At the IAPAM, we create evidence-based content and training for Medical Aesthetic clinics and professionals. Our resources empower teams in skincare, medical weight loss, and injectable aesthetics—including comprehensive facial assessment for Botox® procedures.
This article provides Botox® trainees with a systematic, practical facial analysis checklist, ensuring safer, personalized, and aesthetically pleasing results for every patient.
A checklist approach ensures consistency, safety, and skill development for trainees learning to inject Botox®. By following structured protocols, new injectors avoid common mistakes, reduce complications (such as asymmetry or eyelid ptosis), and deliver tailored treatments aligned with patients’ unique anatomy and goals. This professionalism not only increases patient trust, but also builds clinical confidence and career-long best practices.
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Assessment Step | What to Document/Observe |
---|---|
Wrinkle Mapping | Note baseline lines on forehead, glabella, eyes, nose, mouth, chin, neck |
Brow Position & Shape | Are brows symmetrical? High/low? Flat/arched? |
Eyelid Position | Pre-existing asymmetry or ptosis? |
Volume Loss/Skin Laxity | Note cheeks/jawline, hollowing, or sagging |
Scarring or Lesions | Lesions near planned injection sites? |
Expression | Assessed Area | Key Muscles Observed |
---|---|---|
Raise eyebrows | Forehead lines | Frontalis |
Frown deeply (“angry”) | Glabella/“11” lines | Corrugator, procerus |
Squeeze eyes closed | Crow’s feet | Orbicularis oculi |
Smile widely | Periorbital/mouth lines | Zygomaticus, orbicularis, DAOs |
Puff lower lip, chin up | Chin dimpling | Mentalis |
Wrinkle nose (“bunny lines”) | Nasal lines | Nasalis |
Clench jaw/pull down mouth | Marionette/frown lines | DAOs, platysma |
Tighten neck (“grimace”) | Neck bands/platysma | Platysma |
Area | Static Signs | Dynamic Signs | Key Risk/Consideration |
---|---|---|---|
Forehead | Deep lines | Lines on eyebrow raise | Brow drop (over-treatment) |
Glabella | “11” lines | Deepens with frown | Lid ptosis if too low |
Crow’s feet | Fine lines at rest | Radiate when smiling | Stay above orbital rim |
Bunny lines | None or faint | With nose wrinkle | Superficial injections |
Mouth/frown | Downturn/marionette | Pulls down when frown | Avoid excessive DAOs dosing |
Chin | Cobblestone/dimpling | Muscle twitch on pout | Avoid oral incompetence |
Neck | Bands/laxity | Platysma contraction | Dysphagia if deep/overdose |
A facial analysis checklist improves safety, natural outcomes, and patient trust. It is also a crucial self-audit tool for Botox® trainees as you develop a sharp “aesthetic eye”—recognizing both anatomy and artistry.
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Dilution & reconstitution, techniques & tips, recommendations and expert discussion.
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