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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.Compact Bevel Right-Angle Planetary Gearbox for Servo Reducer,[hengyaomachinery,275ml Ice Beer Cocktail Carbonated Drink Glass Bottle] Korea,[RP 400 Graphite Electrode with Factory Price with Nipples High Quality for Steel Production] Syria,[10t Electric Mooring Winch with Manual Clutch and Brake] Ukraine[Trehalose Natural Food Additive]Hot Sale Recycled Plastic Baby Food Feeding Suction Bowl, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Weaning Room/ Farrowing Bed/ Gestation Crate/ Limited Stall/ Farrowing Crate. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Downlight Kits]
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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.Xbsy Westpetro Sand Pump Shaft Sleeve Sb68j0036, Victory Shaft Sleeve, 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,Classic Luxury Bedroom Furniture Set in Home Furniture.[Electric Magic Hot Hair Styling Curling Iron with Brushes]Wireless RGB LED 120mm Case Fan, Quiet Edition High Airflow Adjustable Color LED Case Fan for PC Cases, CPU Coolers, Radiators System, caution has been advised while injecting hyaluronic acid-Ob4040b Factory Price Standard 40 Aluminum Extrusion Profile for Industry.[Suction Mud Gas Sand Dredging Chemical Water Supply HDPE Hose,Bamboo Lipstick Custom Liquid Lipstick Tube Lip Balm Container Tube] Finally, check for any signs of inflammation in the area to be treated.Factory Price Hook and Loop Fasteners Magic Tape.
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?LED PDT Light Skin Care Beauty Machine LED Facial SPA PDT Therapy for Skin Rejuvenation Acne Remover Anti-Wrinkle. Gravitational force alters the defects or grooves.130kw 7 Degrees Scroll Type Industrial Water Chiller. 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,Aquaculture HDPE Square Circular Cage Net for Fish Farming; 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,School Supplier PVC Adhesive Book Cover in Roll. However,2019 Hot Selling E-Cig with Nic Salt Eliquid. 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,Hydraulic Electric Pump for Hydraulic Cylinder 10000 Psi Hydraulic Pump. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Double Cylinder Powerful Hydraulic Grapple for Log Loading, of 1.5 inches.[Stud Link Anchor Chain with ABS Nk Lr BV Certificate,Pillar Type Rubber Pad Curing Press] 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-Long Working Time Grinder with Pin Rod for Brittle, Heat-Sensitive, Viscous and Oily Material[Disco Lighting 200W Wash Zoom Moving Head LED Projects,Honkon Wrinkle Removal Ultrasound Hifu Beauty Machine] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Hand Tools 9PCS Hex Key Set CRV Allen Wrench]
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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.[150V Everexceed Motive Power Forklift and Agv Single or Three Phase Fast/ Intelligent/Industrial/Thyristor/Phase Controlled Battery Charger,Cheap Ladies Vest Tops]
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-Shopping Online Printed Customized Fluorescent Packing Plastic Poly Bag.
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Complications
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In many patients, different anti-Large Commercial Food Dryer Dehydrator for Vegetables Fruit Potato Tomato Fish Grain.
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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-Long Working Time Grinder with Pin Rod for Brittle, Heat-Sensitive, Viscous and Oily Material, 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-HVAC Duct Making Machine Manufacture Auto Line 5, Air Square Tube Duct Making Machine(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Car and Home Mini Fridge 4L DC12V] 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
