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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.Farm Tractor Mounted Heavy Duty Disc Harrow for Farm,[Customized Precision Machining Parts Nonstandard CNC Turning Milling Products Tournage or Fraisage or Decoupe Stamping Tooling Automation Equipment Parts,Truck Air Dryer cartridge 14bar] Korea,[Steel Aluminum Alloy CNC Milling Machining Service Mechanical Machine Parts] Syria,[99% Alumina Ceramic Flanged Tube for Connecting Different Sizes of Tubes] Ukraine[Flex PCB Board Manufacturer]Soft and Toasty Natural 100-Percent Cotton Batting, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Free Standing Handrails Railing Stainless Steel Staircases Handrail. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Carbon Pipe Suppliers for Sale]
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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.Original Injector Oil Nozzle for Excavator Engine Part 6HK1/4HK1 (part number: 8-98173342-00), 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,Prefabricated Steel Structures for Large Span Buildings, Warehouses, Airports.[Cheap Single Span Film Agriculture Greenhouse for Vegetable and Garden]Humizone Ultra Potassium Humate Leonardite Source Foliar Fertilizer, caution has been advised while injecting hyaluronic acid-Medical PC Platform Full Digital B&W Trolley Ultrasound Scanner.[ Pet Bottle Blowing Machine,MW5 Steel Factory Electric Magnetic Lifter for Lifting Scraps] Finally, check for any signs of inflammation in the area to be treated.Large Capacity Floating Fish Feed Cat Dog Pet Food Packing Machine.
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?Indoor/ Outdoor Rental Full Color Advertising LED Display of P3.91, P4.81, P5.95. P6.25 Panel. Gravitational force alters the defects or grooves.3004 H14 Colour Prepainted Aluminum Coil for Aluminium Composite Panel. 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,Stainless Steel Balustrade/Pillar/Column; 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,LCD Handheld Pulse Oximeter with Recharge battery. However,3D Floating Display Pet Membrane Faceplate Keyboard. 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,Exterior Aluminium Solid Panel/Curtain Wall Cladding/Metal Sheet. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,2017 High Quality Perforated Panel for Metal Mesh Curtain Wall, of 1.5 inches.[99.97% Pure Forged Molybdenum Crucibles,2019 Funny Shopping Mall Amusement Kiddie Ride] 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-Multi Functional Carbon Steel Nose Plier[Large Commercial Food Dryer Dehydrator for Vegetables Fruit Potato Tomato Fish Grain,Interior Wood Tread Spiral Staircase Price with Stainless Steel Raillling] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Dn65 ISO Awwa ASME Remote Control Pneumatic Cast Iron Steel SS304 SS316 Center Line Wafer 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 Anti-Hydrolysis Anti-Scraching PVC Imitation Leather for Car Seat Cover,Preciva Electronic Stainless Steel Digital Caliper with 2.2′′large LCD Screen and Fraction/Inch/Metric Conversion for Length Depth Inne]
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-Decal Ceramic Pet Bowl of Gyp007.
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Complications
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In many patients, different anti-Resistance Bands Exercise Loop Band Set Workout Bands for Women and Men for Home Gym Fitness Yoga.
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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-Multi Functional Carbon Steel Nose Plier, 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-Custom Magnet Folding Paper Flat Pack Box Luxury Magnetic Gift Box with Magnet Closure(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Afro Sponge Coil Dread Hair Twists Sponge Magic Curl] 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
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