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Evaluate the potential risks and complications associated with botulinum toxin and dermal filler administration and the systems and protocols that are required to deal with associated emergencies

Level 7 Certificate in Aesthetic Practice - Assignment 2

Unit AP705 Management of Complications and Medical Emergencies

  1. Evaluate the potential risks and complications associated with botulinum toxin and dermal filler administration and the systems and protocols that are required to deal with associated emergencies. 
  2. Analyse the management options available to prevent and deal with complications during and post-botulinum toxin and dermal filler administration and evaluate their suitability and effectiveness.
  3. Evaluate the regulatory requirements for reporting safety concerns and adverse incidents associated with botulinum toxin and dermal fillers and their effectiveness.

The required word count for this assignment is 3500 words. 

A completion date will be agreed for each assignment. You will be allowed a minimum of two months to complete each assignment. Please ensure you read and follow the Assignment Writing and Harvard Referencing Guidelines.

Assignments that do not meet the guidelines will be returned to students unmarked.

Level 7 Certificate in Aesthetic Practice Assignment 2 - Marking Scheme

Learner’s Name:

 

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Assignment Breakdown

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Allocated Marks

Please note: The marks indicated in the marking scheme column also take into account your writing style, structure, presentation, flow of content, logical development, knowledge and understanding of the subject, independent thought, critical thinking/arguments, and Harvard referencing.

1. Evaluate the potential risks and complications associated with botulinum toxin and dermal filler administration.

 

For example: refer to indicative content in level 7 qualification specification Unit AP705: Management of Complications and Medical Emergencies – high risk treatment areas, common side effects, minor, temporary, delayed complications, serious complications, non-responders, inability to meet client expectations, technique-related problems, interactions with concomitant medications, post-treatment dissatisfaction and post-decisional regret.

/40

2. Analyse the management options available to prevent and deal with complications during and post-botulinum toxin and dermal filler administration and evaluate their suitability and effectiveness.

For example: health and safety protocols/systems, risk profiling, adequate training and education, working in multidisciplinary teams, support network, early detection of complications, quick diagnosis, immediate response, range and knowledge of the relevant products/brands and characteristics, topical and local anaesthetics, over the counter or prescribed drug administration, emergency response, Epinephrine (adrenalin) administration, hyaluronidase administration, first aid response, post treatment medical intervention, referral to prescriber/GP/pharmacist/ophthalmologist, continuity of care, regular auditing and review of protocols/systems and treatment complications.

Prevention; for example: consultation and physical examination, full medical history, excluding contra-indications, detailed client pre-procedural information and risks, appropriate client selection, screening tools to identify ‘at risk’ groups, client-centred approach, informed client consent, cool down period, skin testing for hypersensitivity, appropriate photographic documentation, proficiency, sterile practices, accurate injection sites, timing, dosage and administration, dilution and storage, adherence to manufacturers’ guidelines, post treatment advice and follow up, detailed treatment records, client feedback.

/40

Assignment Breakdown

 

Key Areas to Be Covered

Allocated Marks

3. Evaluate the regulatory requirements for reporting safety concerns and adverse incidents associated with botulinum toxin and dermal fillers and their effectiveness.

For example: adverse drug incidents (ADRs) involving medicines/ medical devices, voluntary adverse event reporting and management, MHRA yellow card reporting system and outcomes, client confidentiality, client reporting mechanism, health and safety requirements, consumer protection, data collection and sharing.

/20

Followed assignment writing guidelines and Harvard referencing

Yes / No

Met the required word count

(3500 words)

Yes / No

Plagiarism

Yes / No

Total Marks (pass rate 65%)

Pass / Refer

Assessors Comments:

Action Plan:

Re- submission date (if required):

Assessor Signature:

 

IQA Signature:

 

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Sample Short Answer of Unit AP705 Management of Complications and Medical Emergencies

Introduction

Injectable aesthetics are routinely framed as “minimally invasive”, but the risk profile is not minimal. Botulinum toxin (BoNT-A) is a prescription-only medicine (POM) that temporarily inhibits acetylcholine release at neuromuscular junctions; dermal fillers (most commonly hyaluronic acid, HA) are implantable medical devices intended to restore or augment soft tissue. Adverse outcomes range from transient bruising to catastrophic events such as vascular occlusion and vision loss with fillers, or dysphagia and respiratory compromise with toxin. Within a safe service, risk is managed proactively through competent assessment, product and technique selection, evidence-based emergency protocols, and robust governance including incident reporting and learning cycles. In the UK, this sits within an evolving regulatory landscape involving the MHRA (Yellow Card for medicines and medical devices), the ASA/CAP advertising rules for POMs, data protection legislation, professional duties (e.g., duty of candour for CQC-regulated providers), and sector standards from JCCP/CPSA and complications bodies such as ACE Group World and CMAC.

This assignment evaluates (1) the risks/complications and the systems/protocols needed for emergencies, (2) prevention and management options during and after treatment, and (3) the regulatory requirements for reporting safety concerns and adverse incidents—critically commenting on suitability and effectiveness throughout.


1) Risks and complications associated with botulinum toxin and dermal fillers, and the systems/protocols required for emergencies

1.1 Botulinum toxin (BoNT-A): risk profile

Common/local events. Pain, swelling, erythema, ecchymosis and headache are common and self-limiting. Technique-related asymmetry and over- or under-correction are frequent non-serious issues.

Diffusion-related undesired weakness. Upper-face BoNT-A can cause brow or lid ptosis (levator inhibition), “spocking”, smile asymmetry and dysarthria depending on injection plane, dose and spread. Product information and clinical reviews describe very rare distant spread causing excessive weakness, dysphagia or aspiration (Azzalure/Botox SmPCs). Medicines.org.uk+1

Systemic/serious effects. Although extremely uncommon in cosmetic doses, dysphagia and respiratory compromise are documented, and risks may be higher with concomitant medicines that impair neuromuscular transmission (e.g., aminoglycosides) or in underlying neuromuscular disease (e.g., myasthenia gravis) (SmPCs). Medicines.org.uk+2FDA Access Data+2

Non-responders/antibody-mediated resistance. Secondary non-response can occur after repeated/high-dose or short-interval exposure due to neutralising antibodies; management involves dose strategy changes or switching serotype (reported across clinical literature). (Reasoned analysis; general clinical consensus referenced in SmPC warnings about immunogenicity.) FDA Access Data

Expectation and consent risks. Misaligned expectations and post-decisional regret are genuine hazards; they are heightened by promotional pressures and must be addressed with clear, pressure-free consent conversations consistent with GMC “Cosmetic interventions” guidance. jccp.org.uk

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