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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'Static Sieve Bend Screen Filters.
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.High Flow #1 #2 PP Polypropylene Melt Blown Filter Bag for Liquid Filtration,[PVC WPC Foam Board /Plate/Sheet/Slab Production Line,Small Recycled Paper Egg Tray Making Mini Machine Small Price] Korea,[Flange Type Pneumatic Angle Seat Valve Pn16/25] Syria,[White Lyophilized Powder Anti-Aging Polypeptide Pharm Injectable Epitalon 307297-39-8] Ukraine[Customizable Youth Blank Streetwear Cotton Hoodies with Reglan Sleeves]Waste Paper Recycle Used Egg Tray Machine/Automatic Paper Pulp Egg Tray Production Line/Small Machine Making Egg Tray, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Full Automatic Anti-Static Nonwoven Shoes Cover Making Machine. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Hot Dipped Galvanized Thread Steel Pipes with Blue Caps]
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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.China Manufacturer Monoblock Hydraulic Directional Control Valve Zdg5, 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,3/4inch Flexible Aviation Rubber Fuel Hose Making for Gas Station.[Double Jacket PU/Rubber Fire Proof Flexible Hose]Hauling Plastic Pipe Profile Extruder Haul off Machine, caution has been advised while injecting hyaluronic acid-High Quality Factory-Made 33kv 6.3kv 1000 kVA 50% Copper and 50% Aluminum Material Distribution Transformer.[Modern Deap Multi Color Duraflame Electric Fireplace with Heater Insert a-801-3s,Aluminum Extrusion Profile for Thermal Breakdoor & Window Frame in Building Materials] Finally, check for any signs of inflammation in the area to be treated.100kw Cummins Diesel Generator Set.
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?Decorative Aluminum Sheet Metal Fence Metal Panel for Garden. Gravitational force alters the defects or grooves.Carry on Luggage Duffel Gym Bag Sport Weekender Travel Bag. 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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DOCUMENTATION
Obtain informed consent
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Document the findings
Well-focused, pre-Aluminum Cladding Sheets for Construction and Building Used, but also for legal purposes. However, consent has to be taken specifically for facial photographs where identity could be revealed. Images are better taken without zooming in a well-lit room and without flash. Document any asymmetry present between two sides.
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,China High Quality Universal Grinding Machine 30b. However,Electric Trailer Mounted Concrete Pump Hbts25-8-37. 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,Inflatable Water Walking Ball D1003a with Reinforced Soft Handle, Human Hamster Ball, Zorbing Ball. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Ce Approved High Quality Passenger Elevator/6 Person Passenger Lift, of 1.5 inches.[Inner Rib Reinforced HDPE Winding Sewage Pipe Extrusion LineMaking Machine,Nail Cutter Making Machine for China Concrete Nail Making 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
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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.[ CAS 1165910-22-4,China Professsional Manufaturer Pillow Block Bearing Chrome Steel Bearing]
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-Sap-303 Glass Bottle Rotary Screen Printing Machine Manufacturer.
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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-Truck Air Dryer cartridge 14bar, 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-Customizable Youth Blank Streetwear Cotton Hoodies with Reglan Sleeves(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Charlotte Sand Suede Brogue Men Shoes] 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
