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"The heat from the laser can trigger the production of melanocytes, which will create more melanin pigment, leading to hyperpigmentation and dark spots forming." That's why caution should be taken for melasma-prone skin as well, as melasma can be aggravated by thermal heat

Figure 36-1 demonstrates the classic anatomic landmarks used in the Millard procedure

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Providers should transition to emerging weight loss peptides when a patient experiences intractable side effects (like severe nausea or gastroparesis), when they hit a hard weight loss plateau despite dietary compliance, or when the primary clinical obstacle is documented cellular metabolic resistance rather than hyperphagia (overeating)