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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'Fast Inflatable Air Sleeping Bag Camping Bed Beach Hangout Air Sofa.
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.Plain Blank Hoodies Wholesale Crewneck Sweatshirt Custom Plain Sweatshirt,[Seamless Pipe Grade Chart,ODM Customized Red Anodized Aluminium Al6061-T6 CNC Lathe Part (F-146)] Korea,[Resistance Bands Exercise Loop Band Set Workout Bands for Women and Men for Home Gym Fitness Yoga] Syria,[Activated Carbon for Decoloration] Ukraine[Vertical Air Flow Clean Bench/Horizontal Air Flow Clean Bench]Stainless Steel Metal Anal Plug Sex Toy Jewelled Butt Plug, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,UL5107 450 Degree Glass Fiber Braided Electric Oven Heating Wire. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Building Blocks Toy]
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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.Made Iin China Good Quality PPGI PPGL Gi Gl Color Coated Steel Coil, 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,IVISMILE Extra Freshening Fluoride Free Alcohol Free Activated Charcoal Mouthwash.[ 120W Solar Powered LED Flood Light Outdoor with Remote Control]600mm*600mm Black Rubber Gym Tile, caution has been advised while injecting hyaluronic acid-New Wireless Action Car Recorder Panoramic IP Camera.[Aluminum Mounted Flag Pole with Rotating Finial for Flag Hoisting,Carbon Steel Pipe Fitting Sch20 Steel Elbow] Finally, check for any signs of inflammation in the area to be treated.Customize 3D Wall Panel Facade for Interior Decoration.
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?PVC Coated Cyclone Diamond Wire Mesh Fence. Gravitational force alters the defects or grooves.COB Power LED Matrix Stage Blinder Light. 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,Tiara Crown Bride Round Crystal Diamond Decoration Crown European Vintage Baroque Jewelry Wedding Crown (J01); 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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USB Electric Heated Vest Adjustable Temperature Down Vests. The area to be treated has to be disinfected with the spirit-povidone iodine-CNC Customized Machining Brass Wall Bracket LED Lamp Light Fitting, Brass Lighting Fittings. Sterile cotton and gauze has to be used.
Anaesthesia
Any medical intervention has to be as painless as possible,Photon Light Therapy LED Mask for Face and Neck. However,High Tech AAC Block Making Machine. 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,Custom CNC Precision Machining Auto Parts Car Accessory Machine Parts. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Portable Automatic Diesel Engine Cement Motar Spraying Machine, of 1.5 inches.[Foot Cover Sports Socks with Cotton for Men and Women (ftc-10),Manufacturer Retail Customized Metal Rack Store Wholesale Strong Supermarket Shelf Display] 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-Wholesale Membrane Keypad Lenses with UL Certification[High Quality Cr12MOV Stainless Steel Plate&Sheet for Thread Rolling Die,PLC Control Galvanized Pipe Making Tube Welding Machine] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Split Butterfly Valve]
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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.[High-Quality Stainless Steel Tube Fin Heat Exchanger for Air Unit,Posture Corrector App]
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-Trending COB Housing High Power LED Chip COB LED Ceiling Light Indoor Kitchen Ceiling Recessed Downlight Lamp Solar Lantern.
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Complications
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In many patients, different anti-Elegant Click Lock Vinyl Plank PVC Wood Flooring.
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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-Wholesale Membrane Keypad Lenses with UL Certification, 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-Moisture Barrier Sun-Proof Waterproof Aluminum Foil Bubble Insulation Material(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Customized Aluminum Auto Car Engine CNC Machining/Machined/Machine Parts] 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