Preparing for Your First Botox Appointment: What to Expect

Preparing for Your First Botox Appointment: What to Expect

Botox results

Understanding Botox and Its Benefits


Ah, Botox-now there's a term that's been buzzin' around for quite some time, ain't it? Explore Botox Consultation Appointments in New Westminster, BC here. Whether you've heard it from a friend, seen it splashed across magazine pages, or noticed its effects on the faces in the crowd, it seems like everyone's got something to say about this treatment. If you're prepping for your first Botox appointment, you might be feelin' a mix of excitement and nerves, but let's get something straight: there's nothin' to be scared of!


First off, understanding Botox is key (and not as complicated as it might seem, I promise). It's basically a purified protein that, when injected, relaxes those pesky muscles that cause wrinkles. We're talkin' about those forehead lines that seem to broadcast our age or the crow's feet that have a way of creeping up on us. But it's not just about looking younger; no sir, the benefits of Botox are more than skin deep.

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For some, it's a lifesaver in the battle against chronic migraines or excessive sweating. Botox appointment preparation Imagine that-a world where you don't have to worry about a headache ruining your day!


Now, you may be thinkin': "Hold on a minute, aren't there risks?" Well, sure, like with any medical procedure, there're potential side effects, but they're usually mild and temporary (we're talking a little bruising or swelling, maybe a headache). The key is to find a qualified professional who knows their stuff-that's half the battle won!


Your first appointment, oh! It's gonna be a breeze. The clinician will chat with you about what you're hopin' to achieve and explain everything-no question is too silly, so fire away! They'll probably tell you to avoid certain meds that can increase bruising, like aspirin, and to stay away from alcohol a few days before your treatment (a small sacrifice for the greater good, eh?).


So, as you sit in the waiting room, flipping through a magazine (those celebs have probably had a bit of Botox themselves!), remember that you're about to embark on a journey to a more confident you. And when you're done, there's no downtime-you can get back to your day, no drama. Just don't go planning a workout session right after; give it a day, will ya?


In the end, whether you're in it to smooth out those lines or get some relief from other conditions, Botox might just be the thing you didn't know you needed. Just make sure to follow the aftercare instructions (they're not just for show), and you'll be wonderin' why you didn't do it sooner. So take a deep breath, and let's get those wrinkles on the run-your first Botox experience is just around the corner, and it's lookin' pretty darn good!

Selecting a Qualified Botox Provider


When it comes to preparing for your first Botox appointment, there's one thing you can't overlook - selecting a qualified Botox provider!

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It's not just about picking any clinic off the street; it's about finding the right professional who'll treat your skin with the care it deserves.


Now, I know what you're thinkin', "Where do I even start?" Well, first off, don't just jump at the first offer you see online or in an ad. Do some digging! Look for providers with solid credentials - we're talkin' board-certified dermatologists or plastic surgeons. These folks have spent years training, so they know their stuff inside and out.


Botox results

And don't forget to check out those reviews (yeah, even though sometimes they can be a bit of a mixed bag). Patient testimonials can give you the real scoop on what to expect. Sure, one negative review shouldn't throw you off completely, but if there's a pattern, it's a red flag!


Once you've narrowed down your list, book a consultation. This is your chance to ask all the questions that've been buzzin' in your head. Don't hold back! Ask about their experience, the products they use (you want the real deal, not some knock-off Botox), and take a gander at their before-and-after photos. Oh, and if they dodge your questions or seem pushy, run for the hills!


Remember, it's your face we're talking about here. You don't want someone who's just gonna wing it. So take your time, and don't rush into it. A little bit of homework now can save you a heap of trouble later.


In conclusion, folks, finding the right Botox provider is a must. You can't just go with any Joe Schmo with a needle (yikes!). Be thorough, be inquisitive, and make sure they've got the chops to back up their claims.

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After all, it's not just about smoothing out a few wrinkles - it's about feeling confident and safe with your choice. And when you finally sit down for that first appointment, you'll be glad you didn't skimp on the research. Trust me!

Booking Your Botox Consultation


Oh, the excitement (and maybe a bit of nerves) that comes with booking your Botox consultation! You've finally decided to take the plunge and see what all the fuss is about, but what exactly should you be expecting for your first appointment? Well, lemme tell ya, it's not as daunting as it may seem.


First things first, when you call to make your appointment, the staff will likely be super friendly and helpful. They'll ask you some basic questions about your health history – nothing too invasive, just to make sure you're a good candidate for the treatment. And don't worry, if you're not a fan of forms, most of the time you can fill 'em out when you arrive.


On the day of your consultation, try to wear minimal makeup. This way, the specialist can get a good look at your facial muscles and decide the best course of action for your Botox treatment. They'll chat with you about what you're hoping to achieve (whether it's smoothing out those pesky forehead lines or saying goodbye to crow's feet), and they'll explain how Botox works.

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It's fascinating stuff, really!


