Treatment Plan

Clinician Specialty: Aesthetic Clinician (though managed by a Practice Manager for administrative purposes) "Prices Valid Up Until 2 Months After Initial Consultation" "All Consults Who Do Not Elect To Have Treatment Within 6 Months Of Consultation Will Need To Be Consulted Again – Fee Will Apply" Date Of Consultation: 01/11/2024 Patient Name: Ms. Eleanor Vance Drs Name: Dr. Amelia Hayes Medical History/Medication Reviewed: Patient's medical history reviewed; no contraindications noted. Currently on daily multivitamin. No known allergies. Areas Of Concern/Presenting Complaint: Patient expresses concern regarding fine lines around eyes (crow's feet) and forehead wrinkles. Desires a refreshed and smoother appearance. Treatment Plan: Proposed treatment includes a combination of botulinum toxin injections for dynamic wrinkles and hyaluronic acid dermal fillers for subtle volume enhancement in the mid-face to address early signs of volume loss. Risks And Benefits: Risks discussed include temporary bruising, swelling, redness, asymmetry, and rare possibility of infection or allergic reaction. Benefits include reduction of fine lines and wrinkles, improved skin smoothness, and a more youthful appearance. Informed consent obtained. Recovery Period: Minimal downtime expected. Patients typically resume normal activities immediately, though strenuous exercise should be avoided for 24-48 hours. Bruising and swelling usually subside within 3-7 days. Detailed post-care instructions provided verbally and in writing. Expectations Discussed: Patient expects a natural-looking result, not a 'frozen' appearance. Understands that full effects of botulinum toxin will be visible within 7-14 days and dermal filler results are immediate but may have initial swelling. Agreed upon realistic outcomes. Costs Of Each Treatment: Botulinum Toxin (forehead & crow's feet): £350 Dermal Filler (cheeks): £450 Length Of Time Between Treatments: Botulinum toxin touch-up (if needed): 2 weeks post-initial treatment. Repeat treatment: every 3-4 months. Dermal filler repeat treatment: every 9-12 months. Total Cost: £800 Leaflets Provided: Information leaflets on Botulinum Toxin and Dermal Fillers, including pre-care and post-care instructions, were provided. Before And Aftercare Provided: Before-care: Avoid alcohol, aspirin, and anti-inflammatory medication for 48 hours prior. After-care: Avoid rubbing treated areas, strenuous exercise for 24-48 hours, excessive heat, and alcohol for 24 hours. Specific instructions for bruising management. Presenting Complaint: Desire for reduction of periorbital and glabellar lines, and subtle mid-face volume restoration. Diagnosis: Dynamic rhytids (forehead, glabellar, lateral canthal), early mid-face volume depletion. Any Concerns/Reactions After Treatment: No immediate concerns or reactions noted post-treatment during the observation period. Patient tolerated the procedure well. Lot: Botulinum Toxin: BTX-A-45678; Dermal Filler: HA-VLM-98765 Expiry: Botulinum Toxin: 15/05/2026; Dermal Filler: 20/11/2025 Dilution: Botulinum Toxin: 2.5ml 0.9% NaCl per 100 units Needle: Botulinum Toxin: 30G 1/2 inch; Dermal Filler: 27G 1 inch Cannula: Dermal Filler: 25G 50mm (for cheek augmentation) Expectations: Patient expects natural rejuvenation, reduction of visible lines, and a refreshed appearance without looking 'done'. Follow Up Plan: Follow-up appointment scheduled for 15/11/2024 to assess botulinum toxin results and address any concerns. Signed By Dr: Confirmed