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Before treatment begins Photographs taken of the treatment area at rest and during muscle activity (frowning, raising brows, smiling) for record and comparison at the 2-week review The surgeon assesses muscle activity and asymmetry both sides rarely contract identically Treatment plan confirmed: which areas, how many units to each muscle, expected outcome Any final questions answered, consent confirmed Skin cleansed with antiseptic at injection points Topical numbing cream applied if requested (optional most patients decline) The injection technique Marking
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When exercise isnt enough, cosmetic procedures for excess skin may help: Non- invasive Titan Laser, Radiofrequency and Carboxytherapy treatments
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No other high-risk sources of bias were identified in the included studies
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