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On the day of your procedure, heres what you should keep in mind. Dont drink alcohol. Before getting Botox, youll be asked to avoid alcohol for 24 hours. Dont touch your face. Avoid other skin treatments. Dont sleep on the treated areas. Stay out of the sun.
Too much Botox in the forehead muscles can cause the eyebrows to droop, making the upper eyelids look very heavy and hooded. The face may look angry or sad all the time. Too much Botox around the eyes can dramatically affect facial expression. The face is simply frozen.
I understand this is an elective procedure and I hereby voluntarily consent to treatment with botulinum toxin injections for facial dynamic wrinkles, TMJ dysfunction, bruxism and types of orofacial pain including headaches and migraines. The procedure has been fully explained to me.
BOTOX is indicated for the treatment of upper limb spasticity in adult patients, to decrease the severity of increased muscle tone in elbow flexors (biceps), wrist flexors (flexor carpi radialis and flexor carpi ulnaris) and finger flexors (flexor digitorum profundus and flexor digitorum sublimis).
There are no specific laws in the United States that prevent teenagers from getting cosmetic surgery; however, parental consent is required for patients under the age of 18.
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In treating adult patients for one or more indications with BOTOX and BOTOX Cosmetic, the maximum cumulative dose should generally not exceed 400 Units, in a 3 month interval. The safety and effectiveness of dosing with BOTOX Cosmetic more frequently than every 3 months have not been clinically evaluated.
Patient Consent for Botox The document must have complete information about the cosmetic procedure, full disclosure of potential risks and complications, possible side effects that may be experienced after, and related financial requirements.
The Allergan consent form offers numerous benefits, including protecting the practitioner, informing the patient, establishing rights and responsibilities, and providing a record of the patients consent for potential future legal proceedings.

botox consent form