|
Patient numbed for 30 minutes with topical BLT cream
|
|
|
Clarisonic used to cleanse face, and skin sterilized with alcohol swab
|
|
|
Microneedling device used
|
|
|
Treated Cheek and Chin with recommended settings (1.5mm-2.75mm)
|
|
|
Treated Cheek and Chin Outside of recommended settings
|
|
|
Reason
|
Depth
|
|
Treated Forehead, Upper Lip and Nose with recommended settings (.5mm-1.0mm)
|
|
|
Treated Forehead, Upper Lip and Nose Outside of recommended settings
|
|
|
Reason
|
Depth
|
|
Treated under eyebrow and lower eyelid with recommended settings (.25mm-.5mm)
|
|
|
Treated under eyebrow and lower eyelid Outside of recommended settings
|
|
|
Reason
|
Depth
|
|
Treated Neck and Chest with with recommended settings (.75mm-2.0mm)
|
|
|
Treated Neck and Chest with Outside of recommended settings
|
|
|
Reason
|
Depth
|
|
Number of Passes (2-4 recommended)
|
|
|
Treated outside the recommended number of passes
|
|
|
Number of passes used
|
|
|
Response
• • •
|
|
|
Did Complications occur during this treatment?
|
Describe the complication, and actions taken to treat it
|
|
PRP used
|
|
|
Number of red top vials drawn
|
CC’s of PRP used
|
|
Areas where PRP was applied
|
|
|
Tranexamic Acid used
|
Number of CC:s of tranexamic acid used
|
|
Time tranexamic acid was left on the skin
|
Areas where tranexamic acid was applied
|
|
Additional Notes
|
|
|
Follow up Recommendations
• • •
|
Follow-up for what date? (mm/yy)
/
|
