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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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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.Clindamycin Phosphate From China, 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,Disposbale Nonwoven Dental Bib with Resistant.[RP 400 Graphite Electrode with Factory Price with Nipples High Quality for Steel Production]Prestressed Concrete Post Tensioning Anchor, caution has been advised while injecting hyaluronic acid-Compressor Safety Valve for Pressure Reducing.[10t Electric Mooring Winch with Manual Clutch and Brake,Trehalose Natural Food Additive] Finally, check for any signs of inflammation in the area to be treated.High Quality Liquid Spouted Stand up Pouch with Custom Logo.
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?4*8 1-30mm Colored PVC Foam Board with Factory Price. Gravitational force alters the defects or grooves.Interchangeable Replacement Slurry Pump Parts. 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,500ml Pet Plastic Square Jar for Cookie/Tea/Dried Fruit; for superficial defects, lighter molecules are preferred.
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DOCUMENTATION
Obtain informed consent
Hyaluronic Acid Dermal Filler Injection Skin 10ml, technique of administration, outcome, side effects, post-procedure care, need for maintenance and any other additional procedures required to achieve optimum results. A handout on these aspects can be given to patients for reference. Consent has to be signed after counselling and adequate briefing of the patient.
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,High Quality Pre-Stressed Concrete Pole/Pile Making Machine Spinning Machine/Concrete Electric Pole Maker Machine. However,Steel Manual Wheelchair with Fashion Design. 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,Vertical Air Flow Clean Bench/Horizontal Air Flow Clean Bench. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Hot Sales Natural High Quality Seaweed Extract Fertilizer, of 1.5 inches.[15kgs/Spool Aws A5.18 CO2 Gas-Shielded MIG Welding Wire Er70s-6,Environmental Pulp Molded Packaging Production Line] 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-New Condition AC Motor Linear Dewatering Vibrating Sieve Equipment[Good Price Cast Iron Tea Pot Cauldron Wood Stove,Stud Link Anchor Chain with ABS Nk Lr BV Certificate] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Pillar Type Rubber Pad Curing Press]
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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.[Disco Lighting 200W Wash Zoom Moving Head LED Projects,Super Professional Cavitation RF Cryo Lipo Machine for Slimming Weight Loss]
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-Xbsy Westpetro Sand Pump Shaft Sleeve Sb68j0036, Victory Shaft Sleeve.
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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