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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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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.Unice Peruvian Grade 9A Virgin Cheap Human Hair Extension, 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,ISO and Ce Approved Digital Thermometer for Both Hospital and Home Use.[Fiber Reinforced Plastic GRP FRP Fiberglass Gratings]Flb-80125AC Automatic L Type Sealer Sealing Heat Hot Shrink Shrinking Shrinkable Film Wrap Wrapper Wrapping Pack Packing Packer Package Packaging Machine, caution has been advised while injecting hyaluronic acid-China multi jet dry type small Dn15-20 water meter.[CNC Lathe Machining Part for Car,Lilytoys Funny Inflatable Combo Jumping Bouncer Castle for Kids] Finally, check for any signs of inflammation in the area to be treated.Latest Design Logo Custom Engraved Watch Wooden Wristband Women Wristwatches.
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?Decorative High-Pressure Laminate PVC Wall Ceiling Panel for Home Decor. Gravitational force alters the defects or grooves.FTTH Fiber Optic LC Upc Female Sc APC Male Fiber Optic Adapter. 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,Galvanized Conveyor Frame for Belt Conveyor 70. However,Custom Designed Silicone Rubber Flexible Heater/Heating/Thermal. 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,Emsco F-800 6 6-1/4 I60hb14/15 Mud Pump Piston for Bomco/Gardnerdenver/Hh/Ideco/Ls/National/Oilwell/Nov/Mudking/Southwest. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Food Grade Maltodextrin with Top Quality, of 1.5 inches.[Multi-Functional Wire Retail Display Hook,Libya Steel or Iron Stainless Door Hardware Ball Bearing Hinge] 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-China Wholesale Self Stick PVC Wallpaper or Wall Coverings Tile in Black Grey for Home Wall Decoration DIY[Corrugated Carton Box Automatic Folding Gluing Machine,Different Colors Dental PMMA Block From China] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Commercial Automatic Bubble Tea Fructose Dispensing Machine]
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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.[Ywf (K) 137-6D75 Mk106-4dk. 14. U Air Compressor Fan Motor for Atlas Copco Fans,Dynamic Switching Encoder Modulator]
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-Promotional Woven Polypropylene Shopping Bag.
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Complications
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In many patients, different anti-High Quality Oil Filter Element 1r-0739 for Wholesale.
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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 Wholesale Self Stick PVC Wallpaper or Wall Coverings Tile in Black Grey for Home Wall Decoration DIY, 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-Oil Sludge Double Care Hydrotreating Technology Diesel Engine Oil Dky090(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Mingxiu Office Furniture 2 Door Lightweight Steel Filing Cabinets / Glass Door Cabinet] 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
