles in the treatment area Muscles to be treated in the target zone Special consideration Complimentary locations to increase the efficacy Treatment goals Dosing Documentation Equipment Assessment Pre-Procedure steps Technique Results Duration Follow up and special considerations Before and after photos Treatment Treatment Treatment Treatment Neuromodulation technique in lateral canthal lines aka crows feet Neuromodulation for lateral canthal lines-Crows feet injections Indications for treatment Emotion Muscles in treatment area Muscles to be treated in the targeted zone Special considerations Complimentary locations to increase the efficacy Treatment goals Dosing Documentation Equipment Assessment Additional notation: Pre-procedure steps Technique Results Duration Follow up and special consideration Details on Dysport allergy Before and after photos Treatment Treatment Neuromodulation technique in eyebrow lift Neuromodulation for lateral eyebrow lift Indications for treatment Emotion Muscles in treatment area Muscles to be treated in the targeted zone Special considerations Complimentary locations to increase efficacy Treatment goals Dosing Documentation Equipment Assessment Additional notation: Technique Pre-procedure steps Results Duration Follow up and special consideration Details on Dysport allergy Before and after photos Treatment Neuromodulation technique in lower eyelid wrinkles Neuromodulation for infraocular space Indications for treatment Emotion Muscles in treatment area Muscles to be treated in the targeted zone Special considerations Complimentary locations to increase the efficacy Treatment goals Dosing Documentation Equipment Assessment Pre-procedure steps Technique Results Duration Follow up and special consideration Details on Dysport allergy Before and after photos Treatment Neuromodulation technique of the bunny lines aka nasalis lines Neuromodulation for bunny lines Indications for treatment Emotion Muscles in treatment area Muscles to be treated in the targeted zone Special considerations Complimentary locations to increase the efficacy Treatment goals Dosing Documentation Equipment Assessment Pre-procedure steps Technique Results Reduction of hyperdynamic nasalis muscle AKA bunny lines Duration Follow up and special consideration Details on Dysport allergy Before and after photos Treatment Neuromodulation technique of peri-oral rhytids aka smokers lines Neuromodulation for smokers lines Indications for treatment Emotion/movement Muscles in treatment area Muscles to be treated in the targeted zone Special considerations Complimentary locations to increase the efficacy Treatment goals Dosing Documentation Equipment Assessment Pre-procedure steps Technique Results Duration Follow up and special consideration Details on Dysport allergy Before and after photos Treatment Neuromodulation technique of gingival show AKA gummy smile Neuromodulation for gummy smile Indications for treatment Emotion/movement Muscles in treatment area Muscles to be treated in the targeted zone Special considerations Complimentary locations to increase the efficacy Treatment goals Dosing Documentation Equipment Assessment Pre-procedure steps Technique Results Duration Follow up and special consideration Details on Dysport allergy Before and after photos Treatment Treatment Neuromodulation technique of marionette lines Neuromodulation of the depressor anguli oris Indications for treatment Emotion/movement Muscles in treatment area Muscles to be treated in targeted zone Special considerations Complimentary locations to increase efficacy Treatment goals Dosing Documentation Equipment Assessment Pre-procedure steps Technique Results Duration Follow up and special consideration Details on Dysport allergy Before and after photos Treatment Neuromodulation technique of the chin Neuromodulation of the mentalis for a dimpled chin and a robust mental crease Indications for treatment Emotion/movement Muscles in treatment area Muscles to be treated in the targeted zone Special considerations Complimentary locations to increase the efficacy Treatment goals Dosing Documentation Equipment Assessment Pre-procedure steps Technique Results Duration Follow up and special consideration Details on Dysport allergy Before and after photos Treatment Neuromodulation technique of platysmal bands AKA the Nefertiti neck lift Indications for treatment Emotion/movement Muscles in treatment area Muscles to be treated in the targeted zone Special considerations Complimentary locations to increase efficacy Treatment goals Dosing Documentation Equipment Assessment Pre-procedure steps Technique Results Details on Dysport allergy Before and after photos Treatment Hyperhidrosis injection technique Indication Safety Pricing Target anatomy Sweat glands Treating the axillae Treatment of axillae Treatment of the palms Duration Follow up and special consideration Chapter 12: Complications Potential complications Complications section Toxin spread Complications Transient ptosis Lid ptosis Cosmetic application dosing Glabellar region Frontalis muscle Understanding ptosis In order to reduce the complication of ptosis, the following steps should be taken: Lateral canthal lines Managing complications References Further reading Chapter 13: Return on investment (ROI) Chapter 14: Marketing in esthetics Marketing Examples of pre and post neuromodulation emails Pre care Botox pre care guidelines Post care Botox after care instructions Relationships in business Chapter 15: Top 10 list for success in neuromodulation Top 10 list for success Reference Appendices table of contents Appendix 1: Aesthetic new patient history Appendix 2: Pre care guidelines email Botox pre care guidelines Appendix 3: Post care guidelines email Botox after care instructions Appendix 4: Neuromodulation consent Risks and complications Neuromodulation pre treatment instructions Neuromodulation post treatment instructions Photographs Pregnancy, allergies and neurologic disease Payment Results Appendix 5: Neuromodulation pre treatment instructions Appendix 6: Neuromodulation post treatment instructions Appendix 7: Policy and procedure for neuromodulation administration Purpose Policy Setting Supervision Record keeping Training/education Evaluation and competency Authorized personnel documentation Limitations Protocol for administration of Botulinum Toxin A Development of plan Appendix 8: Photo consent form Appendix 9: Neuromodulation supply list Glossary of common terms Index Back Cover