This 52-year-old female is a regular patient, having facial aesthetic treatments for many years. Her treatment plan includes regular botulinum toxin treatments, bioremodelling, dermal fillers and medical-grade skincare. She booked a consultation to explore treatments for her neck. The patient described herself as peri-menopausal and felt that the loss of collagen and elastin she was experiencing was becoming more obvious on her neck, partially as a result of having focused her treatments on her face. This was the motivating factor for the consultation. Casabona et al. have supported this patient’s assertion, suggesting that the availability of botulinum toxins and dermal fillers to address the ageing process in the face may lead to a stark contrast with the neck and décolletage, revealing a person’s age and consequently becoming a significant aesthetic concern for many patients.1
A full and comprehensive medical history, including mental health, social and economic factors was undertaken. I ensured that the assessment documentation was contemporaneous and included evidence of…
