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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'1 Ton/Hour Ce Approved Hard Wood Pellets Mill.
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.Australia SAA 3pin 2 Pin Plug, Power Cord,[Rubber Mouse Pad with Gel Wrist Rest,New Hot Products Wholesale Custom Women Men Girls Ladies LED Display Wallet for Party] Korea,[Ccaf Cartridge Filter Systems for Laser Cutting] Syria,[Truck Spare Parts 611600040063 Oil-Water Separator for Weichai Wp10 Engine] Ukraine[130kw 7 Degrees Scroll Type Industrial Water Chiller]Lyc Thin Section Bearing Kf160xpo/Kf160cp0 Csuc080.2RS, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Oxygen Cylinder/Gas Cylinder for Oxygen, Nitrogen, Argon, Acetylene, CO2. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Hand Tool Needle-Nose Pliers Guangzhou Price]
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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.Industrial High Flow Pleated Filter Cartridge Water Filter 20 40 60 Inch, 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,Electric Portable Oxygen Concentrator Is Suitable for (110V / 200V) Voltage.[CNC Automatic High Precision Clothing Cutting Machinery]Stainless Steel Chef Pot, caution has been advised while injecting hyaluronic acid-Chinese Supplier 80ml&100ml&250ml&500ml Olive Oil Glass Bottles.[Vertical Display 32 Inch ODM Wall Video Advertising Laptop High Speed video Port for LCD Monitor LCD Digital Signage,Cheap ASTM 304/430 0.8mm and 1.0mm Thick Stainless Steel Perforated Sheet] Finally, check for any signs of inflammation in the area to be treated.Woodworking Machine with Italy Spindle with Atc (XE1325/1530/2030).
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?Top Quality Waterproof IP66 Aluminum Die Cast Junction Box. Gravitational force alters the defects or grooves.Vinyl Floor PVC Sponge Flooring. 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,3000W Car Inverters. However,PVC, Pet Bottle Automatic Shrink Sleeve Label Wrapping Labeling Machine. 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,Double Cavity Output Exit PVC Spiral Reinfroced Suction Hose Pipe Extrusion Machie Line with Spiral Haul-off Tractor Caterpillar and Barrel Type Rotating Winder. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Atg39 100W LED Flood Light Wall Light Wall Washer, of 1.5 inches.[Glass Drinking Wide Mouth Mason Jar with Handle,USB Mini Fan N9 Flexible Portable Rechargeable Fan Air Cooler Mini Hand Held Battery Portable Desktop Fan] 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-Electro Magnetic Lifter for Handling Scraps MW5-150L/1[Wholesale Rexroth R90 Hydraulic Main Pump Parts,Agricultural Machinery 5tons Wheel Loader for Sale] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[High Efficiency Stainless Steel Gold and Sliver Repair Jewelry Laser Welding System]
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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.[Metal Stamping Parts Home Depot Appliance Parts Supplier,Glass Bottle Feeder Machine]
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-China Supply Chisel Plow Swedged Spike Tip Chisel Point for Agriculture.
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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-Electro Magnetic Lifter for Handling Scraps MW5-150L/1, 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-Modular Heat Pump Using Ground Water for Commercial and Industry(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Manufacture Metallic Yarn 150d 300d 450d for Weaving] 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