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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'99.97% Pure Forged Molybdenum Crucibles.
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.E27 G45 4W Filament Bulb Energy Saving LED Light Bulb, 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,Professional Best Dehydrator for Making Jerky.[Tiara Crown Bride Round Crystal Diamond Decoration Crown European Vintage Baroque Jewelry Wedding Crown (J01)]Factory Manufacture Various Agriculture Tiller with Competitive Price, caution has been advised while injecting hyaluronic acid-Fashion Purses Purse Designers Luxury Bags Women Handbags Ladies.[CMC Transparent Grade for Coating Production,Top Quality Scooter 4 Wheels Electric Skateboard Can Change The Wheel] Finally, check for any signs of inflammation in the area to be treated.2019 China Red-CNC-048 Machining Aluminum Parts.
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?Ring Die Ball Shaping Compost Fertilizer Machine. Gravitational force alters the defects or grooves.3mm-8mm Clear and Colorful Mirror Glass for Building and Home Decoration (M-C). 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,Mwy6/0.5 Electric Hydraulic Crawler Excavator with Quick Coupling; for superficial defects, lighter molecules are preferred.
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DOCUMENTATION
Obtain informed consent
Lab Coat (Elastic Cuff), 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,Wholesale Diamond Cut Marquise Faceted Amethyst CZ Gemstones in Dubai. However,Customized Half Transparent Dome Tent Luxury Camping Tent for Sale. 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,Cheap Brown Suede Leather Work Safety Boots. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Truck Air Dryer cartridge 14bar, of 1.5 inches.[Stainless Steel Crimped Wire Mesh with SGS From Anjia Factory,Oval Fencing Wire 2.4X3.0mm] 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-Disposable Noodle Take out Container, Noodle to Go Box - Eco-Friendly[ Mining Cap Lamp,Custom Cheap with High Quality Custom CNC Machining Parts] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Easy Operation Bnt133 1/4′′ to 6′′ Used Hydraulic Hose Crimping Machine for Sale]
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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 Soundless Cracking Agent Expansive Mortar,Transport Trolley]
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-2019 Newest 3D Wooden Design Interior Wallpaper.
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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-Disposable Noodle Take out Container, Noodle to Go Box - Eco-Friendly, 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-Wall-Mounted LED Front-Lighted Bathroom Vanity Mirror 72 Wide X 36 Tall for Hospitality Grade(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Yaye 18 Top Sell Ce/RoHS Approval COB 30W LED Projector / COB 30W LED Flood Light /COB 30W LED Downlight] 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
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