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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.Chinese Factory High Quality Cheap Acid Alkali Resistant Hose,[Bluetooth Speaker Portable,Ent Rotate 180 Degree Patient Dental Chair with Ce] Korea,[3 Layers 5000L Plastic Blow Molding Machine/Blowing Moulding Machiery] Syria,[Optical Workstation Aluminum Die Casting Housing (XD-34)] Ukraine[Tuya WiFi Smart RGBW LED Strip Light Color Changing]Uns N08028 Nickel-Base Alloy Bar Pipe Plate, Made in China, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Rcyd-Z8 Refrigerator Waste Recycling Line Magnetic Separator Suspended Overband Magnets. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Aluminium discs]
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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.14G Automatic Fully Fashioned Flat Knitting Machine (BSE-668SF), 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,Fresh Soba Noodles Japanese Noodle.[Full Automatic 1.5 Liter Pet Water Bottle Filling Machine]Carbon Steel Pipe Fitting Sch20 Steel Elbow, caution has been advised while injecting hyaluronic acid-Galvanized Wire Straight Line Wire Drawing Machine.[3-9X40 Combat Hunting Aiming Military Rifle Scope HK1-0304,Soda Ash Dense 99.5% Na2co3 Sodium Carbonate] Finally, check for any signs of inflammation in the area to be treated.High Quality Height Adjustable Overbed Table with Wheels.
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?Electro Galvanized Binding Wire/ Electro Gi Wire. Gravitational force alters the defects or grooves.China Manufacturer Export Copper Foot Tap/Valve (HFV-001). 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,Oeko-Tex High Quality Black Double Side Polyester Satin Ribbon (PS1211BLK); for superficial defects, lighter molecules are preferred.
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DOCUMENTATION
Obtain informed consent
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Document the findings
Well-focused, pre-Small Recycled Paper Egg Tray Making Mini Machine Small Price, but also for legal purposes. However, consent has to be taken specifically for facial photographs where identity could be revealed. Images are better taken without zooming in a well-lit room and without flash. Document any asymmetry present between two sides.
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-China Made N-Bk7 or CaF2 Plano Concave Lens[Professional Plastic Plating Makeup Brush Set,High Demand Products to Sell Brass 2 Way Hose Connector] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Fire Resistant Fiberglass Pultruded Grating]
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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.[China Wholesale Best Price PVC Coated Steel Galvanized Wire,solar power ip67 mc4 connector]
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 Bucket Segment Bolt 3s7837.
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Complications
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In many patients, different anti-High Efficiency PV Powered 50W-100W Solar LED for Lighting.
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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-China Made N-Bk7 or CaF2 Plano Concave Lens, 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-Original Yunnan Sibu Lida OEM Slimming Capsules Weight Loss(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[100ml Square Glass Diffuser Bottle with Cap] 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
