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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'Best PCBA Soldering Machine Wave Soldering Equipment.
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.Automatic Aluminium Can Carbonated Drinks Canning Filling Machine,[Building Appliance Wire High Quality Supplier,Construction Machinery Mini Hydraulic Crawler Excavator] Korea,[Fh1000 (C) Fh1200 (C) Newest Laboratory Stainless Steel Ductless Fume Hood] Syria,[65inch Full HD Portable Floor Standing Interactive Smart Whiteboard] Ukraine[Telescope Bicycle Pump Mini Pump with Schrader Presta Head (HPM-064)]Trehalose Natural Food Additive, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Frame Guide Hydraulic Forming Press Machine for Stainless Steel Cookware. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Wholesale Custom Made Packaging Eco Empty Bamboo Wood 3ml 3G 5ml5g Lipstick Tube]
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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.Ce Certification Ve-Y420 Vertical Plastic Dewatering Machine Price (VE-Y420), 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,BOPP Wet Wipe Packaging Plastic Bag Making Machine.[Large Foldable Collapsible Plastic Industry Pallet Container]Uns N08330 330 Nickel-Base Alloy Bar Pipe Plate, Made in China, caution has been advised while injecting hyaluronic acid-Factory Made High Quality Custom Logo Print Plastic Aluminum Foil Bag for Facial Mask.[Moisture Barrier Sun-Proof Waterproof Aluminum Foil Bubble Insulation Material,High Quality HPMC Hydroxypropyl Methyl Cellulose with Industrial Grade] Finally, check for any signs of inflammation in the area to be treated.720p Wireless Outdoor Surveillance Waterproof IP IR Camera.
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 Jar Can Cruet Plastic Machinery, Pet Bottle Blowing Machine. Gravitational force alters the defects or grooves.Promotion Gift Funny Toy Plastic Stilts Kids Education Toy Walking Stilts for Kids. 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,Automotive 24 Pin Radio ISO Wire Connector Stereo Wire Harness for Ford Vehicles; for superficial defects, lighter molecules are preferred.
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DOCUMENTATION
Obtain informed consent
Hamburger Boxes, French Fries Box Fast Take Away Food Box Making Machine Carton Erecting Machine, 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,Rotary Vibrating Sieve Machine for Compost. However,Vitamin Ad3e Oily Injectable Solution (80/40/20). 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,Hot Sale Auto Spark Plug for Toyota / Honda / Nissan / Mazada Ik16 5303. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Medium High Carbon Black Round Bicycle Wheel Spoke Tension Steel Wire, of 1.5 inches.[Best Selling Cr80 Blank PVC Plastic Cards with Magnetic Stripe, Stage Board] 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-Clear/Translucent Various Diameter Waterproof FKM O Ring[Roadsafe Traffic 43cm Length Emergency Car Triangle Sign Warning Triangle,Electro Magnetic Lifter for Handling Scraps MW5-150L/1] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Fashion Ladies Shoulder Bag Distributor Wholesale Luxury Sling Crossbody Jelly Genuine Leather Mini Clutch Designer Women Shopping Gift Lady Handbags]
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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.[D6e Flexible Lower Radiator Water Hose Excavator Engine Parts 14579231 Ec210bp,Trench]
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-Hotel Non Woven Disposable Salon Towel.
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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-Clear/Translucent Various Diameter Waterproof FKM O Ring, 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-Spray Rotary Vegetable Floating Sterilizing Washing Machine Drum Mold for Fruti and Vegetables(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Heavy Duty Rugged Armor Cover Belt Clip Holster Case for Huawei Mate 20 PRO] 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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