Now, don't be shy to ask questions, no matter how silly they might seem. It's important to have all your concerns addressed – after all, it's your face we're talking about! And here's a little tip: be honest about what you're expecting; it's the only way to ensure you'll be happy with the results.


You'll also be informed about the do's and don'ts before and after the procedure. They'll probably tell you to avoid certain medications or supplements that can increase bruising. And no alcohol – that's a big no-no before Botox.


The consultation is also the perfect time to talk about the cost. Botox ain't always cheap, but it's important to remember that you're paying for both the product and the expertise of the injector.

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And please, don't be tempted by those too-good-to-be-true deals; when it comes to your face, you don't wanna skimp on quality!


Finally, they'll take a look at your facial expressions, and you might even get a few markings on your skin with a washable pen – kind of like a treasure map to your younger self!


So, there you have it! Your first Botox consultation should be an informative and reassuring experience. Just remember, it's totally normal to feel a bit anxious, but hey, you're taking a step towards feeling great about yourself, and that's something to celebrate! Now go on and get ready to enjoy the results – you're gonna love it!

Preparing for the Appointment: Dos and Don'ts


Preparing for your first Botox appointment can be a mix of excitement and nerves! It's like gearing up for a transformation that you've been pondering over for ages, or maybe it just struck your fancy recently. Either way, there's a bunch to keep in mind (and some things to leave out) when you're getting ready for those rejuvenating jabs.


Now, do your homework - and by that, I mean research. Don't just walk into any clinic without reading up on their reputation and the expertise of the person who'll be wielding that needle. It's your face we're talking about, right? You wouldn't want just anybody fiddling around with it.


Next up, let's talk about what to do with your body before the big day. It's advisable to avoid blood thinners like aspirin and ibuprofen - you don't want to bruise like a peach, trust me. Also, lay off the fish oil and vitamin E for the same reason. Alcohol? Nope, not a good idea the night before. You want to look your best, not your bloated worst.


Now, this might sound like a no-brainer, but don't go in with a full face of makeup. You want the doc to see the real canvas, not your contouring skills. And speaking of the skin, if you've got any rashes or infections, it's a big red flag - reschedule your appointment!


When it comes to the actual appointment, don't hesitate to ask questions. You have every right to know what's being injected into your face. And, for heaven's sake, don't hold your breath during the procedure; breathe easy and stay as relaxed as you can.


After the Botox is done, don't go rubbing your face or planning a gym session. You've got to give it time to settle in, you know? You wouldn't want to spread the Botox to unintended areas (imagine raising an eyebrow and your lip goes up, too – yikes!).


So, that's the gist of it. Remember, it's not just about avoiding the don'ts but also doing the dos. Take it easy, stay informed, and look forward to the new you that's about to emerge. And don't worry – it's not as scary as it seems. Good luck!

What to Expect During the Procedure


Heading to your first Botox appointment can be a mix of excitement and nerves, right? You're not alone! Many people feel a little jittery about what the procedure will entail. Let me walk you through what you can typically expect, but remember, each experience is as unique as the individual!


First things first, you'll have a consultation with your practitioner.

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They'll wanna get the lowdown on your medical history to make sure Botox is safe for you. It's important to be open and honest here (don't hold back on the details!). They'll also ask about your aesthetic goals, so have an idea of what you're hoping to achieve.


Now, let's talk about the procedure itself. Botox consultation It's usually pretty quick - often no longer than a lunch break! You'll be seated in a comfortable, reclined position, and the areas to be treated will be cleansed. Some clinics might apply a topical numbing cream, but it's not always needed since the needles are super tiny.


Here comes the part that gets people nervous – the injections! But, honestly, they're not as scary as they sound. Most folks describe it as a series of quick pinches or slight stings. And before you know it, it's over! The entire thing might take about 10 to 20 minutes, depending on how many areas you're getting done.


After the injections, your practitioner will give you some aftercare instructions (make sure to follow them!). You might see some redness or swelling, but that usually settles down within a couple of hours. And don't go rubbing the treated areas – you wouldn't want to spread the Botox to other muscles. That's a no-no!


The results? Well, they won't be immediate. It usually takes about 1 to 2 weeks for the full effect to kick in.

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So, patience is key (hang in there!).


In a nutshell, your first Botox appointment is likely to be swift, straightforward, and with minimal discomfort. It's normal to feel a tad anxious, but just think of the fabulous results ahead! And hey, if you've got questions or concerns, don't hesitate to ask your provider. They're there to help, after all. Good luck, and enjoy the experience!

Post-Treatment Care and Management


Getting ready for your first Botox appointment can be a mix of emotions-excitement, nerves, and curiosity all bundled up.

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But wait, there's more to it than just the procedure itself; you've gotta consider what comes after-post-treatment care and management, that is!


Now, once you've had your injections (no biggie, it's usually pretty quick!), the doc will likely give you a rundown of do's and don'ts. Botox for expression lines First off, they'll tell you to avoid rubbing the treated area. You might think, "No problem, I can keep my hands to myself," but it's surprisingly easy to forget and give your face a little scratch or rub without thinking!


