24 Questions
What is the primary reason why higher-cost needles are smoother under EM scan?
They use higher-quality steel
What is the consequence of using lower-cost needles during neural blockade injections?
More pain and local trauma
What happens to all needles after repetitive use?
They fatigue and lose sharpness
What is the primary advantage of using a 30, 31, or 32 gauge needle for neural blockade injections?
Less pain and trauma during injection
What is the purpose of using a 1 ml syringe with graduations during neural blockade injections?
To measure the exact volume of injected material
What is the primary consideration for ensuring safe and effective neural blockade injections?
All of the above
Which of the following muscles is responsible for moving the skin upwards and results in forehead wrinkles?
Frontalis Muscle
What is the primary reason for complications in the Supraorbital Nerve area?
The most common area for complications
What is the recommended dosage for the Procerus-Glabellar Complex according to the Carruthers Formula?
4-10 U
What is the primary reason for avoiding the Depressor anguli oris during injections?
To prevent drooping
Which of the following is a key fundamental for injectors to recognize, according to recognized institutions that offer international certification on injectable therapies?
All of the above
What is the primary purpose of the intake and initial documentation process?
To obtain critical medical history and consent
What is the recommended technique for injecting into the Periorbital region?
Inject superficially and laterally
What is the primary consequence of gravitational descent in the aging face?
Descent of facial structures
What is the primary reason for injecting into the Orbicularis Oculi Muscle?
To treat crow's feet
What is the recommended angle for needle advancement in the lateral injection technique?
140-160 Degree
What is the primary purpose of the ANTT (Aseptic Non-Touch Technique) in injectable therapies?
To minimize risk of infection
What is the primary purpose of controlling bleeding before moving on to the next injection site?
To prevent bruising
What is the recommended method for visualizing the syringe markings during injection?
Visualizing through the syringe
What is the primary advantage of using linear threading technique in lip augmentation?
It requires fewer punctures
What is the primary consideration in facial line technique?
Visual conception of the final shape
What is a common complication of using hyaluronic fillers?
All of the above
What is the recommended post-treatment advice to patients?
Resume normal activities and avoid excess heat
What is the primary benefit of using gauze instead of cotton balls during injection?
It provides better control of bleeding
Study Notes
Restylane Fillers
- Master 2-3 products for fluency in Restylane fillers.
- Three products to master:
- Restylane Kysse or Silk for Lips and Peri-Oral Region: both are moldable, last 6-9 months, with Kysse producing more volume and being firmer during injection.
- Restylane Defyne for Lifting of Chin, Cheek, Jaw, Peri-Orbital, & Nose: firm, good volume, easy to mold, and less mistakes compared to Restylane Lyft.
- Restylane Contour: more flexible and with less volume.
Juvederm Fillers
- JUVEDERM VOLUX XC for moderate to severe loss of jawline and chin.
- JUVEDERM VOLUMA XC for deep injection in the cheek.
- JUVEDERM Ultra Plus XC and JUVEDERM Ultra XC for injection into facial tissue and lips, with Ultra Plus being thicker.
Relevant Anatomy
- Frontalis Muscle: moves skin upwards, results in forehead wrinkles, and injection needs to be superior to the supraorbital nerve.
- Procerus Muscle: results in vertical lines between eyebrows, and safe injection area is above the nose.
- Orbicularis Oculi Muscle: results in crows feet, and injection in superficial lateral aspect is safe.
- Orbicularis Oris Muscle: results in peri-oral wrinkles or radial lip lines, and injection sites are important to prevent drooping.
Injection Techniques
- Lateral injection technique: patient positioning, ANTT maintained, needle advanced at 140-160 degree angle, and smooth introduction of fluid.
- Make sure to control bleeding before moving on.
Complications
- Complications using hyaluronic fillers: lumps, vascular occlusion, and medical emergency.
- Complications using neural blockers: slight tenderness, pinpoint bleeding, transient swelling, temporary bruising, and unlikely chance of local infection.
Practical Aspects
- Intake and initial documentation: setting, initial documentation, and informed consent.
- Assessment with imaging: comprehensive, recorded, and reviewed at each visit.
- Procedure: management and control of room, ANTT, and procedure.
- Post-procedure: presentation of images and video, initial management, home care education, and follow-up.
Key Fundamentals
- Recognition of common skin conditions, medical and drug history, and managing patient expectations.
- Body Dysmorphic Disorder and Obsessive Compulsive Disorder, basic dermatology terms, and conditions that affect injectable therapies.
- Legal and ethical considerations, precautions of injectable therapies, and treater and patient in safe and effective position.
Quiz on Restylane filler products for aesthetic treatments. Learn about the differences and applications of Restylane Kysse, Defyne, and Contour fillers for various facial regions.
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