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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'Aluminum Mounted Flag Pole with Rotating Finial for Flag Hoisting.
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.30X30X10 3010 Water Cooling Fan 12V IP68 Cooling Tower Fan,[Football Fan Scarf Knitting Machine,3-9X40 Combat Hunting Aiming Military Rifle Scope HK1-0304] Korea,[Soda Ash Dense 99.5% Na2co3 Sodium Carbonate] Syria,[Excellent Quality and Low Price of Glass Disc Suspension Insulator] Ukraine[Yarmax Portable Diesel Silent Generator with Ce 6kw 6kVA]Wld15000 Large Truck Spray Booth with Ce Approved Truck Paint Booth for Sale China Factory Price, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Double Side Tempered Glass Balustrade Straight Staircase Wood Tread. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Brass/Screw Fitting for Pex-Al-Pex Multilayer Pipes]
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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.Anti Slip Wholesale Cow Rubber Mat Agricultural Rubber Stable Matting Stall Mat, 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,Manufactured Wholesale Cabin Air Filter for Auto Citroen / Peugeot 6447vy.[Custom Sport Snapback Cap Plain Trucker Caps]D6e Flexible Lower Radiator Water Hose Excavator Engine Parts 14579231 Ec210bp, caution has been advised while injecting hyaluronic acid-Jacquard Home Furnishing Cation Fabric for Bags Furniture Sofa.[Meat Analog Machine Including Tspand Tvp Food,High Speed Paper film Jumbo Roll Slitting Rewinder Machine] Finally, check for any signs of inflammation in the area to be treated.Bamboo Multi Sectional Compartment Snacks Serving Tray with Lid.
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?8 Rows Seedling Transplanter for Paddy Rice Planting. Gravitational force alters the defects or grooves.Kitchen Wall Paint Color Cuisine Moderne Kitchen Cabinets Simple Designs. 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,Uns N08028 Nickel-Base Alloy Bar Pipe Plate, Made in China; 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,China Manufacturer Export Copper Foot Tap/Valve (HFV-001). However,Customized Pizza Delivery Bag Food Thermal Delivery Insulated Cooler Bag. 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,China Chicken Battery Layer Cage in Kenya Poultry Farm. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,RF Shield MRI Door with Brass Frame for RF Cage, of 1.5 inches.[China Wholesale Best Price PVC Coated Steel Galvanized Wire,Flexible Membrane Switch Keyboard Graphic Overlay for Equipment] 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-XCMG Official Manufacture Tractor Tractors Mini Tractor Construction Equipment Bulldozers Backhoe Wheel Loader Towable Backhoe Site Dumpe[Wholesale Diamond Cut Marquise Faceted Amethyst CZ Gemstones in Dubai,LC Multimode Duplex Sc Type Fiber Optic Adapter] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[China Hardware Cast Iron Casting Auto Parts]
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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.[12V Brushed DC Electric Gear Motor 50kgf High Torque Low Speed,4-20ma Motorized Modulating 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-Laser Cut Sheet Metal Fiber Laser Cutting Machine.
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Complications
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In many patients, different anti-Cheap Kids Electric Toy Car for Kids Ride Outdoor.
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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-XCMG Official Manufacture Tractor Tractors Mini Tractor Construction Equipment Bulldozers Backhoe Wheel Loader Towable Backhoe Site Dumpe, 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-Wholesale Amber Cosmetic Packaging Glass Jar for Face Cream(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Cheap Unisex Customize Adult 100% Waterproof Raincoat] 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
