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What are the steps involved in the injection technique for treating neck bands with botulinum toxin?

The injection technique for treating neck bands with botulinum toxin involves positioning the patient, identifying the neck band safety zone, locating and marking injection points, and administering botulinum toxin intramuscularly at multiple points along each neck band.

To treat neck bands with botulinum toxin, the patient is positioned at a 60-degree reclined angle. The neck band safety zone is identified, which is 1 cm lateral to the trachea and extends to the oral commissure lines. The medial neck bands are located by instructing the patient to contract the platysma muscle. Injection points are marked, and the skin is prepared with alcohol. Using a 30-gauge needle, botulinum toxin is injected intramuscularly at multiple points along each neck band, starting at least 2 cm below the jaw and moving inferiorly. Typically, 2.5 units of botulinum toxin are injected per point, with 3-5 injection points per band. Compression is not usually required after the procedure.

Key points

  • Position patient at 60-degree reclined angle.
  • Identify neck band safety zone lateral to trachea.
  • Locate medial neck bands by muscle contraction.
  • Mark injection points and prepare skin with alcohol.
  • Inject botulinum toxin intramuscularly at multiple points.
  • Use 2.5 units of botulinum toxin per injection point.
  • Avoid compression post-procedure.
Source:A practical guide to botulinum toxin injections· Neck Bands· p. 128–136

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Cover of A practical guide to botulinum toxin injections

A practical guide to botulinum toxin injections

Small, Rebecca; Hoang, Dalano;

LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business

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