Căng-da-mặt-bằng-chỉ-Tiêm-botox

Mục Lục
Phần I: Tại sao kỹ thuật sửa chữa lại quan trọng ?

1 Định nghĩa Thuật Ngữ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2


1.1 Điểm cố định . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2


1.2 Hướng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2


1.3 Điểm treo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

2 Tầm quan trọng của điểm cố định . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

3 Hình thành điểm cố định trong kỹ thuật nâng chỉ là gì? . . . . . . . . . . . . . . . . . . . . . . . . .8


3.1 Phương pháp tạo điểm cố định . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Phần II Giải phẫu vùng mặt cho nâng chỉ không phẫu thuật

4 Giải phẫu cho nâng chỉ tự tiêu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16


4.1 Các lớp của mặt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16


4.1.1 Da . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16


4.1.2 Lớp mỡ nông . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16


4.1.3 Lớp cân - cơ/ SMAS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16


4.1.4 Lớp mỡ sâu. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17


4.1.5 Cân sâu... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . ..17


4.2 Các lớp của vùng trung tâm trên xác . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22


4.3 Cấu trúc giải phẫu có thể bị ảnh hưởng trong quá trình nâng chỉ . . . . . . . . . . . .25


4.3.1 Mạch máu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25


4.3.2 Dây thần kinh . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28


4.3.3 Ống tuyến mang tai . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Phần III Kỹ thuật cho từng vùng

5 Trán (nông mày) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30


5.1 Phương pháp cố định đơn giản . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32


5.2 Phương pháp X-Cross . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34


5.3 Phương pháp neo cố định . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

6 Nếp nhăn quanh mắt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36


6.1 Tóm tắt vùng nâng mắt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36


6.1.1 Vùng nâng mắt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .36


6.2 Giải phẫu vùng mắt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36


6.2.1 Giải phẫu học . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36


6.3 Các kỹ thuật nào có thể sử dụng ở vùng mắt .. . . . . . . . . . . . . . . . . . . . . . . . .. . .......37


6.3.1 Điều kiện đầu tiên để bọc tách dung dịch Tumescent. . . . . . . . . . . . . . . . . . . . . .37


6.3.2 Phương pháp tạo điểm cố định ở vùng mắt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37


6.3.3 Phương pháp khâu buộc hoặc phương pháp đặt chỉ gai đơn giản. . . . . . . ......39


6.3.4 Phương pháp X-Cross. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .39


6.4 Cẩn thận. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39

7 V-Line (Mặt dưới). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. .. ...... 41

7.1 Phương pháp neo cố định cân. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....41


7.2 Phương pháp buộc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42


7.3 Phương pháp X-Cross.................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

8 Nếp gấp mũi - má............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ..45


8.1 Phương pháp neo cố định............ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45


8.2 Phương pháp cố định với các chỉ gai hai hướng......................... . . . . . . . . . .. . . . . .45

9 Đường Má-môi. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47


9.1 Kỹ thuật góc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49


9.2 Kỹ thuật hình dạng L (Kim’s Technique). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....49


9.3 Kỹ thuật neo cố định: Phương pháp kéo phía sauđường hàm . . . . . . . . . . . . .. . .49


9.3.1 Thiết kế. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49


9.4 Phương pháp bổ sung Tornado (chỉ gai xoắn) ............. . . . . . . . . . . . . . . . . . . . . .. . .49

10 Đường hàm (Cằm đôi) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52


10.1 Kỹ thuật vòng cổ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53


10.1.1 Thiết kế . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53


10.1.2 Làm một điểm cao . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53


10.1.3 Đặt chỉ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53


10.1.4 Lực kéo và cắt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . 54


10.1.5 Tác dụng phụ: Đau và lõm da . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .54


10.1.6 Lưu ý trong việc lựa chọn bệnh nhân . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54


10.1.7 Các yếu tố ảnh hưởng đến kết quả của kỹ thuật. . . . . . . . . . . . . . . . . . . . . .. . . . 54


10.2 Phương pháp neo cố định dưới tai(Kỹ thuật thông thường) ............. . . . . . . . . 59


10.3 Phương pháp kết hợp cổ: Đường má-môi. . . . . . .......... . . . . . . . . . . . . . . . . . . . . . . 59


10.4 Phương pháp buộc hoặc chôn đơn giản . .. ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59

11 Nếp nhăn cổ . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . 62


11.1 Phương pháp làm đầy nếp nhăn . . .. . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Phần IV: Đánh giá kết quả kỹ thuật................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64

12 Phương pháp đánh giá kết quả của nâng chỉ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

13 Đánh giá kết quả bằng hệ thống Morpheus®. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66


13.1 Mô phỏng bằng Morpheus® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...66


13.1.1 Mô phỏng kết quả. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .....66


13.1.2 Đánh giá kết quả . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66


13.1.3 Giải thích kết quả . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ..66


13.2 Đánh giá ảnh trước và sau khisử dụng Morpheus® . . ... .. . . . . . . . . . . . . . . . . . 68


13.3 Tiềm năng và tương lại của hệ thống Morpheus® . . . .... . . . . . . . . . . . . . . . . . . .68


13.3.1 Sử dụng . . . . . . . . . . . ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

14 Sử dụng Morpheus®. . . . . . . . . ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Phần V: Tác dụng phụ và phương pháp điều trị............ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75

