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By Goldman M.P., Sadick N.S., Weiss R.A.

Compiled via pro specialists within the box, this reference presents transparent suggestions at the easy rules, methods, and problems concerned with complicated dermatologic surgery-offering precise assurance of filling elements, fats move innovations, and the newest laser applied sciences.

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Two randomized, double-blind, placebo-controlled studies evaluating the S-Caine Peel for induction of local anesthesia before long-pulsed Nd:YAG laser therapy for leg veins. Dermatol Surg 2003; 29:1012–1018. 62. Jih MH, Friedman PM, Sadick N, Marquez DK, Kimyai-Asadi A, Goldberg LH. 60minute application of S-Caine Peel prior to 1,064 nm long-pulsed Nd:YAG laser treatment of leg veins. Lasers Surg Med 2004; 34:446–450. 63. Friedman PM, Mafong EA, Friedman ES, Geronemus RG. Topical anesthetics update.

5%), alpha-adrenergic agonist ophthalmic eye drops that stimulate Muller’s muscle, which can be helpful for the distressed patient. Cocked Eyebrow or ‘‘Mr. Spock’’ Eyebrow A quizzical or ‘‘cockeyed’’ appearance can occur in the brow when the lateral fibers of the frontalis muscle have not been injected appropriately, and the untreated lateral fibers of frontalis pull upward on the brow. To rectify, a small amount of BTX is injected into the fibers of the lateral Advanced Cosmetic Use of Botulinum Toxin Type A 35 forehead that are pulling upward; overcompensation can lead to an unsightly hooded brow that partially covers the eye (38).

This chapter will focus primarily on improved uses and advanced cosmetic applications of BTX-A, specifically the BOTOXÕ and BOTOX CosmeticÕ formulations, unless otherwise indicated, since it is with this product that we have had the most experience. It is important to emphasize that before using any product for an indication, physicians should consult the literature available on that specific formulation. BOTULINUM NEUROTOXINS Botulinum neurotoxins (BTXs) derive from the bacterium Clostridium botulinum and include seven distinct serotypes, identified as A, B, C1, D, E, F, and G.

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