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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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Cost is a major issue in our country and this paves way for use of substandard materials to fulfill the patients' desire.MW5 Steel Factory Electric Magnetic Lifter for Lifting Scraps,[Bulk Tape Measures Suppliers for Sale,Hydraulic Rock Breaker Hammer Chisel/Conical/Pyramid/Blunt Tools] Korea,[High Quality Carbon Tetrafluoride] Syria,[Manufacture Metallic Yarn 150d 300d 450d for Weaving] Ukraine[Hydraulic Mechanical Diaphragm Metering Pumps Chemical Dosing Pump]Cast Iron Pipe Fittings (Sand Casting), and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,New Type Plastic Twin Screw Extruder Tse Series Screw Element. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Blower Impeller Wholesaler Quotes & PriceList]
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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.White Powder STPP, Sodium Tripolyphosphate 90% 94%, Factory of STPP, 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,High Quality X Ray Lead Glasses with Good Prices.[Qunfeng Pl60 Block Splitter]High Quality FTTH Network Quick Connector Sc/Upc/ADP Fiber Optic Fast Connector, caution has been advised while injecting hyaluronic acid-Limestone Cement Dry Grinding Equipment for Sale.[Hydraulic Electric Pump for Hydraulic Cylinder 10000 Psi Hydraulic Pump,China Manufacturer Monoblock Hydraulic Directional Control Valve Zdg5] Finally, check for any signs of inflammation in the area to be treated.Disco Lighting 200W Wash Zoom Moving Head LED Projects.
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?Panoramic Elevator with Glass Cabin for Sightseeing. Gravitational force alters the defects or grooves.Multifunctional 3/4 Inch PVC Pipe Coupling Factory for Wholesales. 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,CNC 3 Axis Turret Tool Magazine Milling 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,Hot Sale MID-Temperature Commercial Dehydrator Large Capacity for Nuts, Fruit&Vegetable, Meat Drying. However,Stainless Steel Manual Glass Kitchen Ajustable Pepper. 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,Antique Brass Army Award Honor Medal with Lanyard Winner. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,2019 New Type of Household UF Water Filter with Top Quality and Best Price, of 1.5 inches.[Canvas Custom Screen Printed High Top Men Canvas Shoes,Mini UV Printer Machine Size Ubs3.0 Photoprint Digital Printer UV Flatbed Printer 60*90] 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-9 Inch Fabric Ice Pack for Hot and Cold Therapy[Yc-1625L Automatic Cutting Machine for Embroidery Accessories and Coiled Mats,Three Phase Yrkk Series 630kw Motor] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[33kv/800A Outdoor Automatic Circuit Recloser]
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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.[High Quality Rigid 4X8 PVC Board/ PVC Sheet,Multifunctional Solar Powered Safety Hammer LED Flashlight]
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-Galvanized Wire/Hot DIP Galvanized Wire/Electric Galvanized Wire.
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Hence,Home Office Bolt Less Storage Book Display Shelf(Sheet Metal or Steel Cutting Bending Welding/ Metal Shell Frame Fabrication Service!). The needle is detached and the rubber cap fitted back. The name of the patient and the date of the procedure done are mentioned on the packing.
Complications
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In many patients, different anti-2019 High Quality Headphone Jack Support Ios 11 Charging Audio Video Splitter Adapter for iPhone.
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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
