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New PDF release: Advanced Techniques in Dermatologic Surgery (Basic and

By Goldman M.P. (Editor), Weiss R. (Editor)

Compiled via pro specialists within the box, this reference presents transparent suggestions at the easy rules, tactics, and issues curious about complicated dermatologic surgery-offering certain assurance of filling components, fats move ideas, and the most recent laser applied sciences.

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Extra info for Advanced Techniques in Dermatologic Surgery (Basic and Clinical Dermatology)

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Ptosis can appear in as early as 48 hours or as late as 14 days after injection, and can persist from 2 to 12 weeks (38). Again, eyelid ptosis has been linked to poor injection technique; injection of large volumes is avoided, accurately place injections are accurately placed no closer than 1 cm above the central bony orbital rim, and patients are advised to remain upright and not to manipulate the injected area for several hours after injection. BTX-A is not injected at or under the mid-brow (38).

Five percent liposomal lidocaine was also shown to be statistically superior to control in producing effective anesthesia for laser-induced pain-stimuli after a 30-minute application period under occlusion (48). Additional parameters such as shorter application times, and the role of occlusion versus nonocclusion are currently being evaluated. LMXÕ has been shown in a prospective, controlled study to produce effective anesthesia to laser-induced pain stimuli after a 60-minute application period under an occlusive dressing (20).

Figure 3 (A) shows an individual prior to BTX treatment, forcibly depressing the corners by contracting depressor anguli oris; (B) shows an attempt to reproduce this action after injection of 4 U into each depressor anguli oris. 30 Carruthers and Carruthers Mental Crease Softening of the mental crease can be achieved by injecting the mentalis, just anterior to the point of the chin. We initially injected a single dose of 8 to 10 U centrally; however, after observing our patients, it was clear that there are two cutaneous depressions owing to two separate muscles, one on each side of the midline.

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Advanced Techniques in Dermatologic Surgery (Basic and Clinical Dermatology) by Goldman M.P. (Editor), Weiss R. (Editor)


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