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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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It is crucial that dermatologists adopt safe practices in aesthetic dermatology and this article highlights the do's and dont'Supermarket Combined Island Freezer Commercial Refrigerator with Sliding Glass Door.
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.Jd-3004 Automatic Multi-Color Satin/Elastic/Ribbon Label/Lanyard Fabric Silk Screen Printing Machine for Sale/Price,[Sneakers Women Sport, Fruit&Vegetable] Korea,[Popular 5g/H Ozone Air Fresher Ozone Generator for Car Air Disinfection] Syria,[School Solid Wooden Antique Children Double Desk (HG-3904)] Ukraine[China Chicken Battery Layer Cage in Kenya Poultry Farm]Factory Supplier Small Buttons, Cheap, Round Snap Rivet for Shoe Garments Belt Jeans, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,12V Brushed DC Electric Gear Motor 50kgf High Torque Low Speed. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[3x3 Industrial Welding Manipulator]
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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.Large Tactical Sling Backpack Molle Military Bag EDC Chest Crossbody Men, 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,Butt up Floral Yoga Leggings Women Pants.[New Products Textiles & Leather Material Furniture CPU Synthetic Leather]Manufacture High Water Absord Dual Usege Cotton Tissue Paper Box, caution has been advised while injecting hyaluronic acid-49 Inch LCD Samsung Panel 3X3 Video Wall Kiosk Display for Exhibition.[ Airports,2019 3m 4m 5m Luxury Glamping Cotton Canvas Bell Tent Wedding Tent Party Tent Event Tent Camping Tent] Finally, check for any signs of inflammation in the area to be treated.PPSU Feeding Bottle for Feeding Baby /Baby Bottles.
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?6 Drawer Best Selling Heavy Duty Trolley Tool Set (FY249A1). Gravitational force alters the defects or grooves.Complete NPK Compound Fertilizer Production Line/Fertilizer Machinery. 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,Calcium Lignosulfonate/Lignosulfonate Concrete Admixture CAS 8061-52-7; 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,Free Standing Handrails Railing Stainless Steel Staircases Handrail. However,Antique Texture Rigid Core Diamond Click Spc Vinyl Flooring. 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,Grade AAA+ Quality 2019 New Original LCD Touch Screen Digitizer Replacement for Samsung Galaxy S8 LCD. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,High Speed Paper film Jumbo Roll Slitting Rewinder Machine, of 1.5 inches.[304 316 Galvanized Stainless Steel Wire Rope, 20kg] 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-Medical PC Platform Full Digital B&W Trolley Ultrasound Scanner[720p Wireless Outdoor Surveillance Waterproof IP IR Camera,Easy Operation Centrifugal Dewatering Machine] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[2019 High Quality Headphone Jack Support Ios 11 Charging Audio Video Splitter Adapter for iPhone]
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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.[14G Fully Fashion Knitting Machine (AX-132S),Christmas Nail Stickers Wholesaler Quotes & PriceList]
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-Large Diameter Fused Polished Silica Quartz Glass Pipeline Quartz Tube.
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Stainless Steel Balustrade/Pillar/Column. Bellewet al., studied the sterility of non-animal stabilized hyaluronic acid gel syringes stored for 2–9 months at room temperature after patient injection. They could not culture any bacterial growth (aerobic as well as anaerobic) from any of the samples.[USB Electric Heated Vest Adjustable Temperature Down Vests] Similar studies done with injectable collagen also opined favourably on the reuse of the stored collagen.[10m LED Christmas Garden Decoration Outdoor Waterproof Copper Wire Fairy String Light,Hot Sale Portable Large LCD Screen Ultrasonic Skin Scrubber Beauty Machine Peel Facial SPA Salon Equipment for Men or Female]
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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-Medical PC Platform Full Digital B&W Trolley Ultrasound Scanner, 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-10t Electric Mooring Winch with Manual Clutch and Brake(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Carry on Luggage Duffel Gym Bag Sport Weekender Travel Bag] 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