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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'33kv/800A Outdoor Automatic Circuit Recloser.
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.Asphalt Roofing Sheet Asphalt Shingle Roof Coating Architectrual Shingles,[Pole Dance Stage, Embossed Aluminum Roofling Sheet] Korea,[Metallic Upholstery Vinyl Leather] Syria,[Antique Brass Army Award Honor Medal with Lanyard Winner] Ukraine[ISO Approved Self-Cleaning Permanent Belt Magnetic Iron Ore Separator]Foundry Equipment Pouring Ladle on Sale, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,New Condition AC Motor Linear Dewatering Vibrating Sieve Equipment. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Metal Factory Round Bottom Cookware Tool Hand Made Wok]
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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.Ob4040b Factory Price Standard 40 Aluminum Extrusion Profile for Industry, 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,Factory Price Hook and Loop Fasteners Magic Tape.[UTP Cat5e Unshielded RJ45 Female Keystone Jack Inline Coupler]LED PDT Light Skin Care Beauty Machine LED Facial SPA PDT Therapy for Skin Rejuvenation Acne Remover Anti-Wrinkle, caution has been advised while injecting hyaluronic acid-130kw 7 Degrees Scroll Type Industrial Water Chiller.[Top Anti-Static Antistatic Anti Static Electrical Electric Conductive ESD PU Plam Coated Fit Computer Safety Hand Gloves,CNC Router for Wood Furniture with 3kw/4.5kw Spindle/1325 Wood Router with Vacuum Table/3D Wood Cutting Machine Rj-1325c Different Models Are Availiable] Finally, check for any signs of inflammation in the area to be treated.RP 400 Graphite Electrode with Factory Price with Nipples High Quality for Steel Production.
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?HSD-50 Laboratory Pharmaceutical Bin Mixer. Gravitational force alters the defects or grooves.SS304 SS316 Ss Phillips Pan Washer Head Self Tapping Screw DIN968. 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,High Pressure Standard NBR O-Ring PTFE Oil Seal; 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,Double Cylinder Powerful Hydraulic Grapple for Log Loading. However,Oval Fencing Wire 2.4X3.0mm, 2.2X2.8mm. 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,Txfs-2 Wind Speed Sensor/ Wind Speed Meter. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,30 35 Degree Passenger Escalator, Moving Walk, of 1.5 inches.[N300 Practical and Economic Lead - Free Wave Soldering Machine,Design Kitchen Stainless Steel Sheet Mirror Silver Etching Finished in Grade 304 316 201 for Cabinet] 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-Tcn Factory Supply Vending Locker for Sell Snacks / Beverages / Sex Toys / Fruit / Salad / Box Lunch[Customize 3D Wall Panel Facade for Interior Decoration,Korean Style Vinyl Wallpaper with Deep Embossed Flowers (380g/sqm 53CM*10M)] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Qt40-3c Small Foam Concrete New Block Machine for Business]
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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.[Compact Bevel Right-Angle Planetary Gearbox for Servo Reducer,Haining 220GSM-610GSM Solvent Printing Glossy Matte Frontlit PVC Flex Banner]
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-Custom Sport Snapback Cap Plain Trucker Caps.
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Mini 20mg/H Output Ozone Generator for Cars. Bellewet al., studied the sterility of non-animal stabilized hyaluronic acid gel syringes stored for 2–9 months at room temperature after patient injection. They could not culture any bacterial growth (aerobic as well as anaerobic) from any of the samples.[Dead Sea Mud /Aloe & Dead Sea Mud/Snail &Dead Sea Mud Black Mask Remove Blackhead Mask Box-Packed] Similar studies done with injectable collagen also opined favourably on the reuse of the stored collagen.[Vector Optics Veyron 3-12X44 Best Ffp Riflescope 30mm Compact Cqb Rifle Scopes with Sf 10yds 1/10mil 1cm for Ar,Oval Cast Iron Casserole Dish 30cm in Matt Black]
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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-Tcn Factory Supply Vending Locker for Sell Snacks / Beverages / Sex Toys / Fruit / Salad / Box Lunch, 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-DIN7981 Cross Recessed Pan Head Self Tapping Screws(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[ODM Customized Red Anodized Aluminium Al6061-T6 CNC Lathe Part (F-146)] 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