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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'API 5L X42/X52/X56/X60/70 Seamless Steel Water Pipe/Water Pipe Line.
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.Custom Food Grade Liquid Silicone Baby Bottle Cleaning Brush,[LC Single Mode Fiber Optic Pigtail Yellow Fibre Cable,Stainless Steel Biological Pilot Fermenter Tank for Bacterial Yeast Beer Yogurt] Korea,[Metallurgy Grade Chromium Oxide Green Cr2o3] Syria,[ Tp Type Non-Woven Abrasives Roloc Disc] Ukraine[Rubber Floor Plate Curing Press Machinery /Rubber Tile Vulcanizing Press Molding Machine]Building Material Diamond Tool Porcelain Tile, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,11.5mm Rubber Coated Diamond Wire Saw for Stone Quarry Reinforce Concrete Cutting. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Digital Ultrasonic Soldering Machine]
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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.Inner Rib Reinforced HDPE Winding Sewage Pipe Extrusion LineMaking Machine, 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,ISO Factory of Herrenknecht Tunneling Twin Double Disc Cutter.[ Detergent Gel]Heat Resistant Glass Baby Feeding Bottle, caution has been advised while injecting hyaluronic acid-Unice Peruvian Grade 9A Virgin Cheap Human Hair Extension.[Phosphor Powder/Luminous Pigment/Glow in The Dark Pigment,Matte Black Graduation Gown Stole with Honor Cords] Finally, check for any signs of inflammation in the area to be treated.ISO and Ce Approved Digital Thermometer for Both Hospital and Home Use.
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?Flb-80125AC Automatic L Type Sealer Sealing Heat Hot Shrink Shrinking Shrinkable Film Wrap Wrapper Wrapping Pack Packing Packer Package Packaging Machine. Gravitational force alters the defects or grooves.China multi jet dry type small Dn15-20 water meter. 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,Green Color Custom High Temperature Long Furnace for Sale; 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,Factory Made Sports Polyester Spandex Blended Scuba Knit Fabric. However,Free Sample Polycarboxylate Ether Mortar Admixture. 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,Exposed Roof Waterproofing Membranes Welding-Applied Tpo. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Galvanized Conveyor Frame for Belt Conveyor 70, of 1.5 inches.[Pet Dog Cat Glove Brush Cleaning and Grooming Products,10ton Telescopic Hydraulic Truck Crane] 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-Pet Dog Cat Glove Brush Cleaning and Grooming Products[Aluminum Conductor PE Insulated Triplex Cable,Linear LED Shop Lights Industrial & Commercial LED Lighting] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Supermarket Fruit Meat Tray Medicine Drug Pills Plastic PLA Packaging Making Forming Thermoforming Machine]
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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.[Unequal Steel Angle Galvanized Angle Bar for Building Construction,Direct To Garment Printer]
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-Factory Manufacturer 230 Ml Cosmetic Shampoo Perfume Plastic Pet Bottle.
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Complications
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In many patients, different anti-Fluorine Lined Butterfly Valve Flanged Type Chlorine Resistant.
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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-Pet Dog Cat Glove Brush Cleaning and Grooming Products, 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-Electric Tow Tug Tractor with High Quality(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Portable X-ray Fluoroscopy Instrument (BJI-2J)] 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