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
"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:
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Patient Name:
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Drs Name:
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Medical History/Medication Reviewed:
[Confirmation that the patient's medical history or medication list was reviewed] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Areas Of Concern/Presenting Complaint:
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Treatment Plan:
[Detailed outline of the proposed treatment plan, including procedures or interventions recommended] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Risks And Benefits:
[Comprehensive explanation of the potential risks and anticipated benefits associated with the proposed treatment plan] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Recovery Period:
[Description of the expected recovery period including duration and any post-treatment care instructions] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Expectations Discussed:
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Costs Of Each Treatment:
[Breakdown of the cost for each individual treatment component] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Length Of Time Between Treatments:
[Specified duration or intervals between treatment sessions] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Total Cost:
[Overall total cost of the treatment plan] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Leaflets Provided:
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Before And Aftercare Provided:
[Details of before-care and after-care instructions given to the patient] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Presenting Complaint:
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Diagnosis:
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Any Concerns/Reactions After Treatment:
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Lot:
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Expiry:
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Dilution:
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Needle:
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Cannula:
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Expectations:
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Follow Up Plan:
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Signed By Dr:
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