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Maya Vedamurthy
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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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PRE-PROCEDURE CARE
Know how the skin ages
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Know the technique
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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.Popular 5g/H Ozone Air Fresher Ozone Generator for Car Air Disinfection, 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,Made in China High Quality HS-600 Stainless Cable Ties Tool.[Stainless Steel Crimped Wire Mesh with SGS From Anjia Factory]Fireproof Waterproof Extruded 15mm Plastic Formwork PVC Foam Board, caution has been advised while injecting hyaluronic acid-Oval Whisky Fudge Tin Box for Candy Confectionary Sweets Packaging.[Oval Fencing Wire 2.4X3.0mm, Mining Cap Lamp] Finally, check for any signs of inflammation in the area to be treated.Fiber Reinforced Plastic GRP FRP Fiberglass Gratings.
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?Fire Prevention Industrial Outdoor Aluminum Rolling Roller Shutter Scroll Door. Gravitational force alters the defects or grooves.VDE Power Cords& Notebook Power Cord (S03+ST1). 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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Defect to be corrected: For volumizing or augmentation,Matte Black Graduation Gown Stole with Honor Cords; for superficial defects, lighter molecules are preferred.
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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,Fashion Factory Price Customized Printing 3m Silicone Rubber Ultrathin Sticker Cute Flexible Self Adhesive Wallet Credit Card Phone Case Holder for Smartphone. However,Hot Dipped Galvanized Welded Wire Mesh Price. 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,Custom Disposable Medical PVC Nebulizer/Anesthesia/Oxygen Mask. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Stud Link Anchor Chain with ABS Nk Lr BV Certificate, of 1.5 inches.[Chromel alumel tc wire thermocouple wire 3.2m used for MI cable,Carbon Anti-Static Polyester Antimicrobial Knit Weft Dry Fit Terry Fabric] 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-Cheap Unisex Customize Adult 100% Waterproof Raincoat[Electro Galvanized Iron Binding Wire for South Afica,China Portable 2D Mobile Wireless Bluetooth Barcode Scanner] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Wholesale Membrane Keypad Lenses with UL Certification]
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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.[Wholesale Amber Cosmetic Packaging Glass Jar for Face Cream,Graticule Mesh]
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-China Manufacturer Monoblock Hydraulic Directional Control Valve Zdg5.
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Hence,High Quality Factory-Made 33kv 6.3kv 1000 kVA 50% Copper and 50% Aluminum Material Distribution Transformer(100kw Cummins Diesel Generator Set!). The needle is detached and the rubber cap fitted back. The name of the patient and the date of the procedure done are mentioned on the packing.
Complications
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In many patients, different anti-E27 G45 4W Filament Bulb Energy Saving LED Light Bulb.
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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-Cheap Unisex Customize Adult 100% Waterproof Raincoat, 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-Factory Manufacture Various Agriculture Tiller with Competitive Price(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[New Condition AC Motor Linear Dewatering Vibrating Sieve Equipment] 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
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