botox – assessment process

Dr Singh who runs his botox clinic in Stevenage, Hertfordshire, in his latest blog shows the templates he uses when carrying out an assessment for anyone interested in botox or dermal fillers treatments.

 

TREATMENT PROTOCOL

 

PATIENTS NAME…………………………………………………DATE…………………….

 

 

INITIAL CHAT

 

CHECK MEDICAL HISTORY

 

HOW CAN I HELP  – regarding botox/dermal fillers

 

 

WHAT IS IT ABOUT THIS THAT BOTHERS YOU

 

 

HOW LONG BOTHERED YOU AND WHY NOW

 

 

WHAT HOPING TO ACHIVE FROM THIS

 

 

ANY OTHER CONCERNS

 

 

CHECK TREATMENT MENU QUESTIONNAIRE

 

HAD BOTOX/DERMAL FILLERS TREATMENT DONE ELSEWHERE

 

 

PHOTO WITH I PAD

 

FULL FACE ASSESSMENT USING PHOTO AND FORM

 

DISCUSS TREATMENTS

 

 

PHOTOS WITH PROPER CAMERA/CONSENT

 

TREATMENT – HEADBAND/HIRBISCRUB/MARKINGS/PHOTOS

 

FILM PROCEDURE – IF NEEDED

 

POST KIT/FREE REPORT/FLYERS/POST OP/REFERRALS

 

 

VIDEO TESTIMONIAL

 

 

FULL FACE ASSESSMENT

 

PATIENTS NAME…………………………………………………DATE…………………….

 

 

UPPER THIRD  

 

FOREHEAD

 

FROWN

 

EYES

 

BUNNY LINES

 

 

 

MID THIRD 

 

 

TEAR TROUGH

 

CHEEKS

 

 

 

LOWER THIRD

 

NASO LABIAL FOLDS

 

MARIONETTE

 

LIPS – BODY

 

LIPS –  BORDERS

 

SMOKERS LINES

 

ORAL COMISSURES

 

JAWLINE

 

 

SKIN REJUVEANTION

 

INJECTABLES = FRAME

 

SKIN = CANVASS

 

 

For more information about botox hertfordshire, please call us on 01438 300111.