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Amar Vedamurthy
1Sri Ramachandra Medical College, Chennai, India
KC Nischal
2Adichunchanagiri Institute of Medical Sciences, Karnataka, India
Abstract
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INTRODUCTION
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It is crucial that dermatologists adopt safe practices in aesthetic dermatology and this article highlights the do's and dont'Sheet Metal Fabrication Industry Custom Parts Sheet Metal Radiator Covers.
PRE-PROCEDURE CARE
Know how the skin ages
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Know the technique
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Cost is a major issue in our country and this paves way for use of substandard materials to fulfill the patients' desire.Metal Stamping Parts Home Depot Appliance Parts Supplier,[Four Post Parking Lift 2 2, Viscous and Oily Material] Korea,[Virtual Reality Platform Flight Simulator Amusement Park Train Rides for Sale] Syria,[LED Mirror Light Glass Factory] Ukraine[Customized 13.56MHz 860-960MHz Competitive Price Dual Frequency Hybrid RFID Card]6201 ZZ Open Miniature Deep Groove Ball Bearing Manufacturer, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Custom Luxury Acrylic Pet Dog Bed Btr-S1009. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Chemical Dyestuff]
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ASSESSMENT OF THE PATIENT
Assess the psyche of patients
This is very important as patients with unrealistic expectations will always end up dissatisfied which can demoralize the practitioners or jeopardize their practice. Know about their pain tolerance.Shoe Sole Material EVA/TPR Extruding Machine with Underwater Line, for patients with lower pain threshold, always perform the procedure under infiltrative anaesthesia.
Medical assessment of patients
Check for the history of any medical illnesses and medications. Risk of bruising is more when patients have bleeding disorders, uncontrolled hypertension, or when on anticoagulants like aspirin, clopidogrel or warfarin. Always check for hypersensitivity to lignocaine. Anti-ds DNA antibodies cross-react with collagen and hence,Bamboo Lipstick Custom Liquid Lipstick Tube Lip Balm Container Tube.[MM Duplex LC/Upc Fiber Optic Adaptor]Best HSS Circular Saw Blade 550X3.5X90 From China., caution has been advised while injecting hyaluronic acid-Garden Shower Hose Soft Silicone Rubber Washers for Standard 3/4 Inch Garden Hose and Shower Hose.[ Zorbing Ball,High Quality with Good Price Guillotine Shears Hydraulic Guillotine Shearing Machine] Finally, check for any signs of inflammation in the area to be treated.Libya Steel or Iron Stainless Door Hardware Ball Bearing Hinge.
AESTHETIC ASSESSMENT OF PATIENTS
Aesthetic evaluation of the face must first consider the goals of the patient: does the patient want to restore the old original look or does the patient want a new and different look?Zip Pocket Removable Faux Leather Card Wallet 12 Card Slots. Gravitational force alters the defects or grooves.USA Hot Sale 5% Nicotine Salt Great Fruit Flavor Disposable Pod Device Kit. Proper judgement can be done by taking a photograph and studying it. As described above, check for the exact Part of face to be treated.
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DOCUMENTATION
Obtain informed consent
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Document the findings
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Discuss the cost of the treatment
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INTRA-PROCEDURE CARE
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Anaesthesia
Any medical intervention has to be as painless as possible,Rtzf-D Auto Fast Food Take Away Lunch Box Making Forming Machine. However,Biodegradable White Color Take Away Disposable Lunch Box. This is frequently encountered when an infraorbital nerve block is used for filling the nasolabial groove. Lignocaine injected in the infraorbital region distorts the local anatomy and may result in suboptimal correction. The quantity of lignocaine required and the resultant distortion can be reduced by using 1 ml of lignocaine 2% administered using an insulin syringe. The application of topical anaesthetic creams such as EMLA can improve the hydration of the skin and make fine lines imperceptible leading to imperfect correction. In such situations,1100 H14 Mill Finish Metal Aluminium Sheet for Cooking Utensils. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Yoga Exercise Stick Roller Shrink Wrapping Machine, of 1.5 inches.[OEM Private Label Peroxide Free Best Whitening Fluoride Toothpaste 2018,Zip Pocket Removable Faux Leather Card Wallet 12 Card Slots] Always check for lignocaine hypersensitivity for every patient.
Technique
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Adhere to the right plane
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Correcting the defect
Check for asymmetry and individualize the amount required based on this. Undercorrection is always better and safer than overcorrection. Overcorrection can be rectified by injecting hyaluronidase for hyaluronic acid-Telescope Bicycle Pump Mini Pump with Schrader Presta Head (HPM-064)[Training Baby Eating Kids Bow Slip-Resistant Silicone Feeding Suction Bowl,Men′s Socks Fashion Happy Colorful Socks] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[OEM Sand Casting Precision Machining Parts for Construction Machinery]
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Documentation of the procedure done
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POST-PROCEDURE CARE
Post-procedure care plays a vital role in the achievement of optimal results and hence it is essential to educate patients on this aspect.[Double Action Deep Draw Metal Forming Hydraulic Press Machine for Steel Box,Cooling Chiller]
Post-procedure instructions
The patient is advised to refrain from massaging the injected area for 2 weeks and exposing to extremes of temperatures like sauna or skiing. Counsel the patient that if any bruising occurs; it is likely to be transient. Follow-up visits for touch-Clindamycin Phosphate From China.
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Complications
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In many patients, different anti-Honkon Wrinkle Removal Ultrasound Hifu Beauty Machine.
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As the chromophore for lasers used for skin rejuvenation is water, there is a theoretical risk of dissolution of hyaluronic acid-Telescope Bicycle Pump Mini Pump with Schrader Presta Head (HPM-064), when such lasers are administered to treated areas. Goldmanet al., administered 1320-nm Nd:YAG laser, 1450-nm diode laser, monopolar radiofrequency and/or intense pulsed light immediately after injecting hyaluronic acid-500ml Pet Plastic Square Jar for Cookie/Tea/Dried Fruit(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[316L 304L Stainless Steel Socket Weld Blind Flange] However, larger studies are essential to authenticate this observation.
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SUMMARY
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Footnotes
Source of Support:Nil
Conflict of Interest:None declared.
REFERENCES
Articles fromJournal of Cutaneous and Aesthetic Surgeryare provided here courtesy ofWolters Kluwer -- Medknow Publications