Also, they'll probably mention that you should steer clear of heavy exercising for a day or so. You might be like, "What? No gym?!" Botox for crow's feet But hey, it's just for a short while. The reason's pretty simple; heavy sweating and increased blood flow could mess with the Botox settling in.


And speaking of settling, let's talk about gravity (yeah, it's not just for science class!). After your treatment, it's best not to lie down or bend over for a few hours. This helps ensure that the Botox stays where it's supposed to and doesn't migrate to places where it wasn't intended to go. Imagine explaining that one!


Now, let's not forget the sun-oh, the glorious sun! It feels amazing, but you'll have to avoid it like you're a vampire or something (just kidding, but really, stay out of the sun). Sunbathing or any heat exposure can lead to unwanted swelling or bruising, and nobody's got time for that.


You might experience a bit of discomfort, some swelling, or even a tiny bruise at the injection site.

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Don't panic! It's pretty normal and usually goes away on its own. Just don't go slapping an ice pack on it without checking with your doctor first, alright?


So, in a nutshell, post-treatment care isn't rocket science. It's just about being a little careful (and patient!) to make sure everything goes smoothly. Remember, if something doesn't seem right or you've got questions, don't hesitate to reach out to your practitioner. They're there to help, after all!


And there you go! You're all set to face (pun intended!) your first Botox appointment like a champ. Just follow the guidelines, keep a cool head, and you'll be enjoying your fresh, youthful look in no time. Good luck!

Monitoring Results and Planning Follow-Up Visits


Oh boy, getting ready for your first Botox appointment can be a mix of excitement and nerves, right? You're looking forward to those smooth, wrinkle-free results, but maybe you're a bit on edge about what the experience entails. No worries, cause that's totally normal!


Now, let's talk about what you should expect, especially when it comes to monitoring results and planning those follow-up visits. First off, after your treatment, the doctor's likely gonna tell ya to avoid heavy exercise and not to rub the area - it's important, so don't forget! You won't see results immediately (I know, patience isn't exactly our strongest suit!), but give it a couple of days.

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You'll start noticing changes, and by two weeks, you'll see the full effect. It's like magic, but science!


Keep an eye out for any side effects, though most people don't have any issues. If something doesn't look right, don't hesitate to reach out to your doc. They're there to help you out, after all!


As for the follow-up visits, here's the deal: you can't just have your Botox done and then forget about it. You've gotta plan for the next appointment. Usually, your doctor will wanna see you again in about two weeks (just to make sure everything's as it should be). After that, the effects of Botox can last around 3-4 months, so you won't need to come back too soon. But don't ignore the follow-ups! They're key to maintaining those fab results.


Remember, every person's different, so your experience might not be the same as your friend's, and that's okay! The important thing is to keep in touch with your doctor, follow their advice (they know what they're talking about!), and schedule those check-ins.


So, there you have it! Your first Botox appointment doesn't have to be a daunting ordeal. Just relax, stay informed, and look forward to enjoying a fresher, more youthful you! And hey, once you see those results, it'll all be worth it, trust me!

Managing Expectations and When to Seek Further Advice


Alright, so you're gearing up for your first Botox appointment, huh? Long-lasting Botox effects That's pretty exciting stuff! But, let's pump the brakes for a sec. It's super important to manage your expectations and know when it might be time to get some more advice.


First off, don't expect to walk out of the clinic looking like a Hollywood star who's defied age for decades (although that'd be awesome, wouldn't it?). Botox takes time to work its magic-usually a few days to see initial results, and up to two weeks for the full effect. So, if you're banking on instant dramatic changes, you might end up a tad disappointed. Just keep it real, and you'll be set up for a happier outcome!


Now, about those expectations. Botox ain't a one-size-fits-all kinda deal. Different folks will see different results. Your buddy might get away with a single treatment, while you might need a couple of sessions to get those wrinkles to chill out. And that's totally okay!

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It's all about what works for you and your skin.


Oh, and speaking of skin, you might get some bruising or swelling at the injection sites. Don't freak out-it's normal and usually clears up pretty quick. But if it's hanging around longer than your last Tinder date or looks more like a modern art masterpiece than a tiny bruise, it's probably time to give the doc a ring. Better safe than sorry, right?


Here's the thing, though: if you've got any doubts or if something feels off after your treatment (I mean, it's your face we're talking about!), don't hesitate to reach out to your practitioner. They're there to help, not just jab you with needles and send you on your merry way.


So, to wrap this up (like a burrito that's about to get devoured), managing expectations is key. Don't set yourself up for a letdown by expecting miracles. And always, always keep an open line with your practitioner for when you need that extra bit of advice. Now, go get 'em, tiger!

