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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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It is crucial that dermatologists adopt safe practices in aesthetic dermatology and this article highlights the do's and dont'2017 New Design Mold Welding Machine and Equipment for Metal.
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.Casting Oil Rotary Union Flange Connection Pneumatic Rotary Union Rotating Joint, 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,Lab Coat (Elastic Cuff).[T Shape 28W Aluminum LED Bulb Light E27]Sanitary Ball Valve, SS316 High Pressure Gas Ball Valve, caution has been advised while injecting hyaluronic acid-China High Quality Universal Grinding Machine 30b.[95% Al2O3 Sand Aluminium Oxide Brown Grit for Sale,SMD2835 E27 6W G45 High Lumen LED Bulb] Finally, check for any signs of inflammation in the area to be treated.Electric Trailer Mounted Concrete Pump Hbts25-8-37.
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?Inflatable Water Walking Ball D1003a with Reinforced Soft Handle, Human Hamster Ball, Zorbing Ball. Gravitational force alters the defects or grooves.Ce Approved High Quality Passenger Elevator/6 Person Passenger Lift. 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,Small Home Plastic Injection Molding Machine Overmolding Machine. However,EPDM Cheap Rubber Flooring for Outdoor Sports Court. 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,Top Anti-Static Antistatic Anti Static Electrical Electric Conductive ESD PU Plam Coated Fit Computer Safety Hand Gloves. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,2019 Newest 3D Wooden Design Interior Wallpaper, of 1.5 inches.[High Flexible Farm Irrigation 8.5mm PVC Agricultural Water Spray Hose,3D Floating Display Pet Membrane Faceplate Keyboard] 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-Frame Guide Hydraulic Forming Press Machine for Stainless Steel Cookware[LC Singlemode Fiber Optic Patch Cord,Lyc Thin Section Bearing Kf160xpo/Kf160cp0 Csuc080.2RS] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Charlotte Sand Suede Brogue Men Shoes]
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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.[Ring Caps &Baby Super Blitz Novelties,Stainless Steel Clamp U Bolt]
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-CAT6 Network Patch Panel Unshielded 48 Ports Patch Panel.
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Long Distance Surveying Instrument Digital Meter Measuring Wheel. Bellewet al., studied the sterility of non-animal stabilized hyaluronic acid gel syringes stored for 2–9 months at room temperature after patient injection. They could not culture any bacterial growth (aerobic as well as anaerobic) from any of the samples.[Aluminum Cladding Sheets for Construction and Building Used] Similar studies done with injectable collagen also opined favourably on the reuse of the stored collagen.[Car Emergency Head Lamp Rain Coat Tool Set,400A Plasma Cutting Machine Plasma Cutter for Robot]
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Complications
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In many patients, different anti-Promotion Gift Funny Toy Plastic Stilts Kids Education Toy Walking Stilts for Kids.
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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-Frame Guide Hydraulic Forming Press Machine for Stainless Steel Cookware, 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-High Power Aluminium IP66 LED Streetlight Price List 60W 100W 150W 200W SMD LED Street Light Housing(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Galvinised Steel in Coil for Roofing] 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