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The Steering Committee
Alastair Carruthers, MD, FRCP(C)
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Dynamic Slide Library Index



Slide Categories


Anatomy/Aging

Anatomy of Tear Trough
Tear Trough Deformity
Tear Trough Grading System
Anatomy of Deep Deformity
Mouth Frown Characteristics
Mouth Frown Characteristics (Cont)
BoNTA Injection Technique for Mouth Frown
BoNTA Injection Technique for Mouth Frown (Cont)
Use Caution When Injecting BoNTA Near Mouth
BoNTA Side Effects With Mouth Frown Treatment
Case Study: BoNTA Injection for Mouth Frown
BoNTA Injection for Mouth Frown
Results of BoNTA Injection for Mouth Frown
NASHA Injection Technique for Mouth Frown
Mouth Frown: NASHA Expected Side Effects
NASHA Injection for Mouth Frown
The Aging US Population
Projected US Population Figures
Lower Face Indications for Injectable Cosmetic Treatment
Injectable Cosmetic Treatments for Lower Face Indications
Lower Facial Muscles Commonly Injected With BoNTA
Melomental Folds
Melomental Folds Treatment (Cont)
Mental Crease
Peau d’Orange Chin
Smile Lines
Upper Gum Show
Thin Lips
Necklace Lines
Vertical Platysmal Bands
Complications of BoNTA Injections Around the Mouth
Signs of Photoaging
Mechanisms of Photoaging
Classification Systems
Glogau Wrinkle Scale
Glogau Skin Aging Classification
Fitzpatrick Classification System
Photorejuvenation: Clinical Efficacy

Botulinum Toxins

Injectable Treatments for Mouth Frown
BoNTA Injection Technique for Mouth Frown
BoNTA Injection Technique for Mouth Frown (Cont)
Use Caution When Injecting BoNTA Near Mouth
BoNTA Side Effects With Mouth Frown Treatment
Case Study: BoNTA Injection for Mouth Frown
BoNTA Injection for Mouth Frown
Results of BoNTA Injection for Mouth Frown
Injectables for Mouth Frown: Minimizing Risk of Complications
Treating Mouth Frown: Summary
Trends in Minimally Invasive Cosmetic Procedures
Trends in Minimally Invasive Cosmetic Procedures (Cont)
Top 5 Minimally Invasive Cosmetic Procedures in 2006
Top 5 Minimally Invasive Cosmetic Procedures (Female) in 2006
Top 5 Minimally Invasive Cosmetic Procedures (Male) in 2006
Minimally Invasive Cosmetic Procedures in 2006: Age Distribution
Current Trends in Cosmetic Procedures
Percent Change in Minimally Invasive Cosmetic Procedures Performed: 2006 vs 2000
Percent Change in Minimally Invasive Cosmetic Procedures: 2006 vs 2005
Other Injectables
Summary of Trends in Minimally Invasive Cosmetic Procedures
Injectable Cosmetic Treatments
Frown Line Treatments
BoNTA Injection for Deep Frown Lines
Results of BoNTA Injection Alone for Deep Frown Lines
Addition of NASHA Injection to BoNTA for Deep Frown Lines
Addition of NASHA Injection to BoNTA for Deep Frown Lines
Results of Combination BoNTA and NASHA Injections for Frown Lines
Comparisons at Stages of Treatment for Frown Lines
Results of Combination BoNTA and NASHA Injections for Frown Lines
BoNTA and Hyaluronic Acid: Adverse Events
Treatment Options for Hyperhidrosis
BoNTA for Hyperhidrosis
Clinical Efficacy of BoNTA in the Treatment of Hyperhidrosis
Minor’s Iodine Starch Test for Hyperhidrosis
Frequency of BoNTA Injection in Treating Hyperhidrosis
Treatment Algorithm for Axillary Hyperhidrosis
Treatment Algorithm for Palmar (Hand) Hyperhidrosis
Case Study: Axillary Hyperhidrosis
Case Study: Palmar Hyperhidrosis
Management of Craniofacial Hyperhidrosis
Plantar (Foot) Hyperhidrosis
Hyperhidrosis: Summary
Lower Facial Muscles Commonly Injected With BoNTA
Melomental Folds Treatment
Melomental Folds Treatment (Cont)
Mental Crease Treatment
Peau d’Orange Chin Treatment
Smile Lines Treatment
Upper Gum Show Treatment
Necklace Lines Treatment
Vertical Platysmal Bands Treatment
Side Effects of BoNTA Injection
Complications of BoNTA Injections Around the Mouth
Limiting BoNTA Complications
BoNTA Combined With IPL or Laser Treatment
Eyebrow Height Following 10 U BTX-A to the Glabella
Eyebrow Height Following 20 U BTX-A to the Glabella
Eyebrow Height Following 30 U BTX-A to the Glabella
Eyebrow Height Following 40 U BTX-A to the Glabella
Botulinum Toxin Type A for Primary Axillary Hyperhidrosis: Improvement in HDSS Scores
Botulinum Toxin Type A for Primary Axillary Hyperhidrosis: Improvement in Axillary Sweat Production
Botulinum Toxin Type A for Primary Axillary Hyperhidrosis: Effect on HRQOL
Clinical Efficacy of Reconstituted Versus Fresh BoNTA for External Canthus Dynamic Rhytides
Clinical Efficacy of Reconstituted Versus Fresh BoNTA: Neuroconduction Study Results
Clinical Efficacy of Reconstituted Versus Fresh BoNTA: Neuroconduction Study Results
Botulinum Toxin Type A and IPL Vs IPL Alone for Rhytides, Fine Lines

