Concise manual of cosmetic dermatologic surgery by Neil S Sadick; et al

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By Neil S Sadick; et al

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Medium depth—Necrosis of the epidermis and destruction extends to all of papillary dermis. Deep peels—Necrosis of epidermis and papillary dermis extending into the reticular dermis. Most common types of hyperpigmentation include ● Freckles (ephelides) ● Lentigines ● Flat seborrheic keratoses ● Nevi ● Melasma ● Postinflammatory hyperpigmentation from a variety of primary cutaneous insults (Fig. 1 A. Hyperpigmentation on left side of face before treatment. B. Improvement after a series of salicylic acid peels and topical application of 4% hydroquinone.

Inject up to 12–15 U per side at three or four injection sites. (Fig. 4) ● Aim for as superficial injection (dermal) as possible to minimize bruising. 3 A. Injection sites for horizontal forehead lines. B. Forehead lines prior to BTX-A treatment. C. The same patient one month after treatment. , Color Atlas of Cosmetic Dermatology. 4 A. Injection sites for periorbital lines. B. Periorbital lines prior to treatment with BTX-A. C. The same patient 6 weeks after treatment. , Color Atlas of Cosmetic Dermatology.

3 A. Injection sites for horizontal forehead lines. B. Forehead lines prior to BTX-A treatment. C. The same patient one month after treatment. , Color Atlas of Cosmetic Dermatology. 4 A. Injection sites for periorbital lines. B. Periorbital lines prior to treatment with BTX-A. C. The same patient 6 weeks after treatment. , Color Atlas of Cosmetic Dermatology. McGraw-Hill Medical, New York, 2007) Chapter 5: Botulinum Toxin ● | 53 Visual avoidance of vessels with magnifiers is also advisable to minimize purpura.

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