Consultation
Meeting of the minds
SOAP
S- Subjective What to they think/want
O-Objective You tell them what you see based on the comments they mentioned to you
A-Assessment Feedback based on the first two steps
P- plan of attack and protocol time cost etc,
Write down notes explicitly Color written down win the respect of intelligent persons definition of success
greatest asset -The Medical Community
Whats relative
turn away those Pt who you do not feel comfortable
Determine first thing you see
Inventory-scan
happy with size of lips?
Anticipated Augmentation
Do lip color first
Augmentation -with collagen Juvaderm Hylauronic acid
Implants -Silicone
PTFE- Advanta feel lines marshmellos vascular-grafting 50 years 3ml-6ml spagetti noodles
Pre-Instruction
prep tissue exfoilstion hydration
laser hair removal before
Avoid caffiene vaso dialates and nerve stimulation
Chemotherapy
Long wearing lipsticks off for 2 weeks
St.Johns Wart
Chemo therapy
Indications for Meds Zovoirax RX or other 7day pre-op
Herpes must clear with physician
Mutro-valve prolapse
prosthetic values
Clinical Aspect for Drawing
Procedure -
mask gloves No matter what
alcohol perp-draft prior to drawing
Sani cloth wipe pen
measurement
Pigment cap makeup remover wipe
Sanitizing hand wipes
Tray Covers
Bib covers
LIPS artistic implanting natural lip look
closely matches existing lip color requires 3 visits discuss upfront
clearly ID center of Upper lip Lip center even center of cupids bow
assess Symmetry proportion top to bottom
Horizontal Lines
Maximize size of lips without violating rVermillion Border
consider Nasio labial folds
Document Implantation plan include freckles
Line and shade more fuller lip illusion of purtrusion
lighter shade in the center Subtle like light is bouncing leave pouting area open
1.canvas 20min pre numb
2. base is always blue ` consider the fitz scale minimum insurance fitz 1-2
Fit 3-4 alittle more 5- More insurance 6 not avail for lip procedure
BEWARE of Titanium - white swirl can cause Granulomas difficult pigment to mix well
STRETCH STRETCH STRETCH 5 section top 3 section bottom
pre-numb All work performed from one side
Index finger wrapped in gauze hold grip on tissue alternate top and bottom
trace top -open tissue 2nd topical bottom lip fill in color
3rd pass go over it again
DO NOT GO OUTSIDE THE VERMILLION BORDER past lip white def line dilute do render lines smile at rest
less is best can always add more
Post procedure - put 11 2x2 gauze in regrigerate 4x 1st hour 3x 2ndhour 2x 3rd hour 1x 4th hour
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