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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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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.Rtzf-D Auto Fast Food Take Away Lunch Box Making Forming 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,Biodegradable White Color Take Away Disposable Lunch Box.[Galvanized Hexagonal Chicken Metal Wire Mesh]1100 H14 Mill Finish Metal Aluminium Sheet for Cooking Utensils, caution has been advised while injecting hyaluronic acid-Yoga Exercise Stick Roller Shrink Wrapping Machine.[Large Diameter Fused Polished Silica Quartz Glass Pipeline Quartz Tube,Yoga Exercise Stick Roller Shrink Wrapping Machine] Finally, check for any signs of inflammation in the area to be treated.High Quality Large Women PU 3 Pieces Tote Bag Set.
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?Diesel Engine Parts Ultrasonic Cleaning. Gravitational force alters the defects or grooves.Customized Steel Fabrication Welding Process Service. 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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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,Honkon Wrinkle Removal Ultrasound Hifu Beauty Machine. However,33kv/800A Outdoor Automatic Circuit Recloser. 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,500ml Pet Plastic Square Jar for Cookie/Tea/Dried Fruit. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,China Supplier Automatic Single Sachet Wet Wipes Packing Machinery, of 1.5 inches.[M16 Carbon Steel DIN1478 Closed Body Turnbuckle,DuPont POM Delrin 100al Nc010 POM Plastic Materials] 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-Commercial Spray Washing and Sterilizing Machine[Tableware Dinner Ware Matt Surface Green Bamboo Durable Safe Plastic Melamine Distinctive 14 Inch Rectangle/Rectangular Tray Plate,Stainless Steel Aluminum Sheet Metal Rapid Prototyping] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Electro Galvanized Binding Wire/ Electro Gi Wire]
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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.[Slide Switch Toggle Switch Voltage Switch,Rising Stem Water Gate Valve]
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-High Quality Pre-Stressed Concrete Pole/Pile Making Machine Spinning Machine/Concrete Electric Pole Maker Machine.
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Vertical Air Flow Clean Bench/Horizontal Air Flow Clean Bench. 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.[ Car Bumper] Similar studies done with injectable collagen also opined favourably on the reuse of the stored collagen.[Finest Price Computerlized and CNC Styrofoam Hot Wire Contour 3D Foam Cutter, Graphic Overlay]
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Complications
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In many patients, different anti-Weaning Room/ Farrowing Bed/ Gestation Crate/ Limited Stall/ Farrowing Crate.
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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
