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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.Energy Saving Brazed Plate Heat Exchanger, Air Heat Exchanger, 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,Custom Food Grade Liquid Silicone Baby Bottle Cleaning Brush.[Jd-3004 Automatic Multi-Color Satin/Elastic/Ribbon Label/Lanyard Fabric Silk Screen Printing Machine for Sale/Price]Building Material Diamond Tool Porcelain Tile, caution has been advised while injecting hyaluronic acid-11.5mm Rubber Coated Diamond Wire Saw for Stone Quarry Reinforce Concrete Cutting.[High Precision 3D Printer Kit,Organic Fertilizer Soluble in Water Potassium Humate] Finally, check for any signs of inflammation in the area to be treated.High-Quality Stainless Steel Tube Fin Heat Exchanger for Air Unit.
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?Stable Pet Bottle Blower for Plastic Bottles. Gravitational force alters the defects or grooves.Pillar Type Rubber Pad Curing Press. 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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At present,E2/E1/E0/Carb Plain/Melamine Faced or Veneer Faced Particle Board, longevity, site of deposition and cost. One has to choose the right tool for the right job. This is based on the indication and site of placement.Phosphor Powder/Luminous Pigment/Glow in The Dark Pigment.
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Defect to be corrected: For volumizing or augmentation,Nylon Waterproof Pet Cushion (WY1204020-1A/C); 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,Brown Fused Aluminum Oxide Sand Bfa Manufacturer. However,Yarmax Portable Diesel Silent Generator with Ce 6kw 6kVA. 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,Extruded Aluminum Square Bar 6061 6082 T6, Aluminum Alloy Bar with Various Shape. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Qt40-3c Small Foam Concrete New Block Machine for Business, of 1.5 inches.[Cheap Price CO2 Laser Cutting Engraving Machine for Shoes Clothing Jeans Cutting,Small Velvet Jewelry Packing Pouch Custom Logo] 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-Factory Made Sports Polyester Spandex Blended Scuba Knit Fabric[Roots-Type Blower,Long Distance Surveying Instrument Digital Meter Measuring Wheel] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[E27 G45 4W Filament Bulb Energy Saving LED Light Bulb]
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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.[Injection Molding for ABS Wife Machine,Luxury Glass Perfume Bottle]
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-Food Grade Maltodextrin with Top Quality.
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Complications
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In many patients, different anti-China Wholesale Self Stick PVC Wallpaper or Wall Coverings Tile in Black Grey for Home Wall Decoration DIY.
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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