Patient & Consultation Flashcards
Your systematic approach
- General impression
- Skin
- Face shape
- Facial thirds
- Side + oblique profile
- Static and dynamic poses
Factors which influence concept of beauty
- Gender
- Natural Proportions
- Culture
- Ethnicity
Top third borders
Trichion to glabella
Middle third borders
Glabella to subnasale
Lower third borders
Subnasale to menton (chin)
Bizygomatic & bigonial distance
Bizygomatic - between zygoma arches
Bigoonial - between jaw angle
Bizygomatic & Bigonial distance gender differences
Wider bizygomatic distance preferred in females
Less difference in distance preferred in males for a square look
Ogee Curve
S shaped curve seen in the eye and cheek area from 45 degree angle
Hinderer’s line
Two line intersection of anterior cheek
- Nasal alar to upper tragus
- Oral commissure to lateral canthus of eye
Wilkinson’s line
Two line intersection of anterior cheek
- Verticle line from lateral canthus to mandicular edge
- one-third distance of first line is the apex
Nasolabial distance
between nose and lips
typically 1/3 to 2/3 of the lower face third
Frankfurt Horizontal plane
To asses chin projection
Straight line from nasion (top of nose) to pogonion (end of chin) on side profile
If chin behind line - lack of projection
Ricketts line
To assess chin projection
Line from tip of nose to tip of chin
4mm distance from upper lip
2mm distance from lower lip
Tools to assess chin projection
Ricketts line & Frankfurt Horizontal plane
Lip golden ratio
Caucasian lips
1:1.618
How to treat the face (rational approach)
Superior to inferior
Deep to superficial
Lateral to medial
Start with midface volume restoration
Consultation questions
Medical history
Aesthetic history
Occupation - sun exposure
Rejuvination treatment
Restoring volume loss
Treating shadows
Beautification treatment
Treating proportions
Considerations for medical conditions
- Is there an inflammatory response
- Is condition stable
- Does disease of medication increase risk of bleeding or infection
Botox imaging
Pre-procedure: Dynamic and static
Portrait, oblique and Profile
Post-procedure: Static
Filler imaging
Static views, dynamic views of lips if appropriate
Procedure documentation
Brand
Batch code
Expiry date
Dosage
Site
Depth
Needle
Cap refill time
Aftercare and follow-up
Strenuous exercise and massage
24 hours
Excessive alcohol, aspirin and ibuprofen
24 hours
Touching treated areas
12-24 hours
Makeup after treatment
12-24 hours
Sun exposure and extreme temperatures
7 days
Can be used to help with bruising
Topical or oral arnica
Facials and microdermabrasion
14 days
Chemical peels, lasers or sun beds
14 days
Flying
24-48 hours
Time for filler review
4 weeks
Recommended time for switching brands
3-6 months, however no evidence to support