Dermal Fillers

Tear Trough Treatments
Injectable Treatments for Tear Trough
Hyaluronic Acid
Available Hyaluronic Acid Products
Injection of Hyaluronic Acid
Example of Tear Trough Depression and Treatment With Dermal Filler Injection
Autologous Fat Graft Injection for Tear Trough
Fat Injections for Tear Trough: Adverse Events and Other Considerations
Injections vs Surgery for Tear Trough Deformity
Injectable Treatments for Mouth Frown
NASHA Injection Technique for Mouth Frown
Mouth Frown: NASHA Expected Side Effects
NASHA Injection for Mouth Frown
Case Study: NASHA Injection Results
Injectables for Mouth Frown: Minimizing Risk of Complications
Treating Mouth Frown: Summary
Trends in Minimally Invasive Cosmetic Procedures
Trends in Minimally Invasive Cosmetic Procedures (Cont)
Top 5 Minimally Invasive Cosmetic Procedures in 2006
Top 5 Minimally Invasive Cosmetic Procedures (Female) in 2006
Top 5 Minimally Invasive Cosmetic Procedures (Male) in 2006
Minimally Invasive Cosmetic Procedures in 2006: Age Distribution
Current Trends in Cosmetic Procedures
Percent Change in Minimally Invasive Cosmetic Procedures Performed: 2006 vs 2000
Percent Change in Minimally Invasive Cosmetic Procedures: 2006 vs 2005
Hyaluronic Acid–Based Soft Tissue Fillers
Other Injectables
Summary of Trends in Minimally Invasive Cosmetic Procedures
Injectable Cosmetic Treatments
Hyaluronic Acid
Available Hyaluronic Acid Products
Injection of Hyaluronic Acid
Case Study: Woman With Frown Lines
Case Study: Woman With Frown Lines—Baseline Appearance
Frown Line Treatments
Addition of NASHA Injection to BoNTA for Deep Frown Lines
Addition of NASHA Injection to BoNTA for Deep Frown Lines
Results of Combination BoNTA and NASHA Injections for Frown Lines
Comparisons at Stages of Treatment for Frown Lines
Results of Combination BoNTA and NASHA Injections for Frown Lines
BoNTA and Hyaluronic Acid: Adverse Events
Minor’s Iodine Starch Test for Hyperhidrosis
Frequency of BoNTA Injection in Treating Hyperhidrosis
Tap-Water Iontophoresis for Palmar Hyperhidrosis
Endoscopic Thoracic Sympathectomy for Hyperhidrosis
Endoscopic Thoracic Sympathectomy Outcomes for Hyperhidrosis
Case Study: Palmar Hyperhidrosis
Injectable Cosmetic Treatments for Lower Face Indications
Melomental Folds Treatment
Lip Augmentation
Dermal Filler Injections: Cross-Linked Hyaluronic Acid
Cross-Linked Hyaluronic Acid Injections Stimulate Collagen Synthesis
Proposed Mechanism for Stimulation of Collagen Synthesis by NASHA Dermal Filler Injections
Hyaluronic Acid Versus Bovine Collagen for Nasolabial Folds
Mean Improvement from Baseline: Investigators’ Assessment
Mean Improvement from Baseline: Patients’ Assessment
NASHA Versus Porcine Collagen for Nasolabial Folds
Wrinkle Scale After Optimal Cosmetic Correction
Injectable Filler Safety Study: Time to Appearance of Adverse Reactions
Injectable Filler Safety Study: Frequency and Severity of Adverse Events for Fillers
NASHA: Effects on Skin Elasticity
NASHA: Effects on Skin Surface Roughness
PMMA: Complications From 32 Cases
Soft Tissue Augmentation of Dorsal Hands: Hyaluronic Acid Vs Collagen (1 of 3)
Soft Tissue Augmentation of Dorsal Hands: Hyaluronic Acid Vs Collagen (2 of 3)
Soft Tissue Augmentation of Dorsal Hands: Hyaluronic Acid Vs Collagen (3 of 3)
Nasolabial Fold Correction With NASHA: Two Retreatment Schedules (1 of 3)
Nasolabial Fold Correction With NASHA: Two Retreatment Schedules (2 of 3)
Nasolabial Fold Correction With NASHA Gel: Two Retreatment Schedules (3 of 3)
Calcium Hydroxylapatite for HIV-Associated Facial Lipoatrophy: GAIS Improvement
Calcium Hydroxylapatite for HIV-Associated Facial Lipoatrophy: Cheek Thickness
Poly-L-Lactic Acid for HIV-Associated Facial Lipoatrophy HIV-Positive Patients Years 2 Vs 3
Poly-L-Lactic Acid for HIV-Associated Facial Lipoatrophy HIV-Negative Patients Years 2 Vs 3

