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Risks of dermal filler injections
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Dermal Filler Documentation
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Does patient have history of HSV?
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Filler Type
• • •
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Location and amount used
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Injection site
• • •
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Other injection site:
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Lot # / Expiration Date
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Additional notes
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Ice given?
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Anesthetic used
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Post Procedure Bruising or Swelling?
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Tolerated well (patient name)
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