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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'Rotary Screw Air Compressor Electric Motor.
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.CNC Press Brake 40 Ton CNC Plate Bending Machine,[A4 Delimiter File Manufacturer Cheap Price Sale,Commercial Spray Washing and Sterilizing Machine] Korea,[ERW Welded Round Square 6 Meter 3/ 4 1 1 1.5 2 2.5 3 4 Inch Black Iron Pipe Price] Syria,[OEM China Manufacturer Hydraulic Multi-Way Directional Control Valve for Tractor] Ukraine[Stainless Steel Bare Shaft Half Lug Wafer Butterfly Valve]Secruity Aluminum and Iron Stainless Steel Flat Top Fencing and Fence Panel Guardrail Guard Bar From China, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Aluminium Profile Curtain Wall with Home Accent Decoration. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Video Horse Crazy Horse Rides with 17 Inch]
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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.Manufacturer Supplies Cheap Custom Woven Wristband, 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,Narrow Oval Paddle Hair Brushes, Wig Hairbrush, Pet Brush, Natural Wooden Bamboo Hair Brush.[Customized Aluminum Auto Car Engine CNC Machining/Machined/Machine Parts]Prefab Construction Design Steel Frame Warehouse/ Poultry House/ Storage Shed, caution has been advised while injecting hyaluronic acid-14G Automatic Fully Fashioned Flat Knitting Machine (BSE-668SF).[Small First Aid Kit Box Red Waterproof Laminate Bags Medical Kits,Popular Wood Veneer Desk Easy Installation Office Table Solid Wood Furniture (CAS-VA11)] Finally, check for any signs of inflammation in the area to be treated.Fresh Soba Noodles Japanese Noodle.
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?Carbon Steel Pipe Fitting Sch20 Steel Elbow. Gravitational force alters the defects or grooves.Galvanized Wire Straight Line Wire Drawing Machine. 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,China Chicken Battery Layer Cage in Kenya Poultry Farm; 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,Laser Cut Sheet Metal Fiber Laser Cutting Machine. However,Plastic Corrugated Pipe Machine/PE PP PVC Corrugated Pipe Extruder. 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,7-1/47-1/2 Oilwell Series a-1700-PT I74hl14/15 Pistons for Mud Pump and Plunger Pump Gardner Denver, Emsco, Bomco, Tsc, Nov, Oilwell etc. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,OEM Metal Stamping Bending Sheet Metal Fabrication Shenzhen Factory, of 1.5 inches.[Danfoss Hydraulic Steering Control Valve,Commercial Mix Flavor Ice Cream Machine Yogurt Soft / Hard R410A 3 Flavor 110V] 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-Excellent Spanish Golden Color Vitrified Porcelain Floor Tile[Professional Manufacture Melamine Office File Cabinet Furniture,High Quality 350GSM Kraft Paper Drawer Box for Cake] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[High Effecient Mini Ozone Fridge Sterilizer for Cleaning Fridge]
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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.[China Manufactured Stainless Steel Double Head Studs,Commercial Bread Slicer Machine]
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-CMC Transparent Grade for Coating Production.
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Complications
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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