IPL/Laser Treatments

Cosmetic Procedures: How Common Are Complications?
Cosmetic Procedures: How Common Are Complications? (Cont)
Complications from Cosmetic Procedures
Complications From Cosmetic Procedures (Cont)
Trends in Minimally Invasive Cosmetic Procedures
Trends in Minimally Invasive Cosmetic Procedures (Cont)
Top 5 Minimally Invasive Cosmetic Procedures in 2006
Top 5 Minimally Invasive Cosmetic Procedures (Female) in 2006
Top 5 Minimally Invasive Cosmetic Procedures (Male) in 2006
Minimally Invasive Cosmetic Procedures in 2006: Age Distribution
Current Trends in Cosmetic Procedures
Percent Change in Minimally Invasive Cosmetic Procedures Performed: 2006 vs 2000
Percent Change in Minimally Invasive Cosmetic Procedures: 2006 vs 2005
Minimally Invasive Cosmetic Laser Procedures
Summary of Trends in Minimally Invasive Cosmetic Procedures
Smile Lines Treatment
IPL vs Laser
Individualized Therapy With IPL
IPL Systems in Current Use
Intense Pulsed Light Procedure
Benefits of IPL Rejuvenation
Telangiectasias
Broken Capillaries (Face)
Vascular and Pigmented Sun Damage
IPL Rejuvenation: Procedure
Classification Systems
Photorejuvenation: Clinical Efficacy
Photorejuvenation: Clinical Efficacy (Cont)
Advantages of IPL Therapy
Patient Counseling Before IPL
BoNTA Combined With IPL or Laser Treatment
Photorejuvenation Using 20% 5-ALA and IPL
Port-Wine Stains
Redarkening of Port-Wine Stains 10 Years After Pulsed-Dye Laser Therapy
Changes in Port-Wine Stains at Long-Term Follow-Up Study After PDL
Pulsed-Dye Laser Therapy for Port-Wine Stains
Erythema After Er:YAG Laser Skin Resurfacing
Duration of Erythema After Er:YAG Laser Skin Resurfacing
Duration of Erythema and Incidence of Hypo-, Hyperpigmentation After Er:YAG Laser Skin Resurfacing
Botulinum Toxin Type A and IPL Vs IPL Alone for Rhytides, Fine Lines

