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Microneedling Pretreatment
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Pretreatment education and consent done
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Photographs taken
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skin cleansed
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Anesthetic applied
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Number of minutes anesthetic cream on skin
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Skin cleaned with alcohol or witch hazel?
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Face Microneedling
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Forehead number of passes
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Forehead Max depth mm
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Temples number of passes
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Temples Max depth mm
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Crows Feet number of passes
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Crow's Feet max depth mm
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Under Eye number of passes
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Under Eye max depth mm
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Cheeks number of passes
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Cheek max depth mm
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Jawline number of passes
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Jawline max depth mm
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Tolerated Procedure
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Clinical endpoint Erythema noted
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Sunscreen stressed
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Post treatment instructions given
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Neck Microneedling
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Submentum number of passes
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Submentum max depth mm
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Trachea avoided
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Neck number of passes
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Neck max depth mm
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Tolerated procedure
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Clinical endpoint erythema noted
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Sunscreen stressed
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Post treatment instructions given
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Body Areas Microneedling
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Chest number of passes
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Chest max depth mm
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Abdomen number of passes
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Abdomen max depth mm
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Upper Arm number of passes
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Upper Arms max depth mm
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Thigh number of passes
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Thigh max depth mm
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Tolerated procedure
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Clinical endpoint erythema noted
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Post treatment instructions given
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Sunscreen stressed
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