Full Name | Emily Brown |
Date of Birth | February 15, 1993 |
Sex | Female |
Occupation | Art Teacher |
Presenting Complaint | Emily is interested in lip fillers for the first time to enhance the volume of her lips. |
Medical History | Allergies: None known. Previous surgeries or hospital admissions: None. Chronic illnesses: None. Autoimmune diseases: Diagnosed with systemic lupus erythematosus (SLE). Current medications: Prednisone 20mg daily, Hydroxychloroquine 200mg twice daily. Negative reactions to medications: No known reactions. History of bleeding disorders or prolonged healing: Has bruising easily and prolonged healing due to SLE. Lifestyle habits: Non-smoker, occasional alcohol (socially, 1-2 times per month), no recreational drugs. |
Dental History | Recent dental procedures: None. Ongoing dental problems: None. Cold sores or herpes simplex infections: No history. |
Cosmetic and Dermatological History | Previous cosmetic procedures: None. Skin reactions to cosmetic products or procedures: Sunburns easily due to photosensitivity from SLE. Previous lip fillers or facial injectables: None. Facial laser treatments or skin peeling: None. |
Lifestyle | Diet: Balanced diet with emphasis on anti-inflammatory foods. Exercise: Light yoga and swimming, 3 times per week. Significant weight fluctuations: Stable weight. |
Psychological and Emotional Health | Mental health diagnoses: None. Unusual stress or pressure: Moderate stress due to workload. |
Current Lip Health | Current lip conditions: No sores, cuts, or infections. |
Obstetric and Gynecologic History | Pregnancy plans: Not currently pregnant, uses oral contraceptive pills. Breastfeeding: Not currently breastfeeding. |