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Botulinum toxin Description for Botulinum toxin Source
Skeletal muscle Description for Skeletal muscle Source
Eyelid Description for Eyelid Source
Eye drop Description for Eye drop Source
Injectable filler Description for Injectable filler Source
Marionette lines Description for Marionette lines Source
Lip Description for Lip Source
Dermatology Description for Dermatology Source
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Melanocytic nevus Description for Melanocytic nevus Source
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Skin care Description for Skin care Source
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Masseter muscle Description for Masseter muscle Source
Submental triangle Description for Submental triangle Source
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Botox for Facial Rejuvenation New Westminster

It is located on the banks of the Fraser River as it turns southwest towards its estuary, on the southwest side of the Burrard Peninsula, and roughly at the centre of the Greater Vancouver region.

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Nearby Tourist Attractions

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Look up cosmetic in Wiktionary, the free dictionary.

Cosmetic may refer to:

  • Cosmetics, or make-up, substances to enhance the beauty of the human body, apart from simple cleaning
  • Cosmetic, an adjective describing beauty, aesthetics, or appearance, especially concerning the human body
  • Cosmetic, a topical product that is not a drug
  • In-game cosmetics, video game virtual goods that generally offer no competitive advantage

See also

[edit]
"Wrinkles" redirects here. For other uses, see Wrinkles (disambiguation).
For the writer and filmmaker, see Margaret Wrinkle.
Wrinkles on the face and hands are a typical sign of aging

A wrinkle, also known as a rhytid, is a fold, ridge or crease in an otherwise smooth surface, such as on skin or fabric. Skin wrinkles typically appear as a result of ageing processes such as glycation,[1] habitual sleeping positions,[2] loss of body mass, sun damage,[3] or temporarily, as the result of prolonged immersion in water. Age wrinkling in the skin is promoted by habitual facial expressions, aging, sun damage, smoking, poor hydration, and various other factors.[4] In humans, it can also be prevented to some degree by avoiding excessive solar exposure and through diet (in particular through consumption of carotenoids, tocopherols and flavonoids, vitamins (A, C, D and E), essential omega-3-fatty acids, certain proteins and lactobacilli).[5]

Skin

[edit]
Main article: Skin fold

Causes for aging wrinkles

[edit]
A woman of European origin with facial wrinkles

Development of facial wrinkles is a kind of fibrosis of the skin. Misrepair-accumulation aging theory suggests that wrinkles develop from incorrect repairs of injured elastic fibers and collagen fibers.[6][7][8] Repeated extensions and compressions of the skin cause repeated injuries of extracellular fibers in derma. During the repairing process, some of the broken elastic fibers and collagen fibers are not regenerated and restored but replaced by altered fibers. When an elastic fiber is broken in an extended state, it may be replaced by a "long" collagen fiber. Accumulation of "long" collagen fibers makes part of the skin looser and stiffer, and as a consequence, a big fold of skin appears. When a "long" collagen is broken in a compressed state, it may be replaced by a "short" collagen fiber. The "shorter" collagen fibers will restrict the extension of "longer" fibers, and make the “long" fibers in a folding state permanently. A small fold, namely a permanent wrinkle, then appears.

Sleep wrinkles

[edit]

Sleep wrinkles are created and reinforced when the face is compressed against a pillow or bed surface in side or stomach sleeping positions during sleep.[9] They appear in predictable locations due to the underlying superficial musculoaponeurotic system (SMAS), and are usually distinct from wrinkles of facial expression.[10] As with wrinkles of facial expression, sleep wrinkles can deepen and become permanent over time, unless the habitual sleeping positions which cause the wrinkles are altered.[11]

Water-immersion wrinkling

[edit]
A wrinkled finger after a warm bath

The wrinkles that occur in skin over prolonged exposure to water are sometimes referred to as pruney fingers or water aging. This is a temporary skin condition where the skin on the palms of the hand or feet becomes wrinkly. This wrinkling response may have imparted an evolutionary benefit by providing improved traction in wet conditions,[12] and a better grasp of wet objects.[13] These results were called into question by a 2014 study that failed to reproduce any improvement of handling wet objects with wrinkled fingertips.[14] However, a 2020 study of gripping efficiency found that wrinkles decreased the force required to grip wet objects by 20%, supporting the traction hypothesis.[15]

Prior to a 1935 study, the common explanation was based on water absorption in the keratin-laden epithelial skin when immersed in water,[16] causing the skin to expand and resulting in a larger surface area, forcing it to wrinkle. Usually the tips of the fingers and toes are the first to wrinkle because of a thicker layer of keratin and an absence of hairs which secrete the protective oil called sebum.

