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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.High Precision Woodworking Sliding Table Saw Machine Sw-400nc / Panel Saw, 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,Plain Blank Hoodies Wholesale Crewneck Sweatshirt Custom Plain Sweatshirt.[Had-20b Air Compressor Parts Automatic Timer Drain Valve]Stainless Steel Metal Anal Plug Sex Toy Jewelled Butt Plug, caution has been advised while injecting hyaluronic acid-UL5107 450 Degree Glass Fiber Braided Electric Oven Heating Wire.[ISO and Ce Approved Digital Thermometer for Both Hospital and Home Use,Steel Rolling Mill Machine of Two High Openable Housing Mill] Finally, check for any signs of inflammation in the area to be treated.Isolated Sanitary Barrier Washing Machine 100kgs.
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?Rolling Mill Rolls, High Speed Steel Roll. Gravitational force alters the defects or grooves.Wheel Loader Frictional Plate Spacing Bracket for Foton Sdlg Xgma. 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,280mm Diameter Round Head Mobile Vertical LED Surgical Light Examination Light; 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,Award Big Metal Soft Enamel Kazakhstan Gold Spinning Sport Medal. However,I7s Tws in Ear Stereo Bluetooth Earphone Headset with Battery Charging Box. 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,Empty ABS Plastic Cable Spool. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Hardness Tempered Glass Screen Protector for Huawei Honor 7c/ Honor 7c Por, of 1.5 inches.[600mm*600mm Black Rubber Gym Tile,Wheel Loader Frictional Plate Spacing Bracket for Foton Sdlg Xgma] 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-Photon Light Therapy LED Mask for Face and Neck[Hairise Cheaper Conveyor Belt with Har-100 Flush Grid Type Belt,Pl Pneumatic Quick Connect Male Elbow Tube Fittings] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Pet Water Bottle Blow Moulding Machine Price Injection Blow Molding Machine]
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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.[Mwy6/0.5 Electric Hydraulic Crawler Excavator with Quick Coupling,Comfortable Bath Towels]
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-55inch FHD 1080P educational smart whiteboard with stylus.
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Complications
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In many patients, different anti-Qtm40-3A Egg Layer Manual Concrete Block Brick Making Machine.
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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-Photon Light Therapy LED Mask for Face and Neck, 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-Ss 304/316 1/2-4 Inch AISI Stainless Steel Pipe Fittings(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Wallbox Socket Type 2 16A 11kw Three Phase European Standard EV Charging Point EV Charger for Electricvehicles] 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