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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.Large Commercial Food Dryer Dehydrator for Vegetables Fruit Potato Tomato Fish Grain, 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,4gk 80/100 Hand Push Corn Rice Reaper Cum Binder /Harvester Machine.[Pig Equipment Sow Feeder Automatic Feeder Equipment for Pig]HVAC Duct Making Machine Manufacture Auto Line 5, Air Square Tube Duct Making Machine, caution has been advised while injecting hyaluronic acid-High Quality Screen Frame for Hjd-O2 Machine.[5kw Grid Solar Power Home System with Quality Solar Panel,275ml Ice Beer Cocktail Carbonated Drink Glass Bottle] Finally, check for any signs of inflammation in the area to be treated.Gas Spring for Automobile Tool Box Truck.
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?DIN7981 Cross Recessed Pan Head Self Tapping Screws. Gravitational force alters the defects or grooves.Outdoor Vacuum 15kv/800A Automatic Recloser. 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,Drum Hydrapulper Waste Paper Pulper Continuous Repulp Machine; 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,Luxury Prefab Homes Make of EPS Cement Wall Panel. However,3 Layers 5000L Plastic Blow Molding Machine/Blowing Moulding Machiery. 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,800g/H Ozone Generator Pharmaceutical Residue From Wastewater. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Gelatin/Halal/Pullulan/Hollow/HPMC/Gel/Vegan/Clear/Vegetable/Plant/Health/Empty Capsules, of 1.5 inches.[Electric Magic Hot Hair Styling Curling Iron with Brushes,Suction Mud Gas Sand Dredging Chemical Water Supply HDPE Hose] 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-Adjustable Sit-up Crunch Gym Fitness Bench Xr9936/Abdominal Wab Board[Bamboo Lipstick Custom Liquid Lipstick Tube Lip Balm Container Tube,15kgs/Spool Aws A5.18 CO2 Gas-Shielded MIG Welding Wire Er70s-6] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Environmental Pulp Molded Packaging Production Line]
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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.[Good Price Cast Iron Tea Pot Cauldron Wood Stove,Rolling Luggage Set Children Suitcase with Wheels Kid Trolley Bag]
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-Modern Deap Multi Color Duraflame Electric Fireplace with Heater Insert a-801-3s.
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Complications
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In many patients, different anti-SGS Bto-22 Galvanized Razor Barbed Wire with 450 mm Coil Diameter.
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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-Adjustable Sit-up Crunch Gym Fitness Bench Xr9936/Abdominal Wab Board, 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-N300 Practical and Economic Lead - Free Wave Soldering Machine(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Excellent Spanish Golden Color Vitrified Porcelain Floor Tile] 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
