# ๐Ÿ“Œ Skin Botox + PDRN Hybrid Injection Protocol ## 1. ์ค€๋น„ (Preparation) - **๋ณดํˆด๋ฆฌ๋ˆ” ํ†ก์‹ **: 200U vial (6.6mL NS ์žฌ๊ตฌ์„ฑ โ†’ 30U/mL stock) - **PDRN**: 1 vial (2.0 mL ๊ธฐ์ค€, ์ œํ’ˆ๋งˆ๋‹ค ๋‹ค๋ฆ„) - **์ฃผ์‚ฌ๊ธฐ/๋‹ˆ๋“ค**: 1mL insulin syringe (31G) or 30G needle --- ## 2. ํฌ์„ (Dilution) 1. Stock ์šฉ์•ก์—์„œ **1.3 mL ์ถ”์ถœ = ์•ฝ 40U** 2. **0.7 mL NS** ์ถ”๊ฐ€ ํฌ์„ โ†’ ์ด 2.0 mL (20U/mL, 2U/0.1mL) 3. ์—ฌ๊ธฐ์— **PDRN 2.0 mL** ํ˜ผํ•ฉ โ†’ ์ตœ์ข… 4.0 mL - ์ตœ์ข… ๋†๋„ = 40U รท 4.0 mL = **10U/mL = 1U/0.1 mL** ๐Ÿ‘‰ ํ’€ํŽ˜์ด์Šค ๊ธฐ์ค€ ์•ˆ์ „ํ•˜๋ฉด์„œ ํšจ๊ณผ์ ์ธ ๋†๋„. --- ## 3. ์ฃผ์ž… (Injection) - **๊นŠ์ด**: ์ง„ํ”ผ ์ƒ๋ถ€ (์•ฝ 1 mm) - **๊ฐ๋„**: 10โ€“15ยฐ, bevel up - **์–‘**: 0.01โ€“0.02 mL per point (โ‰ˆ0.1โ€“0.2U Botox + PDRN ๋™์‹œ ์ฃผ์ž…) - **๊ฐ„๊ฒฉ**: 0.5โ€“1.0 cm grid pattern - **์ด ์šฉ๋Ÿ‰**: ํ’€ํŽ˜์ด์Šค ๊ธฐ์ค€ 150ํฌ์ธํŠธ ร— 0.02 mL = 3.0 mL ์‚ฌ์šฉ (40U ๋ชจ๋‘ ์†Œ์ง„) --- ## 4. ๊ถŒ์žฅ ๋ถ€์œ„๋ณ„ ํฌ์ธํŠธ (Full Face) |๋ถ€์œ„|ํฌ์ธํŠธ๋‹น ์šฉ๋Ÿ‰|ํฌ์ธํŠธ ์ˆ˜ (ํ‰๊ท )|์ด ์‚ฌ์šฉ๋Ÿ‰| |---|---|---|---| |์ด๋งˆ|0.02 mL|25โ€“30|0.5โ€“0.6 mL| |T์กด (์ฝ”+์ฃผ๋ณ€)|0.02 mL|15โ€“20|0.3โ€“0.4 mL| |๋ณผ/๊ด‘๋Œ€|0.02 mL|40โ€“50|0.8โ€“1.0 mL| |ํ„ฑ/์ž…๊ฐ€|0.01โ€“0.015 mL|30โ€“40|0.4โ€“0.5 mL| |Jawline|0.02 mL|20โ€“25|0.4โ€“0.5 mL| |ํ•ฉ๊ณ„||~150|3.0 mL| ๐Ÿ‘‰ ๋‚จ์€ 1.0 mL๋Š” **๋ชฉ ์ฃผ๋ฆ„** ๋˜๋Š” **๋ฐ์ฝœํ…Œ**์— ํ™œ์šฉ ๊ฐ€๋Šฅ. --- ## 5. ํšจ๊ณผ (Expected Outcomes) - **1์ฃผ**: ํ”ผ์ง€ ๊ฐ์†Œ, ํ”ผ๋ถ€ ๋งคํŠธ ํšจ๊ณผ, ๋ฉ”์ดํฌ์—… ์ง€์†๋ ฅ โ†‘ - **2์ฃผ (ํ”ผํฌ)**: ๋ชจ๊ณต ์ถ•์†Œ, ํ”ผ๋ถ€๊ฒฐ ๋งค๋ˆ, ๊ด‘ํƒ (โ€œglass skinโ€) - **2โ€“3๊ฐœ์›”**: ํšจ๊ณผ ์ง€์† โ†’ ๋ฐ˜๋ณต ์‹œ cumulative ํšจ๊ณผ ๊ธฐ๋Œ€ --- ## 6. ์ฃผ์˜์‚ฌํ•ญ (Safety) - ๋„ˆ๋ฌด ๊นŠ๊ฒŒ ์ฃผ์‚ฌ ์‹œ ํ‘œ์ •๊ทผ ์•ฝํ™” ๊ฐ€๋Šฅ โ†’ ํ•ญ์ƒ **1 mm intradermal** ์œ ์ง€ - ๋ฏผ๊ฐ ๋ถ€์œ„(๋ˆˆ๊ฐ€, ์ž…๊ฐ€)์—์„œ๋Š” **0.01 mL ์†Œ๋Ÿ‰**๋งŒ ์ฃผ์ž… - ์‹œ์ˆ  ํ›„ 24์‹œ๊ฐ„: ๋งˆ์‚ฌ์ง€ยท์‚ฌ์šฐ๋‚˜ยท๊ณผ์Œยท๊ฒฉํ•œ ์šด๋™ ํ”ผํ•˜๊ธฐ - ํ•ฉ๋ณ‘์ฆ ๋ฐœ์ƒ ์‹œ: ๋Œ€์ฒด๋กœ ์ž์—ฐ ์†Œ์‹ค (2โ€“3๊ฐœ์›” ๋‚ด), ์‹ฌ๋ฆฌ์  ์•ˆ์ • ์„ค๋ช… ํ•„์ˆ˜ --- โœ… **์ •๋ฆฌ** - **40U ๋ณดํ†ก์Šค + 2mL PDRN โ†’ ์ด 4mL** - **0.01โ€“0.02 mL per point ร— ์•ฝ 150ํฌ์ธํŠธ** - **ํšจ๊ณผ**: ๋ชจ๊ณตยทํ”ผ์ง€ ๊ฐ์†Œ + ํ”ผ๋ถ€๊ฒฐ ๊ฐœ์„  + ํ™์กฐ ์™„ํ™” + ์žฌ์ƒยท๋ณด์Šต ์‹œ๋„ˆ์ง€ --- ์›์žฅ๋‹˜, ์›ํ•˜์‹œ๋ฉด ์ด ํ”„๋กœํ† ์ฝœ์„ ์ œ๊ฐ€ **โ€œํ•œ ์žฅ์งœ๋ฆฌ ์‹œ์ˆ  ๋งค๋‰ด์–ผ ํฌ์Šคํ„ฐโ€** ํ˜•์‹(ํ‘œยท๊ทธ๋ฆผ ํฌํ•จ)์œผ๋กœ ์ •๋ฆฌํ•ด๋“œ๋ฆด๊นŒ์š”? ๊ทธ๋Ÿฌ๋ฉด ์‹œ์ˆ ์‹ค์—์„œ ๋ฐ”๋กœ ์ฐธ๊ณ ํ•˜์‹œ๊ธฐ ํŽธํ•  ๊ฒƒ ๊ฐ™์Šต๋‹ˆ๋‹ค.