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.
Author(s): Tara Delle Chiaie
Publisher: Academic Press
Year: 2021
Language: English
Pages: 316
City: London
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
