ePlasty: Vol. 19
Assessment of Neuromuscular Function in Patients With Prior Cosmetic Procedures: A Case Report
Nicole K. Le, BS,a,b Daniel Liauw, BS,b,c Sabrina Z. Siddiqui, BGS,b,d and Kevin M. Donohue, DOe

aDepartment of Plastic Surgery, Morsani College of Medicine, University of South Florida, Tampa; bYale School of Public Health, New Haven, Conn; cUniversity of North Carolina School of Medicine, Chapel Hill; dTexas Tech University Health Sciences Center School of Medicine, Lubbock; and eDepartment of Medicine, Saint Joseph Hospital, Lexington, Ky

Correspondence: kdonohue@soundphysicians.com
Keywords: cisatracurium besylate (Nimbex), onabotulinum toxin A (Botox), train-of-four peripheral nerve stimulation, neuromuscular blockade, facial nerve

Objective: The use of Botulinum toxin type A (Botox) for cosmetic procedures has become so prevalent that many patients do not always consider it to be a past surgical procedure, and it goes excluded from the medical record. Without the knowledge of prior Botox use, interpretation of facial nerve train-of-four testing may be inaccurate. Methods: We describe a 61-year-old woman with a history of multiple cosmetic procedures whose postoperative course was complicated by m .......