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By Goldman M.P. (Editor), Weiss R. (Editor)

Compiled by way of pro specialists within the box, this reference presents transparent suggestions at the simple rules, approaches, and problems keen on complicated dermatologic surgery-offering exact assurance of filling elements, fats move recommendations, and the most recent laser applied sciences.

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Plasma concentrations of prilocaine and lidocaine and methaemoglobin formation in infants after epicutaneous application of a 5% lidocaine-prilocaine cream (EMLA). Acta Anaestheiol Scand 1987; 31(7):624–628. 42. Eaglstein FN. Chemical injury to the eye from EMLA cream during erbium laser resurfacing. Derm Surg 1999; 25(7):590–591. 43. McKinlay JR, Hofmeister E, Ross EV, Mac Allister W. EMLA cream-induced eye injury. Arch Dermatol 1999; 135:855–856. 44. Brahma AK, Inkster C. Alkaline chemical ocular injury from EMLA cream.

12. Hopkins CS, Buckley CJ, Bush GH. Pain-free injection in infants. Use of a lignocaineprilocaine cream to prevent pain at intravenous induction of general anaesthesia in 1-5-year-old children. Anaesthesia 1988; 43:198–201. 13. Watson AR, Szymkin P, Morgan AG. Topical anaesthesia for fistula cannulation in haemodialysis patients. Nephrol Dial Transplant 1988; 3:800–802. 14. Bucalo BD, Mirikitani EJ, Moy RL. Comparison of skin anesthetic effect of liposomal lidocaine, nonliposomal lidocaine, and EMLA using 30-minute application time.

In patients who have a naturally shorter upper lip, however, injection of 1 U BTX-A into each lip elevator complex in the nasofacial groove will collapse the upper extent of the nasolabial fold, but also elongate the upper lip. As the effect is long lasting (Æ 6 months), patients should be selected carefully and the aesthetic result of the procedure should be fully explained. Perioral Lip Rhytides The orbicularis oris is the sphincter muscle that encircles the mouth, lying between the skin and mucous membranes of the lips and extending upward to the nose and downward to the region between the lower lip and chin.

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