Other Treatments

Injectable Treatments for Tear Trough
Top 5 Minimally Invasive Cosmetic Procedures in 2006
Top 5 Minimally Invasive Cosmetic Procedures (Female) in 2006
Top 5 Minimally Invasive Cosmetic Procedures (Male) in 2006
Minimally Invasive Cosmetic Procedures in 2006: Age Distribution
Current Trends in Cosmetic Procedures
Percent Change in Minimally Invasive Cosmetic Procedures Performed: 2006 vs 2000
Percent Change in Minimally Invasive Cosmetic Procedures: 2006 vs 2005
Treatment Options for Hyperhidrosis
Tap-Water Iontophoresis for Palmar Hyperhidrosis
Endoscopic Thoracic Sympathectomy for Hyperhidrosis
Endoscopic Thoracic Sympathectomy Outcomes for Hyperhidrosis

Surgical Techniques

Anatomy of Deep Deformity
Surgical Technique for Tear Trough: Fat Transposition
Fat Transposition for Tear Trough
Surgical Technique for Tear Trough: Septal Reset
Tear Trough Deformity Triad
Tear Trough Triad Deformity Correction
Injections vs Surgery for Tear Trough Deformity
Cosmetic Procedures: How Common Are Complications?
Cosmetic Procedures: How Common Are Complications? (Cont)
Current Trends in Cosmetic Procedures

Dermatologic Disorders

Case Study: NASHA Injection for Mouth Frown
What Is Hyperhidrosis?
Hyperhidrosis Is a Common Condition
Focal/Generalized Hyperhidrosis
Diagnosis of Primary Focal Hyperhidrosis
Pathophysiology of Primary Focal Hyperhidrosis
Heredity/Genetics and Hyperhidrosis
Treatment Options for Hyperhidrosis
Topical Agents for Hyperhidrosis
BoNTA for Hyperhidrosis
Clinical Efficacy of BoNTA in the Treatment of Hyperhidrosis
Treatment Algorithm for Axillary Hyperhidrosis
Treatment Algorithm for Palmar (Hand) Hyperhidrosis
Case Study: Axillary Hyperhidrosis
Management of Craniofacial Hyperhidrosis
Plantar (Foot) Hyperhidrosis
Hyperhidrosis: Summary

Guidelines

Counseling Patients on Avoiding Complications
Appropriate Training Is Critical
Defining the Practice of Medicine: ASDS Position
State Laws Regulating BoNTA Injection Not Routinely Monitored
Lack of Monitoring Leads to Unnecessary Complications
American Board of Plastic Surgeons: Certification Requirements
American Board of Dermatology: Certification Requirements
American Society of Plastic Surgical Nurses: Certification Requirements
Physicians May Delegate to Non-Physicians Under Supervision
Pros and Cons of Direct Supervision
Pros and Cons of Direct Supervision (Cont)
Risks from Procedures Performed by Physicians Certified in Other Specialties
Lack of Competency of Physicians Trained in Other Specialties

Patient Education

Counseling Patients on Avoiding Complications
Appropriate Training Is Critical
Defining the Practice of Medicine: ASDS Position
State Laws Regulating BoNTA Injection Not Routinely Monitored
Lack of Monitoring Leads to Unnecessary Complications
American Board of Plastic Surgeons: Certification Requirements
American Board of Dermatology: Certification Requirements
American Society of Plastic Surgical Nurses: Certification Requirements
Physicians May Delegate to Non-Physicians Under Supervision
Pros and Cons of Direct Supervision
Pros and Cons of Direct Supervision (Cont)
Risks from Procedures Performed by Physicians Certified in Other Specialties
Lack of Competency of Physicians Trained in Other Specialties
Consumer Safety Tips
Consumer Safety Tips (Cont)
ASDS Patient Safety Advice
Patients Need to Be Wary of Certain “Red Flags” When Choosing Providers
Patient Counseling Before IPL
 


