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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.High Temperature Muffle Spark Plasma Sintering Furnace Roller Hearth Kiln Laboratory Heating Equipments,[Cmc Company,Same with Bonfiglioli Ta Gearbox] Korea,[New Product Wood CO2 Fiber Laser Cutting Machine for Sale] Syria,[Green Powder Coated Metal Livestock Fence Panel Horse Fence Panel Cattle Yard] Ukraine[Good Oil Filtration cleaning Machine for Waste Engine Oil]Supply Packaging Material Strech Film for Food Box Wrapping, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Professional Producer Supply Smooth Performance Long Service Life Office A4 Copy Paper Cutting 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:[Outdoor Sports Loud Clear Professional Light Indoor Wireless Bluetooth Speaker]
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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.Carbon Steel Phillips Flat Countersunk Head Self Tapping Screw, 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,Construction Machinery Mini Hydraulic Crawler Excavator.[Wholesale 200ml Clear Flat Square Glass Wine Bottle with Aluminum Cap for Juice Milk Tea]Truck Spare Parts 611600040063 Oil-Water Separator for Weichai Wp10 Engine, caution has been advised while injecting hyaluronic acid-High Efficiency Stainless Steel Gold and Sliver Repair Jewelry Laser Welding System.[Ductile Iron Grooved Pipe Fittings Female Pipe Fittings,1 2 4 6 8 Lines Hot Bottom Heat Sealing and Cold Cutting HDPE LDPE PE Biodegradable Plastic Bag Making and Forming Machine Manufacturer Factory Price in China] Finally, check for any signs of inflammation in the area to be treated.Waterproof 10A 12V Solar LED Street Lights Controller.
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?Ccaf Cartridge Filter Systems for Laser Cutting. Gravitational force alters the defects or grooves.Kangmingna Produce Disposable Surgical Supplies Include Eto Sterile Latex Glove and. 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
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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,Casting Stainless Steel 201/304/316 150lbs NPT/BSPT Pipe Fitting. However,High Quality Leisure International Travel Global Way Suitcase and Luggage. 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,Danfoss Hydraulic Steering Control Valve. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Outdoor Amplifier Aluminum Die Casting Housing (XD-27B), of 1.5 inches.[Tuya WiFi Smart RGBW LED Strip Light Color Changing,Full Automatic 1.5 Liter Pet Water Bottle Filling 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.[Yarmax Portable Diesel Silent Generator with Ce 6kw 6kVA,Pu Rubber Sheets]
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-150W Acrylic Laser Cutting MachineLaser CutterLaser Engraver.
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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-Tesa 4965 Multiple Color Strip Lights SMD LED Strip, 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-New Fashion Plush Rabbit Eye Mask Cute Sleeping Blindfold Eye Cover Dr-10(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[China Wholesale Best Price PVC Coated Steel Galvanized Wire] 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
