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Myobloc for Wrinkles :: Hints & Tips
Charging for Myobloc
The amount of botulinum toxin needed per site depends on the musculature of the individual patient. Therefore Myobloc should be priced by the number of units used and not by the area treated. When using a consistent dilution technique, one can charge by the number of 0.1cc's used. The price per 0.1cc varies according to the area of the country that one lives in. It is important to explain to the patient that further injections (and charges) may occur at the next visit because everyone's musculature is different.
How to lower the incidence of bruising
Cosmetic patients are very unhappy when bruising results as a complication of botulinum toxin injections. The incidence of bruising can be decreased by avoiding the following for 10 days prior to botulinum toxin injections:
- Aspirin
- Motrin or Ibuprofen
- Vitamin E
- Green Tea
In addition, ice packs can be placed on the area to be injected just prior to injection. This may help decrease the pain of injection (which is minimal) and decrease the incidence of bruising.
When bruising does occur
When bruising occurs, the bruises are best covered by a green concealer make up followed by a foundation of normal skin color. Many companies make the green concelaer including Estee lauder, Neutrogena, Joe Blasco Cosmetics. Bruises usually resolve withing 7 - 10 days.
A recent study performed at the University of Miami (publication pending JAAD) demonstrated that topical Vitamin K cream may hasten the resolution of bruises when applied twice daily. Some patients prefer to use the Vitamin K cream prior to injections to prevent bruising, however, the study at the University of Miami showed no beneficial effect from pretreatment with the Vitamin K containing cream.
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