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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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Cost is a major issue in our country and this paves way for use of substandard materials to fulfill the patients' desire.High Quality Furniture Minifix Connecting Fitting 3 in 1,[GI & GL Corrugated Sheet,Rtzf-D Auto Fast Food Take Away Lunch Box Making Forming Machine] Korea,[Disposbale Nonwoven Dental Bib with Resistant] Syria,[Fashion Factory Price Customized Printing 3m Silicone Rubber Ultrathin Sticker Cute Flexible Self Adhesive Wallet Credit Card Phone Case Holder for Smartphone] Ukraine[RF Shield MRI Door with Brass Frame for RF Cage]Full Set Fancy Glass Perfume Bottle with High Quality, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,ODM Customized Red Anodized Aluminium Al6061-T6 CNC Lathe Part (F-146). In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Low-Noise Operational Amplifier]
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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.Natural Marble Carving Stone Pavilion Garden Gazebo with Lady Column for Outdoor Decoration, 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,LiFePO4 Battery Pouch Cell 3.2V 20ah/ Lithium Ion Battery / Li-ion Battery / Lithium Battery.[Tungsten Molybdenum Series High Speed Tool Steel]M6*50- M6*100 Ss 304 316 Expansion Eye Bolt, caution has been advised while injecting hyaluronic acid-3D Printer Plastic Filament Extruding Machine.[Automatic PLC Control Ultrasonic Welding Machine for Plastics Welding,Wheel Bearing Oil Seal Hok Factory] Finally, check for any signs of inflammation in the area to be treated.High Manganese Castings Blow Hammer Suit Terex I-100RS Impact Crusher Parts.
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?Hot Selling as Time Goes Coffee Vanilla Flavor 30ml Electronic Cigarette Liquid Excellent Taste E-Liquid. Gravitational force alters the defects or grooves.2019 3m 4m 5m Luxury Glamping Cotton Canvas Bell Tent Wedding Tent Party Tent Event Tent Camping Tent. 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,Wisdom Kl12m High-Power LED Miner Head Lamp, Mining Cap Lamp; 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,Custom Promotional Pink Fashion Kids Baby Sun Visor Snapback Cotton Party Hat Sport Baseball Cap with Embroidered Printed Logo. However,Fire Resistant Fiberglass Pultruded Grating. 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,10.4inch Industrial Tablet. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,White Powder STPP, Sodium Tripolyphosphate 90% 94%, Factory of STPP, of 1.5 inches.[High Precision Planetary Gearbox Speed Reducer for Servo Motor,Cheap Brown Suede Leather Work Safety Boots] 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-Hight Quality Stubby Adjustable Wrench (FM-W73)[Jacquard Home Furnishing Cation Fabric for Bags Furniture Sofa,Gold Supplier Welding Pipe Production Line for Export] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Cast Iron Tortilla Press / Non-Stick Coating Tortilla Press Maker / Roti Chapati Baking Tools]
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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.[Prefabricated House and Pre Engineered Steel Structure Building,Baby Girl Winter Dresses Factory OEM/ODM Products]
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-Customized LED Aluminum Extrusion Profile Channel.
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Complications
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In many patients, different anti-CD Series Pid Intelligent Temperature Controller CD101.
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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-Hight Quality Stubby Adjustable Wrench (FM-W73), 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-New Product Wood CO2 Fiber Laser Cutting Machine for Sale(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Recyclable Top Quality Laminated Plastic Packaging 50kgs Rice Bag] 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