Adult sole showing water immersion wrinkling

In the 1935 study, however, Lewis and Pickering were studying patients with palsy of the median nerve when they discovered that skin wrinkling did not occur in the areas of the patients' skin normally innervated by the damaged nerve. This suggested that the nervous system plays an essential role in wrinkling, so the phenomenon could not be entirely explained simply by water absorption. Recent research shows that wrinkling is related to vasoconstriction.[17][18] Water probably initiates the wrinkling process by altering the balance of electrolytes in the skin as it diffuses into the hands and soles via their many sweat ducts. This could alter the stability of the membranes of the many neurons that synapse on the many blood vessels underneath skin, causing them to fire more rapidly. Increased neuronal firing causes blood vessels to constrict, decreasing the amount of fluid underneath the skin. This decrease in fluid would cause a decrease in tension, causing the skin to become wrinkly.[19]

This insight resulted in bedside tests for nerve damage and vasoconstriction. Wrinkling is often scored with immersion of the hands for 30 minutes in water or EMLA cream with measurements steps of 5 minutes, and counting the number of visible wrinkles in time. Not all healthy persons have finger wrinkling after immersion, so it would be safe to say that sympathetic function is preserved if finger wrinkling after immersion in water is observed, but if the fingers emerge smooth it cannot be assumed that there is a lesion to the autonomic supply or to the peripheral nerves of the hand.[20]

Other animals with wrinkles

[edit]

Examples of wrinkles can be found in various animal species that grow loose, excess skin, particularly when they are young. Several breeds of dog, such as the Pug and the Shar Pei, have been bred to exaggerate this trait. In dogs bred for fighting, this is the result of selection for loose skin, which confers a protective advantage.[21]

Techniques for reducing the appearance of aging wrinkles

[edit]
A man receiving a botox injection

Current evidence suggests that tretinoin decreases cohesiveness of follicular epithelial cells, although the exact mode of action is unknown. Additionally, tretinoin stimulates mitotic activity and increased turnover of follicular epithelial cells.[22] Tretinoin is better known by the brand name Retin-A.

Topical glycosaminoglycans supplements can help to provide temporary restoration of enzyme balance to slow or prevent matrix breakdown and consequent onset of wrinkle formation. Glycosaminoglycans (GAGs) are produced by the body to maintain structural integrity in tissues and to maintain fluid balance. Hyaluronic acid is a type of GAG that promotes collagen synthesis, repair, and hydration. GAGs serve as a natural moisturizer and lubricant between epidermal cells to inhibit the production of matrix metalloproteinases (MMPs).

Dermal fillers are injectable products frequently used to correct wrinkles, and other depressions in the skin. They are often a kind of soft tissue designed to enable injection into the skin for purposes of improving the appearance. The most common products are based on hyaluronic acid and calcium hydroxylapatite.

Botulinum toxin is a neurotoxin protein produced by the bacterium Clostridium botulinum. Botox is a specific form of botulinum toxin manufactured by Allergan for both therapeutic and cosmetic use. Besides its cosmetic application, Botox is used in the treatment of other conditions including migraine headache and cervical dystonia (spasmodic torticollis) (a neuromuscular disorder involving the head and neck).[23]

Dysport, manufactured by Ipsen, received FDA approval and is now used to treat cervical dystonia as well as glabellar lines in adults. In 2010, another form of botulinum toxin, one free of complexing proteins, became available to Americans. Xeomin received FDA approval for medical indications in 2010 and cosmetic indications in 2011.

Botulinum toxin treats wrinkles by immobilizing the muscles which cause wrinkles. It is not appropriate for the treatment of all wrinkles; it is indicated for the treatment of glabellar lines (between the eyebrows) in adults. Any other usage is not approved by the FDA and is considered off-label use.

Laser resurfacing is FDA-cleared skin resurfacing procedure in which lasers are used to improve the condition of the skin.[citation needed] Two types of lasers are used to reduce the appearance of fine lines and wrinkles on the face; laser ablation, which removes thin layers of skin, and nonablative lasers that stimulate collagen production. Nonablative lasers are less effective than ablative ones but they are less invasive and recovery time is short. After the procedure people experience temporary redness, itching and swelling.

See also

[edit]

