Guidelines on the use of botulinum toxin Type A
Date
2008-12-01
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Medknow Publications on behalf of The Indian Association of Dermatologists, Venereologists and Leprologists (IADVL)
Abstract
Description
Botulinum toxin is available as types A and B. These two different
forms need different dosages and hence, the physician needs to be
familiar with the formulations. A thorough knowledge of the anatomy and
physiology of the muscles in the area to be injected is essential.
Indications for botulinum toxin: Dynamic wrinkles caused by persistent
muscular contractions are the main aesthetic indications for the use of
Botulinum toxin. These include forehead lines, glabellar lines,
crow′s feet, bunny lines, perioral wrinkles, and platysmal bands.
Non-aesthetic indications include hyperhidrosis of the palms, soles and
axillae. Physicians′ qualifications : Any qualified dermatologist
may practice the technique after receiving adequate training in the
field. This may be obtained either during post-graduation or at any
workshops dedicated to this subject. Facility: Botulinum toxin can be
administered in the dermatologist′s minor procedure room.
Preoperative counseling and informed consent Detailed counseling with
respect to the treatment, desired effects, and longevity of the results
should be discussed with the patient. The patient should be given
brochures to study and adequate opportunity to seek information. A
detailed consent form needs to be completed by the patient. The consent
form should include the type of botulinum toxin, longevity expected and
possible postoperative complications. Pre- and postoperative
photography is recommended. Dosage depends on the area, muscle mass,
gender and other factors outlined in these guidelines. It is
recommended that beginners should focus on the basic indications in the
upper third of the face and that they treat the middle and lower parts
of the face only after garnering adequate experience.
Keywords
Aging, Dynamic wrinkles, Wrinkles
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