The combination of BoNT-A (s.U) and HA fillers results in high patient satisfaction and in an overall improvement of aesthetic outcomes and quality of life.
Objective
To describe the development and validation of the 5-grade photographic IBSA Neck Laxity Scale.
Methods
The scale was developed from 2 real images, which led to the creation of 5 morphed images, representing different degrees of severity of laxity of the neck. For validation, a set of 50 images (25 real and 25 morphed) was created and sent for evaluation to 6 trained raters (physicians) in 2 rounds, 1 month apart. Raters had to assess each image according to the 5-image scale. Inter-rater and intra-rater reliability in both rounds was evaluated.
Results
As to intra-rater reliability, single rater kappa scores between 0.69 and 0.87, and a global kappa score of 0.78 were observed. Inter-rater agreement was measured by means of the intra-class correlation coefficient and scores higher than 0.85 were reported, indicating excellent reliability.
Conclusion
IBSA Neck Laxity Scale is a validated and reliable scale.
Alluzience (abobotulinumtoxinA RTU, Galderma; Lausanne, Switzerland) is the first ready to use (RTU) botulinum toxin-type A liquid solution approved for the treatment of glabellar lines in Europe. In this article, the authors provide consensus recommendations on the aesthetic usage of abobotulinumtoxinA RTU. Members of the International Board on Alluzience (IBA) convened to develop consensus on the treatment of glabellar lines as well as other facial wrinkles based on their own extensive experience. Consensus recommendations were developed to provide practical guidelines for injection of abobotulinumtoxinA RTU. General guidance on proper assessment, treatment planning, and patient education is provided, as well as specific injection guidelines per indication. Indications covered include glabellar lines, crow’s feet, horizontal forehead lines, lateral eyebrow lift, lower eyelid wrinkles, bunny lines, drooping nasal tip, perioral wrinkles, drooping mouth corners, masseter hypertrophy, hollow cheek lines, dimpled chin, and platysmal bands. These guidelines provide a practical framework to support routine injection of facial muscles with Alluzience.
Advancements in the manufacturing of dermal fillers, the development of improved injection techniques, and the adoption of a global approach to facial rejuvenation have all contributed to enhanced patient outcomes and higher patient satisfaction. Achieving optimal volume restoration and facial contouring to restore patients' features and create a more youthful appearance depends on the correction of deficiencies in various anatomical regions of the face. Aesthetic practitioners must use a three-dimensional approach to produce natural results for their patients. In this article, the use of hyaluronic acid (HA) dermal fillers for facial rejuvenation and volume restoration is discussed in depth. Key considerations for patient assessment and treatment planning are explored. Three case studies of mid-facial volume loss corrected with HA dermal fillers are described, with images to illustrate treatment outcomes.
Every sector caters to people with different needs, requiring business owners to know as much as possible about their target audience and make a concerted effort to not only meet, but exceed their expectations as well. In the first part of this new series for 2016, clinic managers from award-winning aesthetic practices share their views on the key ‘ingredients’ needed for running a successful business
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