Case Studies


Tailoring Treatments for Tear Trough Deformity

Anatomy of Tear Trough
Tear Trough Deformity
Tear Trough Grading System
Tear Trough Treatments
Injectable Treatments for Tear Trough
Hyaluronic Acid
Available Hyaluronic Acid Products
Injection of Hyaluronic Acid
Case Study: Treating Moderate Tear Trough
Case Study: Treating Moderate Tear Trough (Cont)
Case Study: Results of Dermal Filler Injection for Tear Trough
Example of Tear Trough Depression and Treatment With Dermal Filler Injection
Case Study: NASHA Injection for Tear Trough Adverse Events
Autologous Fat Graft Injection for Tear Trough
Fat Injections for Tear Trough: Adverse Events and Other Considerations
Anatomy of Deep Deformity
Surgical Technique for Tear Trough: Fat Transposition
Fat Transposition for Tear Trough
Surgical Technique for Tear Trough: Septal Reset
Tear Trough Deformity Triad
Tear Trough Triad Deformity Correction
Injections vs Surgery for Tear Trough Deformity

Cosmetic Procedures: How to Guide Patients in Selecting Treatment Providers

Cosmetic Procedures: How Common Are Complications?
Cosmetic Procedures: How Common Are Complications? (Cont)
Complications from Cosmetic Procedures
Complications From Cosmetic Procedures (Cont)
Counseling Patients on Avoiding Complications
Appropriate Training Is Critical
Defining the Practice of Medicine: ASDS Position
State Laws Regulating BoNTA Injection Not Routinely Monitored
Lack of Monitoring Leads to Unnecessary Complications
American Board of Plastic Surgeons: Certification Requirements
American Board of Dermatology: Certification Requirements
American Society of Plastic Surgical Nurses: Certification Requirements
Physicians May Delegate to Non-Physicians Under Supervision
Pros and Cons of Direct Supervision
Pros and Cons of Direct Supervision (Cont)
Risks from Procedures Performed by Physicians Certified in Other Specialties
Lack of Competency of Physicians Trained in Other Specialties
Consumer Safety Tips
Consumer Safety Tips (Cont)
ASDS Patient Safety Advice
Patients Need to Be Wary of Certain “Red Flags” When Choosing Providers

Injectable Treatments for Mouth Frown

Mouth Frown Characteristics
Mouth Frown Characteristics (Cont)
Injectable Treatments for Mouth Frown
BoNTA Injection Technique for Mouth Frown
BoNTA Injection Technique for Mouth Frown (Cont)
Use Caution When Injecting BoNTA Near Mouth
BoNTA Side Effects With Mouth Frown Treatment
Case Study: BoNTA Injection for Mouth Frown
BoNTA Injection for Mouth Frown
Results of BoNTA Injection for Mouth Frown
NASHA Injection Technique for Mouth Frown
Mouth Frown: NASHA Expected Side Effects
Case Study: NASHA Injection for Mouth Frown
NASHA Injection for Mouth Frown
Case Study: NASHA Injection Results
Injectables for Mouth Frown: Minimizing Risk of Complications
Treating Mouth Frown: Summary

Current Trends in Minimally Invasive Cosmetic Procedures

The Aging US Population
Projected US Population Figures
Trends in Minimally Invasive Cosmetic Procedures
Trends in Minimally Invasive Cosmetic Procedures (Cont)
Top 5 Minimally Invasive Cosmetic Procedures in 2006
Top 5 Minimally Invasive Cosmetic Procedures (Female) in 2006
Top 5 Minimally Invasive Cosmetic Procedures (Male) in 2006
Minimally Invasive Cosmetic Procedures in 2006: Age Distribution
Current Trends in Cosmetic Procedures
Percent Change in Minimally Invasive Cosmetic Procedures Performed: 2006 vs 2000
Percent Change in Minimally Invasive Cosmetic Procedures: 2006 vs 2005
Hyaluronic Acid–Based Soft Tissue Fillers
Other Injectables
Minimally Invasive Cosmetic Laser Procedures
Summary of Trends in Minimally Invasive Cosmetic Procedures