References

[edit]
  1. ^ Danby, FW (Jul–Aug 2010). "Nutrition and aging skin: sugar and glycation". Clin Dermatol. 4. 28 (4): 409–411. doi:10.1016/j.clindermatol.2010.03.018. PMID 20620757.
  2. ^ American Academy of Dermatology. "Causes of Aging". AgingSkinNet. American Academy of Dermatology. Retrieved 5 March 2013.
  3. ^ Cosmetic Procedures for Wrinkles
  4. ^ Anderson, Laurence. 2006. Looking Good, the Australian guide to skin care, cosmetic medicine and cosmetic surgery. AMPCo. Sydney. ISBN 0-85557-044-X.
  5. ^ Schagen, S. K.; Zampeli, V. A.; Makrantonaki, E.; Zouboulis, C. C. (2012). "Discovering the link between nutrition and skin aging". Dermato-Endocrinology. 4 (3): 298–307. doi:10.4161/derm.22876. PMC 3583891. PMID 23467449.
  6. ^ Wang, Jicun; Michelitsch, Thomas; Wunderlin, Arne; Mahadeva, Ravi (2009). "Aging as a consequence of Misrepair—a novel theory of aging". arXiv:0904.0575 [q-bio.TO].
  7. ^ Wang-Michelitsch, Jicun; Michelitsch, Thomas (2015). "Aging as a process of accumulation of Misrepairs". arXiv:1503.07163 [q-bio.TO].
  8. ^ Wang-Michelitsch, Jicun; Michelitsch, Thomas (2015). "Tissue fibrosis: a principal evidence for the central role of Misrepairs in aging". arXiv:1505.01376 [q-bio.TO].
  9. ^ Sarifakioglu, Nedim; Terzioglu, A.; Ates, L.; Aslan, G. (2004). "A New Phenomenon: 'Sleep Lines' on the Face". Scan J Plast Reconstr Surg Hand Surg. 38 (4): 244–247. doi:10.1080/02844310410027257. PMID 15370809. S2CID 25307487.
  10. ^ Fulton, James E.; Gaminchi, F. (1999). "Sleep Lines". Dermatol Surg. 25 (1): 59–62. doi:10.1046/j.1524-4725.1999.08073.x. PMID 9935097.
  11. ^ Sarifakioglu, Nedim; Terzioglu, A.; Ates, L.; Aslan, G. (2004). "A New Phenomenon: 'Sleep Lines' on the Face". Scan J Plast Reconstr Surg Hand Surg. 38 (4): 244–247 [246]. doi:10.1080/02844310410027257. PMID 15370809. S2CID 25307487.
  12. ^ Mark Changizi; Romann Weber; Ritesh Kotecha; Joseph Palazzo (2011). "Are Wet-Induced Wrinkled Fingers Primate Rain Treads?". Brain, Behavior and Evolution. 77 (4): 286–90. doi:10.1159/000328223. PMID 21701145.
  13. ^ Kareklas, Kyriacos; Nettle, Daniel; Smulders, Tom V (January 9, 2013). "Water-induced finger wrinkles improve handling of wet objects". Biol. Lett. 9 (2): 20120999. doi:10.1098/rsbl.2012.0999. PMC 3639753. PMID 23302867.
  14. ^ Haseleu, Julia; Omerbašić, Damir; Frenzel, Henning; Gross, Manfred; Lewin, Gary R. (2014). Goldreich, Daniel (ed.). "Water-Induced Finger Wrinkles Do Not Affect Touch Acuity or Dexterity in Handling Wet Objects". PLOS ONE. 9 (1): e84949. Bibcode:2014PLoSO...984949H. doi:10.1371/journal.pone.0084949. PMC 3885627. PMID 24416318.
  15. ^ Davis, N. (8 November 2020). "Water-immersion finger-wrinkling improves grip efficiency in handling wet objects". bioRxiv 10.1101/2020.11.07.372631.
  16. ^ "Dr Karl's Homework – Skin Wrinkles in Water (26/1/2000)". Abc.net.au. 2000-01-26. Retrieved 2019-04-30.
  17. ^ Einar P.V. Wilder-Smith; Adeline Chow (2003). "Water-immersion wrinkeling is due to vasoconstriction". Muscle & Nerve. 27 (3): 307–311. doi:10.1002/mus.10323. PMID 12635117. S2CID 45193684.
  18. ^ Einar P. V. Wilder-Smith (2004). "Water immersion wrinkling". Clinical Autonomic Research. 14 (2): 125–131. doi:10.1007/s10286-004-0172-4. PMID 15095056. S2CID 44938772.
  19. ^ H. Zhai, K.P. Whilem H. L. Maibach (2007). Dermatotoxicology. pp. 280–281.
  20. ^ G Alvarez, J Eurolo; P Canales (1980). "Finger wrinkling after immersion in water". British Medical Journal. 281 (6240): 586–587. doi:10.1136/bmj.281.6240.586-a. PMC 1713922. PMID 7427379.
  21. ^ The Dog Encyclopedia: The Definitive Visual Guide. Penguin. 15 August 2023. p. 84. ISBN 978-0-7440-8513-6.
  22. ^ Stefanaki C, Stratigos A, Katsambas A (June 2005). "Topical retinoids in the treatment of photoaging". J Cosmet Dermatol. 4 (2): 130–4. doi:10.1111/j.1473-2165.2005.40215.x. PMID 17166212. S2CID 44702740.
  23. ^ Brin MF, Lew MF, Adler CH, Comella CL, Factor SA, Jankovic J, O'Brien C, Murray JJ, Wallace JD, Willmer-Hulme A, Koller M (1999). "Safety and efficacy of NeuroBloc (botulinum toxin type B) in type A-resistant cervical dystonia". Neurology. 53 (7): 1431–8. doi:10.1212/WNL.53.7.1431. PMID 10534247.
[edit]
Look up wrinkle in Wiktionary, the free dictionary.
 
Wikimedia Commons has media related to Wrinkles (skin).

 

This article is about those outpatient clinics that are not connected with hospitals. For outpatient clinics of hospitals, see Outpatient clinic (hospital department). For inpatient healthcare facilities, see general hospital. For the British political term, see Surgery (politics). For other uses, see Clinic (disambiguation).

 

Military Policlinic in Legionowo, Poland

A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care needs of populations in local communities, in contrast to larger hospitals which offer more specialized treatments and admit inpatients for overnight stays.

