# Skin Botox (Microbotox) – Study Outline
- 잔주름 개선
- 피지 조절
- 홍조 감소
- 피부결 개선
- 모공 축소 및 갯수 감소
- 여드름 개선
- 땀샘과 평활근을 지배하는 cholinergic neuron 차단 -> 땀 생성 감소
- 콜라겐 양이 증가
- 피부 수분 소실은 감소
- 림프관 주변 감싸는 근육 이완 -> 진피층 삼투압 증가 -> 체엑 축적 -> 얼굴 광택
- 안면 이완(Facial laxity) 개선
#### 마취
- 시술부위에 국소용 마취크림 도포 -> 1시간 랩핑
- 시술 직전에 아이스 쿨러로 시술 부위 마사지
- **Face full-field rejuvenation**:
- 100U Botox + 5 mL saline → 2U/0.1mL
- Inject 0.02 mL per site -> 0.4U per site
- 100 points -> total 40U
- 인슐린 주사 1개 = 1 mL = 20U = 50 points 가능(0.4U per site)
- Inject ~30–50 points at 0.01–0.02 mL per site → total 30–50U
- 이마는 2칸 미간은 5칸 다른덴 1칸
## [[Chapter 1 - Introduction to Skin Botox]]
1.1 Definition
1.2 History and Evolution
1.3 Indications and Patient Selection
## [[Chapter 2 - Pharmacology and Mechanism of Action]]
2.1 Botulinum Toxin: Structure and Function
2.2 Mechanism in Neuromuscular Blockade
2.3 Mechanism in Intradermal Application (Sebaceous glands, arrector pili muscles, vasculature)
2.4 Differences between Conventional Botox and Skin Botox
## [[Chapter 3 - Injection Techniques]]
3.1 Dilution Protocols and Preparation
3.2 Depth and Angles of Injection
3.3 Injection Tools (needle, cannula, multi-needle devices)
3.4 Regional Approaches (forehead, cheeks, nose, jawline, neck, décolleté)
## [[Chapter 4 - Clinical Effects]]
4.1 Skin Texture and Fine Wrinkle Reduction
4.2 Pore Size and Sebum Control
4.3 Redness and Flushing Reduction
4.4 Subtle Lifting and Firming Effects
4.5 Duration of Results
## [[Chapter 5 - Combination Therapies]]
5.1 Skin Botox with Dermal Fillers
5.2 Skin Botox with Energy Devices (laser, RF, HIFU)
5.3 Skin Botox with Skin Boosters (HA, PDRN, exosomes)
5.4 Sequential and Synergistic Protocols
## [[Chapter 6 - Safety and Complications]]
6.1 Common Side Effects (erythema, bruising, swelling)
6.2 Specific Complications (muscle weakness, asymmetry, unnatural expression)
6.3 Contraindications (pregnancy, neuromuscular disease, hypersensitivity)
6.4 Strategies for Risk Minimization
## [[Chapter 7 - Patient Experience]]
7.1 Consultation and Expectation Setting
7.2 Treatment Session and Pain Control
7.3 Recovery and Aftercare
7.4 Patient Satisfaction and Retention
## [[Chapter 8 -Advanced Topics and Trends]]
8.1 Microdosing and Customized Dilution Strategies
8.2 Hybrid Injections (Toxin + Skin Booster mixtures)
8.3 Off-Face Applications (neck, chest, hands)
8.4 Global Trends and Future Perspectives
## Chapter 9: Case Studies
9.1 Oily Skin with Enlarged Pores
9.2 Middle-aged Patient with Fine Wrinkles and Early Laxity
9.3 Rosacea/Facial Flushing Control
9.4 Combination Therapy for “Glass Skin” Effect
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Would you like me to **start teaching Chapter 1 in full detail first**, or would you prefer I first give you a **comparison framework between Skin Botox and traditional Botox** as a foundation?