Facial Enhancement With Hyaluronic Acid Fillers

Injectable Cosmetic Treatments
Hyaluronic Acid
Available Hyaluronic Acid Products
Injection of Hyaluronic Acid
Case Study: Woman With Frown Lines
Case Study: Woman With Frown Lines—Baseline Appearance
Frown Line Treatments
BoNTA Injection for Deep Frown Lines
Results of BoNTA Injection Alone for Deep Frown Lines
Addition of NASHA Injection to BoNTA for Deep Frown Lines
Addition of NASHA Injection to BoNTA for Deep Frown Lines
Results of Combination BoNTA and NASHA Injections for Frown Lines
Comparisons at Stages of Treatment for Frown Lines
Results of Combination BoNTA and NASHA Injections for Frown Lines
BoNTA and Hyaluronic Acid: Adverse Events

Using Botulinum Toxin A for the Treatment of Hyperhidrosis

What Is Hyperhidrosis?
Hyperhidrosis Is a Common Condition
Focal/Generalized Hyperhidrosis
Diagnosis of Primary Focal Hyperhidrosis
Pathophysiology of Primary Focal Hyperhidrosis
Heredity/Genetics and Hyperhidrosis
Treatment Options for Hyperhidrosis
Topical Agents for Hyperhidrosis
BoNTA for Hyperhidrosis
Clinical Efficacy of BoNTA in the Treatment of Hyperhidrosis
Minor’s Iodine Starch Test for Hyperhidrosis
Frequency of BoNTA Injection in Treating Hyperhidrosis
Tap-Water Iontophoresis for Palmar Hyperhidrosis
Endoscopic Thoracic Sympathectomy for Hyperhidrosis
Endoscopic Thoracic Sympathectomy Outcomes for Hyperhidrosis
Treatment Algorithm for Axillary Hyperhidrosis
Treatment Algorithm for Palmar (Hand) Hyperhidrosis
Case Study: Axillary Hyperhidrosis
Case Study: Palmar Hyperhidrosis
Management of Craniofacial Hyperhidrosis
Plantar (Foot) Hyperhidrosis
Hyperhidrosis: Summary

Injectable Enhancement of the Lower Face

Lower Face Indications for Injectable Cosmetic Treatment
Injectable Cosmetic Treatments for Lower Face Indications
Lower Facial Muscles Commonly Injected With BoNTA
Melomental Folds
Melomental Folds Treatment
Melomental Folds Treatment (Cont)
Mental Crease
Mental Crease Treatment
Peau d’Orange Chin
Peau d’Orange Chin Treatment
Smile Lines
Smile Lines Treatment
Upper Gum Show
Upper Gum Show Treatment
Thin Lips
Lip Augmentation
Necklace Lines
Necklace Lines Treatment
Vertical Platysmal Bands
Vertical Platysmal Bands Treatment
Side Effects of BoNTA Injection
Complications of BoNTA Injections Around the Mouth
Limiting BoNTA Complications

Intense Pulsed Light in Photorejuvenation

Signs of Photoaging
Mechanisms of Photoaging
IPL vs Laser
Individualized Therapy With IPL
IPL Systems in Current Use
Intense Pulsed Light Procedure
Benefits of IPL Rejuvenation
Telangiectasias
Broken Capillaries (Face)
Vascular and Pigmented Sun Damage
IPL Rejuvenation: Procedure
Glogau Wrinkle Scale
Glogau Skin Aging Classification
Fitzpatrick Classification System
Photorejuvenation: Clinical Efficacy
Photorejuvenation: Clinical Efficacy (Cont)
Advantages of IPL Therapy
Patient Counseling Before IPL
BoNTA Combined With IPL or Laser Treatment
Photorejuvenation Using 20% 5-ALA and IPL