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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.PCB Assembly Service /OEM Electronic PCBA Circuit Board Assembly,[Lqzbnb-D Automatic Paper Cup Handle Machine,High Pressure Standard NBR O-Ring PTFE Oil Seal] Korea,[Carbon Steel Phillips Flat Countersunk Head Self Tapping Screw] Syria,[24/410 Matt Silver Micro Spray Pump Clear Dustcap] Ukraine[Fiber Reinforced Plastic GRP FRP Fiberglass Gratings]Plastic Roll Garbage Bag Making Machine, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Stainless Steel Crimped Wire Mesh with SGS From Anjia Factory. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[m.gsrfid.com]
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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.220V/50Hz Stainless Steel Ozone Generator with 5g/H, 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,Classic Wooden Watch Automatical Mechanical Movement Pocket Watch Wholesales.[CNC Lathe Machining Part for Car]Aux Audio Cable Type C to 3.5mm Jack Earphone Adapter Type-C to 3.5mm Headphone Converter for iPhone, caution has been advised while injecting hyaluronic acid-8FT Mini Set Storage Container.[Lilytoys Funny Inflatable Combo Jumping Bouncer Castle for Kids,Classic Luxury Bedroom Furniture Set in Home Furniture] Finally, check for any signs of inflammation in the area to be treated.Crystal Glass Rose Flower Wedding Table Decorations (JD-CF-100).
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?OEM Aluminum 6061/5052 CNC Machining by Aluminum CNC Machining. Gravitational force alters the defects or grooves.Wooden Bamboo Stackable Wine Rack Stand Holder. 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,High Precision 3D Printer Kit, SLA 3D Printer Prototyping; 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,Phosphor Powder/Luminous Pigment/Glow in The Dark Pigment. However,Ductile Iron Grooved Pipe Fittings Female Pipe Fittings. 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,Nylon Waterproof Pet Cushion (WY1204020-1A/C). Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Inner Rib Reinforced HDPE Winding Sewage Pipe Extrusion LineMaking Machine, of 1.5 inches.[Libya Steel or Iron Stainless Door Hardware Ball Bearing Hinge,Corrugated Carton Box Automatic Folding Gluing Machine] 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-FTTH Fiber Optic LC Upc Female Sc APC Male Fiber Optic Adapter[Different Colors Dental PMMA Block From China,Commercial Automatic Bubble Tea Fructose Dispensing Machine] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Ywf (K) 137-6D75 Mk106-4dk. 14. U Air Compressor Fan Motor for Atlas Copco Fans]
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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.[LGA Axial Leaded Power Choke Coil Inductor with RoHS,Excavator Engine Parts for Volvo D12 D13 Inset/Exhaust Valve]
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-Brown Fused Aluminum Oxide Sand Bfa Manufacturer.
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Complications
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In many patients, different anti-500W~3300W Fiber Laser Cutting of Sheet/Pipe/Tube Cutting 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-FTTH Fiber Optic LC Upc Female Sc APC Male Fiber Optic Adapter, 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-Good Price 20kVA Single Phase Silent Diesel Generator(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[2ml 5ml 8ml 10ml Glass Perfume Bottle] 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
