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How to Manage Botulinum Toxin Complications

How to Manage Botulinum Toxin Complications
Adverse events can happen in all medical procedures, and botulinum toxin is no exception. Complications for this procedure, however, tend to be short-lived. They are usually mild, so most patients can tolerate them; additionally, they are infrequent and can be attributed to injector inexperience. This article will attempt to elucidate some of the main complications of botulinum toxin injections and categorically arrange them. You will also be informed of the appropriate evidence-based management protocols for when these incidences occur. Common patient complaints and how to manage them Treatment expectation mismatch Complication: It is hard to quantify this issue, as it has extensive variability among patients. In essence, the treatment did not satisfy the patient’s expectations. Usually, patients notice their wrinkles to be either over- or under-corrected. Management: Do not underestimate the leverage of an adequately conducted consultation process. ...

The Effects of Smoking on the Skin: 5 Minute Read

The Effects of Smoking on the Skin: 5 Minute Read
The aging process is influenced by both internal and external factors. Given that the internal aging process largely stems from telomere shortening, which cannot be modified, the main focus has shifted towards preventing and even treating external factors that contribute to aging. Patients and practitioners alike pay significant attention towards the skin structure and appearance, and a growing concern for both of these groups has been the effects of smoking on the skin. Cigarette smoking remains one of the leading mortality risk factors, as they are responsible for almost one in five deaths in the United States alone. Smoking virtually affects all of the organ systems, and its effect are particularly apparent in the skin. As a skin expert, you must be well-versed in the dermal effects of smoking and be clear regarding your role in the context of medical and cosmetic skin health. How is smoking related to aging? The links between smoking and rhytids were initially descr ...

Monovisc vs Synvisc: The Better Osteoarthritis Treatment

Monovisc vs Synvisc: The Better Osteoarthritis Treatment
Osteoarthritis is a degenerative, multifactorial condition that affects the joint, particularly the knee joint. Affecting more than 27 million adults in the United States alone, osteoarthrosis is the most prevalent type of arthritis. Osteoarthritis is progressive in nature, which means its symptoms are likely to worsen over time. Eventually, patients may find it hard to perform daily activities such as walking and climbing stairs. In severe cases, patients may even have difficulty standing. Currently the major treatment modalities for osteoarthritis are pharmacotherapies (e.g. acetaminophen, narcotics, nonsteroidal anti-inflammatory agents and corticosteroids), exercise, and physical therapy. Removing excess joint fluid and avoiding known triggers of knee pain (e.g. physical activities) may also help to alleviate osteoarthritis. Additionally, viscosupplements such as Monovisc and Synvisc are frequently used as second-line treatments for patients who do not respond ...