Botox consent
|
|
Botox Lot #
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Dysport Lot #
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Glabella
|
Units
|
Forehead
|
Units
|
Crows feet
|
Units
|
Procerus
|
Units
|
Mentalis
|
Units
|
Infrabrow
|
Units
|
Nasalis
|
Units
|
DAO's
|
Units
|
LLS
|
Units
|
upper lip
|
Units
|
Masseters
|
Units
|
Platysma bands
|
Units
|
Botox diagram
|
Other
|
Custom Vitals
|
New Free Draw
|