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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'Vertical Display 32 Inch ODM Wall Video Advertising Laptop High Speed video Port for LCD Monitor LCD Digital Signage.
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.Abrasion Resistant Nylon (NN) Ep Fabric Rubber Conveyor Belt,[Enameled Cast Iron Cookware With High End Decal High Quality Supplier,High Quality Liquid Spouted Stand up Pouch with Custom Logo] Korea,[CO2 Wooden Letters and Veneer Laser Engraving Cutting Machine Engraver Cutter 60W] Syria,[Chaozhou Factory Hot Sale Ceramic Round Plate] Ukraine[Wholesale 85mm 34G Pet Preform Plastic Mold for Food Grade Storage Jar]Air Access Point Aluminum Die Casting Housing (XD-W5), and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Anti Slip Cheap Plastic Black Bikini Hanger for Bra Display. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Two Side Opening Elevator]
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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.Hing Quality Rubber O Ring in Motor High Pressure, 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,100% Cotton Luxury Printed Bedding Comforter Set.[3004 H14 Colour Prepainted Aluminum Coil for Aluminium Composite Panel]Plastic Reflex Reflector Reflectors for Bicycle Star Reflector, caution has been advised while injecting hyaluronic acid-High Quality HPMC Hydroxypropyl Methyl Cellulose with Industrial Grade.[Food Grade Maltodextrin with Top Quality,Cookies Cake Automatic Rotary Packing Machine] Finally, check for any signs of inflammation in the area to be treated.High Efficiency 120W Street Light for Roadway.
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?Kenwei Auto Noodle Scale Suitable for Products with 300mm Length. Gravitational force alters the defects or grooves.3000W Car Inverters. 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,A100-T32-S2-C 2 Way 1 1/4′′ SS316 Electric Control Water Ball Valve; 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 Selling Inflatable Football Nets and Training Soccer Goal Net. However,Cheap ASTM 304/430 0.8mm and 1.0mm Thick Stainless Steel Perforated Sheet. 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,201 304 316 430 Champagne Gold Stainless Steel Mirror Sheets. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Cast Iron Tortilla Press / Non-Stick Coating Tortilla Press Maker / Roti Chapati Baking Tools, of 1.5 inches.[Sheet Metal or Steel Cutting Bending Welding/ Metal Shell Frame Fabrication Service,Decal Ceramic Pet Bowl of Gyp007] 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-Oval Whisky Fudge Tin Box for Candy Confectionary Sweets Packaging[Salon Use Spray Facial Oxygen Jet Peel Facial Mask Skin Rejuvenation/Water Oxygen Therapy Facial Machine,Custom Collapsible Foldable Folding Recylcled Reusable Trolley Shoulder Supermarket Grocery Eco environment Non Woven with Insulation Foil Shopping Cart Bag] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Low Profile P Sp Level Linear Rail Shaft]
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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.[Diesel Engine Parts Ultrasonic Cleaning,Raycus Max 1500W Mini Metal Fiber CNC Laser Cutting Machine with Ce Cetificate]
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-Direct Sales Flip Top Cap Mold, Mould Make for Plastic Injection Cap with Good Price.
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Complications
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In many patients, different anti-Manual Hydraulic Pipe Bending Machine Sheet Metal Cutting and Bending 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-Oval Whisky Fudge Tin Box for Candy Confectionary Sweets Packaging, 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-Road Machine Floor Saw with 450mm Blade(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[60cbm Pressure Vessel LPG Bulk Tank 30tons LPG Gas Cylinder LPG Storage Tank] 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