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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.Grade U2 U3 78mm Mooring Anchor Chain with Nk, 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,UHF 806-941MHz Antenna for Motorola Xts3000 Xts5000.[Auto PLC Membrane Filter Press for Sugar Refinery]Automatic Computerised UV Printing Machine (SPA Series), caution has been advised while injecting hyaluronic acid-Prefabricated House and Pre Engineered Steel Structure Building.[Panoramic Elevator with Glass Cabin for Sightseeing,New Type Plastic Twin Screw Extruder Tse Series Screw Element] Finally, check for any signs of inflammation in the area to be treated.Small First Aid Kit Box Red Waterproof Laminate Bags Medical Kits.
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?Pet Supply, True Touch Five Finger Deshedding Pet Grooming Glove. Gravitational force alters the defects or grooves.Fastener/Nut/DIN936/Hex Nut/ Hex Head Nut/Thin Nut. 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
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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-PC PBT Industrial Plastic Part in Custom Injection Mould Manufacture[Fire Prevention Industrial Outdoor Aluminum Rolling Roller Shutter Scroll Door,Stable Pet Bottle Blower for Plastic Bottles] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Good Quality 3003 3004 5052 5056 5083 Aluminium Alloy Coil]
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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.[High Quality Large Women PU 3 Pieces Tote Bag Set,Metal Storage Tea or Coffee Tin Box]
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-12oz 355ml Can Beer 24 Cans Per Carton with OEM Label.
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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-PC PBT Industrial Plastic Part in Custom Injection Mould Manufacture, 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-Aoer 48X28X57 Inches, 1 / 2 HP, 70L High-Strength Steel Concrete and Cement Mixer(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Rcyd-Z8 Refrigerator Waste Recycling Line Magnetic Separator Suspended Overband Magnets] 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
