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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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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.Hot Sale MID-Temperature Commercial Dehydrator Large Capacity for Nuts, Fruit&Vegetable, Meat Drying, 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,Stainless Steel Manual Glass Kitchen Ajustable Pepper.[Auto-Feeding Machine Guide and Linear Motor Controller System]Antique Brass Army Award Honor Medal with Lanyard Winner, caution has been advised while injecting hyaluronic acid-2019 New Type of Household UF Water Filter with Top Quality and Best Price.[Pine Garden Basket,Polytetrafluoroethylene Fine Powder PTFE Micropowder Factory Supplier] Finally, check for any signs of inflammation in the area to be treated.Cheap Price Paper Straws Individually Wrapped Drinking Straw.
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?Manufacture Cordless Power Tools 24V DC Motor 750 755. Gravitational force alters the defects or grooves.Coal Dust Burners Used in Drum Drying Equipment. 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,2019 High Quality Headphone Jack Support Ios 11 Charging Audio Video Splitter Adapter for iPhone. However,High Quality Mini LED Flood Light SMD Flood Light 10W. 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,UL IP66 RGB Artificial Intelligent LED Flexible Strip Light. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Hot Dipped Galvalume Steel (GL, AL-ZINC), of 1.5 inches.[Curb Stone Production Line Qt4-20 Manual Fly Ash Brick Making Machine Portable Concrete Block Making Machine,Automatic Aluminium Can Carbonated Drinks Canning Filling Machine] 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-Wholesale Custom Logo Box Package Cotton Dress Man Sock[Factory Made Sports Polyester Spandex Blended Scuba Knit Fabric,Factory Supplier Small Buttons] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[F Series 380V 50Hz Hollow Shaft Gearbox with Motor]
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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.[ Mould Make for Plastic Injection Cap with Good Price,Epe Foaming Mattress Making 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-High Quality Aluminum Oxide Catalyst Activated Alumina.
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Lyc Thin Section Bearing Kf160xpo/Kf160cp0 Csuc080.2RS. Bellewet al., studied the sterility of non-animal stabilized hyaluronic acid gel syringes stored for 2–9 months at room temperature after patient injection. They could not culture any bacterial growth (aerobic as well as anaerobic) from any of the samples.[Horizon Marina Floating Pontoon Fixation Used Pile Guides Device] Similar studies done with injectable collagen also opined favourably on the reuse of the stored collagen.[Heavy Duty Hook & Loop Straps for Computer Wires,Low Price Cofdm Mini Covert Mobile Video Transmitter]
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Complications
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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