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  • FichadeavaliacaoFACIAL Editavel Word Antigo MundoEstetica

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    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    5 views3 pages

    FichadeavaliacaoFACIAL Editavel Word Antigo MundoEstetica

    Uploaded by

    joanap2003
    o

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    FICHA DE AVALIAO FACIAL

    BIOTIPO CUTNEO
    ( ) Eudrmica ( ) Lipdica ( ) Alpica ( ) Mista

    ESTADO CUTNEO
    ( ) Normal ( ) Desidratado ( ) Sensibilizado ( ) Acneico ( ) Seborreico

    TEXTURA

    ( ) Lisa ( ) spera

    ESPESSURA
    ( ) Fina ( ) Muito Fina ( ) Espessa

    STIOS
    ( ) Dilatados na zona T ( ) Dilatados em toda Face ( ) Contrados

    ACNE
    ( ) Grau I ( ) Grau II ( ) Grau III ( ) Grau IV ( ) Grau V

    INVOLUO CUTNEA
    ( ) Linhas ( ) Sulcos ( ) Rugas ( ) Elastose ( ) Ptose
    Local: ________________________________________________________________________

    FOTOTIPO CUTNEO FITZPATRICK


    ( ) TIPO I ( ) II ( ) III ( ) IV ( )V

    FOTOENVELHECIMENTO ESCALA DE GLOGAU

    ( ) I ( ) II ( ) III ( ) IV ( )V

    Obs: ________________________________________________________________________

    MANCHAS PIGMENTARES (MELANINA)


    ( ) Acromia ( ) Eflides ( ) Hipocromia ( ) Melanose ( ) Hipercromia ( ) Melanose Solar
    ( ) Outros: _________________________________________________________________

    ALTERAES VASCULARES
    ( ) Equimose ( ) Petquias ( ) Telangectasias ( ) Eritrma ( ) /nevo rubi ( ) Roscea
    Outros: _________________________________________________________________

    LESES DE PELE

    ( ) Comedes ( ) Ppula ( ) Pstula ( ) Millium ( ) Cisto ( ) Ndulo ( ) Siringoma


    ( ) Nevo Melanoctico ( ) Xantelasma ( ) Dermatite ( ) Ulcerao ( ) Hiperqueratose
    ( ) Psorase ( ) Outros:__________________________________________________________
    CICATRIZ
    ( ) Hipertrfica ( ) Atrfica ( ) Queloideana ( ) Retrtil ( ) Hipercrmica ( ) Hipocrmica
    PELOS
    ( ) Hirsutismo ( ) Hipertricose ( ) Alopcia ( ) Foliculite
    OLHEIRAS

    ( ) Sim ( ) No ( ) Tipo / Observao: ________________________________________

    FLACIDEZ

    Quantificar os itens abaixo: (+ leve, ++ moderado, +++ Intenso, ++++ grave )

    ( ) Tissular ( ) Muscular

    Localizao da flacidez tissular: _______________________________________________________

    Localizao da flacidez muscular: ______________________________________________________

    Objetivos: ___________________________________________________________________________

    ____________________________________________________________________________________

    ____________________________________________________________________________________

    Tratamento Proposto: __________________________________________________________________

    ____________________________________________________________________________________

    ____________________________________________________________________________________

    Observaes: _________________________________________________________________________

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