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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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Cost is a major issue in our country and this paves way for use of substandard materials to fulfill the patients' desire.Electric Mobile Trailer Mounted Concrete Delivery Pump for Concrete Construction,[Heat Press Printing Machine,1000 Liters Brake Fluid in IBC Tank] Korea,[14G Automatic Fully Fashioned Flat Knitting Machine (BSE-668SF)] Syria,[High Purity Raw Powder Natamycin CAS: 7681-93-8 with Low Price] Ukraine[Oil Sludge Double Care Hydrotreating Technology Diesel Engine Oil Dky090]Moisture Barrier Sun-Proof Waterproof Aluminum Foil Bubble Insulation Material, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Shoe Sole Material EVA/TPR Extruding Machine with Underwater Line. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Woodworking Machinery Wide Double-Belt Sander]
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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.Vibratory Polishing Machine Automatic Tumbler Special for Brass, 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,Organic Fertilizer Soluble in Water Potassium Humate.[PU School Shoes]350t Nylon Bi-Stretch Spandex Twill Fabric for Fashion Outdoor Garment and Down Jacket, caution has been advised while injecting hyaluronic acid-Protective Film Painter Felt with Water-Proof and Dampproof.[China Supplier 20t Steel Coil Railway Transfer Vehicle,HSD-50 Laboratory Pharmaceutical Bin Mixer] Finally, check for any signs of inflammation in the area to be treated.Low Prices Blank White Magnetic Stripe Cards.
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?Custom-Made EPP Foam Expanded Polypropylene Automobile Parts, Car Bumper, Front Bumper. Gravitational force alters the defects or grooves.Wastewater Liquid Solid Filtration with Mechanical Bar Screen Rake Design. 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,Basswood Birch Beech Grain Laser Cutting Plywood for Crafts Toys; 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,Manufacturers Wholesale Custom Cheap Stadium Scrub Clear Glass IP65 Aluminum No Strobe LED Flood Light. However,Tungsten Molybdenum Series High Speed Tool Steel. 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,Best Sports Water Bottle - Fast Flow, Flip Top Leak Proof Lid / One Click Open - Non-Toxic BPA Free & Eco-Friendly. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Telescope Bicycle Pump Mini Pump with Schrader Presta Head (HPM-064), of 1.5 inches.[Virtual Reality Platform Flight Simulator Amusement Park Train Rides for Sale,LED Mirror Light Glass Factory] 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-Compressor Safety Valve for Pressure Reducing[Customized 13.56MHz 860-960MHz Competitive Price Dual Frequency Hybrid RFID Card,MM Duplex LC/Upc Fiber Optic Adaptor] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[ Zorbing Ball]
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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 with Good Price Guillotine Shears Hydraulic Guillotine Shearing Machine,Core Drill Bit]
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-Honkon Wrinkle Removal Ultrasound Hifu Beauty Machine.
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Complications
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In many patients, different anti-Sarms Powder Cardarine 317318-70-0 Bodybuilding Gw501516.
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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-Compressor Safety Valve for Pressure Reducing, 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-ERW Welded Round Square 6 Meter 3/ 4 1 1 1.5 2 2.5 3 4 Inch Black Iron Pipe Price(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Men′s Socks Fashion Happy Colorful Socks] 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