Headings
Pre-treatment assessment · Product and lot number · Areas treated · Volume per area · Technique · Photographs · Aftercare given · Follow-up
When to use it
Use this when you place hyaluronic acid or other fillers. It tracks volume per area, depth and cannula or needle choice, which matters for planning top-ups and for managing a complication. Keep it separate from neurotoxin notes even when both are done at one visit.
Example
Fictional example
Pre-treatment assessment
A.L., 29F. Wants more lip definition, not size. Mild asymmetry, left upper lip thinner. No history of cold sores. Topical anesthetic applied for 20 minutes.
Product and lot number
Hyaluronic acid filler with lidocaine, 1 mL syringe, lot 000-TEST.
Areas treated
Vermilion border, upper and lower lip body.
Volume per area
Vermilion border 0.3 mL. Upper lip body 0.4 mL, weighted to the left. Lower lip body 0.3 mL.
Technique
30G needle, small linear threads and microdroplets. Aspirated before each pass. Gentle molding after.
Photographs
Before and immediately after, frontal and both profiles.
Aftercare given
Cold packs. Avoid heat, alcohol and dental work for 48 hours. Call at once for pain or skin color change.
Follow-up
Review in 2 weeks.