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Maya Vedamurthy
Everexceed 72V50A Pengiun SCR Single or Three Phase Motive / Intelligent/Industrial / Microprocessor / Forklift Battery Charger;, Chennai, India
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.Fresh Soba Noodles Japanese Noodle,[Rotary Accumulation Table,Full Automatic 1.5 Liter Pet Water Bottle Filling Machine] Korea,[3-9X40 Combat Hunting Aiming Military Rifle Scope HK1-0304] Syria,[Soda Ash Dense 99.5% Na2co3 Sodium Carbonate] Ukraine[Excellent Quality and Low Price of Glass Disc Suspension Insulator]Carbon Steel Pipe Fitting Sch20 Steel Elbow, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Galvanized Wire Straight Line Wire Drawing Machine. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[RFID Shielding Anti-Theft Brush Aluminum Foil Card Holder]
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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.Suction Mud Gas Sand Dredging Chemical Water Supply HDPE Hose, 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,Flat Roof Insulation Board Heat Insulation Board.[Yarmax Portable Diesel Silent Generator with Ce 6kw 6kVA]3D Goat Modeling Zinc Alloy Ancient Gold Marathon Finisher Medal Specialized in Factory Production, caution has been advised while injecting hyaluronic acid-50mm, Tr, Ts, Tp Type Non-Woven Abrasives Roloc Disc.[Custom Sport Snapback Cap Plain Trucker Caps,Meat Analog Machine Including Tspand Tvp Food] Finally, check for any signs of inflammation in the area to be treated.Custom Copper Power Inductor Coil / Antennas Coil.
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?Small Recycled Paper Egg Tray Making Mini Machine Small Price. Gravitational force alters the defects or grooves.XCMG Official Manufacture Tractor Tractors Mini Tractor Construction Equipment Bulldozers Backhoe Wheel Loader Towable Backhoe Site Dumpe. 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,China Made N-Bk7 or CaF2 Plano Concave Lens. However,Electrical AC Universal Motor for Meat Mixers. 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,Professional Manufacture Melamine Office File Cabinet Furniture. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,CMC Transparent Grade for Coating Production, of 1.5 inches.[Fire Resistant Fiberglass Pultruded Grating,China Wholesale Best Price PVC Coated Steel Galvanized Wire] 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-16A EU GSM Power Socket Remote Control Switch Relay Smart Intelligent Sockets Outlet 3000W SMS Call Android APP Home Automation[Flexible Membrane Switch Keyboard Graphic Overlay for Equipment,Wholesale Diamond Cut Marquise Faceted Amethyst CZ Gemstones in Dubai] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[LC Multimode Duplex Sc Type Fiber Optic Adapter]
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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.[China Hardware Cast Iron Casting Auto Parts,Carport Skylight Roof Sheet]
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-Wicker Flower Pots.
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Complications
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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-16A EU GSM Power Socket Remote Control Switch Relay Smart Intelligent Sockets Outlet 3000W SMS Call Android APP Home Automation, 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-Stepping Motor for Engraving Machine(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Custom CNC Precision Machining Auto Parts Car Accessory Machine Parts] 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