Most commonly, the English word clinic refers to a general practice, run by one or more general practitioners offering small therapeutic treatments, but it can also mean a specialist clinic. Some clinics retain the name "clinic" even while growing into institutions as large as major hospitals or becoming associated with a hospital or medical school.

Etymology

[edit]
The entrance to a surgery clinic in Greenwich, London

The word clinic derives from Ancient Greek κλίνειν klinein meaning to slope, lean or recline. Hence κλίνη klinÄ“ is a couch or bed and κλινικÏŒς klinikos is a physician who visits his patients in their beds.[1] In Latin, this became clÄ«nicus.[2][3]

An early use of the word clinic was "one who receives baptism on a sick bed".[4]

Overview

[edit]
A medpunkt (health care access point) delivers primary health care to the residents of the village of Veliki Vrag, Russia.

Clinics are often associated with a general medical practice run by one or several general practitioners. Other types of clinics are run by the type of specialist associated with that type: physical therapy clinics by physiotherapists and psychology clinics by clinical psychologists, and so on for each health profession. (This can even hold true for certain services outside the medical field: for example, legal clinics are run by lawyers.)

Some clinics are operated in-house by employers, government organizations, or hospitals, and some clinical services are outsourced to private corporations which specialize in providing health services. In China, for example, owners of such clinics do not have formal medical education. There were 659,596 village clinics in China in 2011.[5]

Health care in India, China, Russia and Africa is provided to those regions' vast rural areas by mobile health clinics or roadside dispensaries, some of which integrate traditional medicine. In India these traditional clinics provide ayurvedic medicine and unani herbal medical practice. In each of these countries, traditional medicine tends to be a hereditary practice.

Function

[edit]
Policlinic in Karl-Marx-Stadt, German Democratic Republic

The function of clinics differs from country to country. For instance, a local general practice run by a single general practitioner provides primary health care and is usually run as a for-profit business by the owner, whereas a government-run specialist clinic may provide subsidized or specialized[dubious – discuss] health care.

Some clinics serve as a place for people with injuries or illnesses to be seen by a triage nurse or other health worker. In these clinics, the injury or illness may not be serious enough to require a visit to an emergency room (ER), but the person can be transferred to one if needed.

Treatment at these clinics is often less expensive than it would be at a casualty department. Also, unlike an ER these clinics are often not open on a 24/7/365 basis. They sometimes have access to diagnostic equipment such as X-ray machines, especially if the clinic is part of a larger facility. Doctors at such clinics can often refer patients to specialists if the need arises.[6]

Large outpatient clinics

[edit]
Children Policlinic in Novokosino District of Moscow

Large outpatient clinics vary in size, but can be as large as hospitals.

Function

[edit]

Typical large outpatient clinics house general medical practitioners (GPs) such as doctors and nurses to provide ambulatory care and some acute care services but lack the major surgical and pre- and post-operative care facilities commonly associated with hospitals.

Policlinic in Vilnius-KaroliniškÄ—s, Lithuania

Besides GPs, if a clinic is a polyclinic, it can house outpatient departments of some medical specialties, such as gynecology, dermatology, ophthalmology, otolaryngology, neurology, pulmonology, cardiology, and endocrinology. In some university cities, polyclinics contain outpatient departments for the entire teaching hospital in one building.

Internationally

[edit]
Policlinic in Písek, Czech Republic

Large outpatient clinics are a common type of healthcare facility in many countries, including France, Germany (long tradition), Switzerland, and most of the countries of Central and Eastern Europe (often using a mixed Soviet-German model), as well as in former Soviet republics such as Russia and Ukraine;[7] and in many countries across Asia and Africa.[8]

In Europe, especially in the Central and Eastern Europe, bigger outpatient health centers, commonly in cities and towns, are called policlinics (derived from the word polis, not from poly-).

Recent[when?] Russian governments have attempted to replace the policlinic model introduced during Soviet times with a more western model. However, this has failed.[9]

In the Czech Republic, many policlinics were privatized or leasehold and decentralized in the post-communist era: some of them are just lessors and coordinators of a healthcare provided by private doctor's offices in the policlinic building.[10]

India has also set up huge numbers of polyclinics for former defense personnel. The network envisages 426 polyclinics in 343 districts of the country which will benefit about 33 lakh (3.3 million) ex-servicemen residing in remote and far-flung areas.[11]

Policlinics are also the backbone of Cuba's primary care system and have been credited with a role in improving that nation's health indicators.[12]

Mobile clinics

[edit]
Hinduja National Hospital's mobile clinic
A mobile health clinic operated from a truck

Providing health services through mobile clinics provides accessible healthcare services to these remote areas that have yet to make their way in the politicized space. For example, mobile clinics have proved helpful in dealing with new settlement patterns in Costa Rica. Before foreign aid organizations or the state government became involved in healthcare, Costa Rica's people managed their own health maintenance and protection.[13] People relied on various socio-cultural adaptations and remedies to prevent illnesses, such as personal hygiene and settlement patterns.[13] When new settlements that sprang up along the coast became "artificial" communities, and due to lack of traditional home healing practices here, alternative methods such as mobile clinics had to be implemented in these communities for the protection and prevention of diseases.[13]