15 Không hài lòng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76


15.1 Bệnh nhân kỳ vọng không thực tế . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76


15.2 Những bệnh nhân khó thành công. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77


15.3 Giới hạn cấu trúc của sản phẩm chỉ nâng . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . 77


15.4 Vấn đề kỹ thuật của bác sĩ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .77

16 Cứng và đau . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78


16.1 Điểm để xác minh. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 78


16.2 Nguyên nhân của đau . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78


16.2.1 Nhiễm trùng nghi ngờ . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78


16.2.2 Kết quả đau do tụ máu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .... ... 78


16.2.3 Chỉ gai treo trong một vùng cụ thể. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .. ....79


16.2.4 Kích thích da bởi đầu của sợi chỉ gai . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79


16.3 Điều trị theo nguyên nhân đau.. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. .. .. .. ......79

17 Bầm tím và tụ máu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .80


17.1 Tổn thương của đám rối da do kim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80


17.1.1 Phương pháp phòng. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... .. 80


17.2 Chảy máu tại điểm vào . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .80


17.2.1 Phương pháp phòng. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .81


17.3 Chảy máu trên đường đặt Cannula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .. .81


17.3.1 Phương pháp phòng. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. ..81

18 Nếp gấp da . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .84


18.1 Những điều cần kiểm tra thông qua khám . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84


18.2 Nguyên nhân và giải pháp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84

19 Chỉ trồi lên khỏi da. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86


19.1 Trồi ra ngoài da . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87


19.2 Trồi trong miệng (Intraoral) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88


19.3 Loại chỉ sắp trồi ra (sắp xảy ra) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89

20 Chỉ di chuyển . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90


20.1 Loại chỉ không có gai . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90


20.2 Cắt không chính xác các loại chỉ gai hai hướng .. . . . . . . . . . . . . . . . . . . . . . . . . . .91


20.3 Phá vỡ các loại chỉ PDO do đã đặt thời gian lâu . . . . . . . . . . . . . . . . . . . . . . . . . . 92

21 Phồng lên tại điểm vào . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93


21.1 Vùng hay xảy ra . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93


21.2 Giải pháp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93


21.3 Phòng ngừa . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

22 Lõm da (vết lõm trên da) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95


22.1 Cơ chế hình thành lõm da . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95


22.1.1 Độ sâu không hằng định khi đặt chỉ gai . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97


22.1.2 Lõm chỗ cắt chỉ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98


22.1.3 Khi một số chỉ gai không treo hằng định trong lớp hạ bì...... . . . . . . . . . . .. . . .98


22.2 Loại lõm da tùy thuộc vào vùng....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98


22.2.1 Lõm da trên đường đi của chỉ.............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98


22.2.2 Ngăn ngừa lõm da . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101


22.2.3 Lõm da tại điểm vào (Kỹ thuật U:Phương pháp neo) . .. . . . . . . . . . . . . . .......102

23 Lõm Má . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104


23.1 Cấu trúc giải phẫu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104


23.2 Tầm quan trọng lâm sàng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106


23.3 Cẩn thận . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106


24 Liệt tạm thời thần kinh mặt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108


24.1 Nguyên nhân . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108


24.2 Đặc tính lâm sàng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108

24.3 Giải pháp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108

25 Nâng góc mắt ngoài lên cao quá . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...110


25.1 Nguyên nhân . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110


25.2 Giải pháp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 110


25.3 Phòng ngừa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110

26 Nhiễm trùng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112


26.1 Nâng và nhiễm trùng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112


26.2 Phòng chống nhiễm trùng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112


26.3 Điều trị . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

PHẦN VI: GIẢI PHẪU................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

PHẦN VII: GIỚI THIỆU CÁC KHÁI NIỆM CƠ BẢN...................... . . . . . . . . . . . . . . . . . . . . .122

PHẦN VIII: ĐIỀU TRỊ BOTULINUM TOXIN THEO VÙNG..................... . . . . . . . . . . . . . . .136


1. Nếp nhăn cau mày.................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137


2. Nếp nhăn trán - horizontal forehead lines..................... . . . . . . . . . . . . . . . . . . . . . . . 145


3. Nếp nhăn đuôi mắt (nếp nhăn chân chim)............................ . . . . . . . . . . . . . . . . . . . 152


4. Nếp nhăn mí mắt dưới........................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . 161


5. Nâng cung mày - eyebrow lift...................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170


6. Nếp nhăn thỏ - bunny lines....................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175


7. Nếp nhăn môi..................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180


8. Cười hở lợi (gummy smile)................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188


9. Nếp nhăn marionette.................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193


10. Cằm................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 201


11. Dải cơ cổ - neck bands..................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208


12. Tăng tiết mồ hôi nách.................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215


Phục lục 1: Bảng liều điều trị botulinum toxin ........... . . . . . . . . . . . . . . . . . . . . . . . . . . 220


Phục lục 2: Mẫu lấy thông tin điều trị ................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .222


Phục lục 3: Phiếu thông tin cho bệnh nhân .................... . . . . . . . . . . . . . . . . . . . . . . . . . 223


Phục lục 4: Phiếu đồng ý làm thủ tục........................... . . . . . . . . . . . . . . . . .. . . . . . . . . . . .224


Phục lục 5: Ghi chú thủ thuật ....................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....227


  

 



 
 


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