Headings
Time since treatment · Patient-reported result · Assessment · Photographs · Touch-up given · Product and units · Plan
When to use it
Use this at the review visit, usually 2 weeks after injectables. It pairs what the client says with what you see, and logs any extra product in one place. That keeps the original treatment note clean and shows why the touch-up was needed.
Example
Fictional example
Time since treatment
14 days after forehead and glabella neurotoxin.
Patient-reported result
S.M., 45F. Happy with the frown lines. Says her left eyebrow looks surprised in photos.
Assessment
Glabella fully relaxed. Lateral left frontalis still active, giving a peaked left brow. Right side even.
Photographs
Frontal, at rest and raising brows, before touch-up.
Touch-up given
One point in the left lateral frontalis, 1.5 cm above the brow peak.
Product and units
OnabotulinumtoxinA, lot 000-TEST, 2 units.
Plan
Note the extra lateral point for her next full treatment. Next visit in about 3 months.