A study done in rural Namibia revealed the health changes of orphans, vulnerable children and non-vulnerable children (OVC) visiting a mobile clinic where health facilities are far from the remote villages.[14] Over 6 months, information on immunization status, diagnosis of anemia, skin and intestinal disorders, nutrition, dental disorders was collected and showed that visits to mobile clinics improved the overall health of children that visited regularly. It concluded that specified "planning of these programs in areas with similarly identified barriers may help correct the health disparities among Namibian OVC and could be a first step in improving child morbidity and mortality in difficult-to-reach rural areas."[14]

A mobile clinic run from a pickup truck in Yemen

Food supplementation in the context of routine mobile clinic visits also shows to have improved the nutritional status of children, and it needs further exploration as a way to reduce childhood malnutrition in resource-scarce areas. A cross-sectional study focussed on comparing acute and chronic undernutrition rates prior to and after a food-supplementation program as an adjunct to routine health care for children of migrant workers residing in rural communities in the Dominican Republic.[15] Rates of chronic undernutrition decreased from 33% to 18% after the initiation of the food-supplementation program and shows that the community members attending the mobile clinics are not just passively receiving the information but are incorporating it and helping keep their children nourished.[15]

Types

[edit]
Storefront clinic in Manhattan

There are many different types of clinics providing outpatient services. Such clinics may be public (government-funded) or private medical practices.

  • A CLSC are in Quebec; they are a type of free clinic funded by the provincial government; they provide service not covered by Canada's healthcare plan including social workers
  • In the United States, a free clinic provides free or low-cost healthcare for those with little or without insurance.
  • A retail-based clinic is housed in supermarkets and similar retail outlets providing walk-in health care, which may be staffed by nurse practitioners.
  • A general out-patient clinic offers general diagnoses or treatments without an overnight stay.
  • A polyclinic or policlinic provides a range of healthcare services (including diagnostics) without need of an overnight stay
  • A specialist clinic provides advanced diagnostic or treatment services for specific diseases or parts of the body. This type contrasts with general out-patient clinics.

See also

[edit]
Wikimedia Commons has media related to Clinics.

References

[edit]
  1. ^ κλινικÏŒς in A Greek–English Lexicon. Retrieved 18 September 2016.
  2. ^ clinicus in A Latin Dictionary. Retrieved 18 September 2016.
  3. ^ Partridge, Eric. Origins: A short etymological dictionary of modern English. Book Club Associates, 1966.
  4. ^ Clinic, Webster's Revised Unabridged Dictionary, 1913.
  5. ^ "Statistical Communiqué on the 2011 National Economic and Social Development". stats.gov.cn. National Bureau of Statistics of China. 22 February 2012. Archived from the original on 6 April 2012. Retrieved 5 September 2012.
  6. ^ "Clinic search engine tools to find the right Clinic". 123 clinic. Retrieved 15 December 2016.
  7. ^ NLH – Health Management – Policlinics. Retrieved 3 July 2008.[permanent dead link‍]
  8. ^ Google
  9. ^ Ershova I, Rider O, Gorelov V (December 2007). "Policlinics in London". Lancet. 370 (9603): 1890–1. doi:10.1016/S0140-6736(07)61793-0. PMID 18068500. S2CID 43512994.
  10. ^ David Rath: Trnitá cesta privatizace českého zdravotnictví, HospodáÅ™ské noviny, 10 September 1996
  11. ^ "199 Additional Polyclinics For Ex-Servicemen". The Hindu. Chennai, India. 26 May 2010.
  12. ^ Cuba's primary health care revolution: 30 years on, Bulletin of the World Health Organization
  13. ^ a b c Morgan, Lynn M. (February 1993). Community Participation in Health: The Politics of Primary Care in Costa Rica. Cambridge Core. doi:10.1017/CBO9780511558092. ISBN 978-0-521-41898-0. Retrieved 8 May 2020.
  14. ^ a b Aneni, Ehimen; De Beer, Ingrid H.; Hanson, Laura; Rijnen, Bas; Brenan, Alana T.; Feeley, Frank G. (2013). "Mobile primary healthcare services and health outcomes of children in rural Namibia". Rural and Remote Health. 13 (3): 2380. ISSN 1445-6354. PMID 24016257.
  15. ^ a b Parikh, Kavita; Marein-Efron, Gabriela; Huang, Shirley; O'Hare, Geraldine; Finalle, Rodney; Shah, Samir S. (September 2010). "Nutritional Status of Children after a Food-Supplementation Program Integrated with Routine Health Care through Mobile Clinics in Migrant Communities in the Dominican Republic". The American Journal of Tropical Medicine and Hygiene. 83 (3): 559–564. doi:10.4269/ajtmh.2010.09-0485. ISSN 0002-9637. PMC 2929051. PMID 20810820.
 

 

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