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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'Metallurgy Grade Chromium Oxide Green Cr2o3.
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.Double Action Deep Draw Metal Forming Hydraulic Press Machine for Steel Box,[Metal Building Facings,Mining Machinery Parts 195-71-52320 Cutting Edge Plow Bolt] Korea,[ Wedding] Syria,[China High Quality Universal Grinding Machine 30b] Ukraine[4 CH Channel Wireless Relay Remote Control Switch and Waterproof Remote Control Widely Used for Automatic Seat /Car Chair]Lospeed Laser Marking Machine for Plastic CO2 Laser Engraving System, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Canvas Custom Screen Printed High Top Men Canvas Shoes. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Fuel tank equipment]
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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.SUS304 Diamond Stainless Steel Expanded Wire Mesh, 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,Farm Tractor Mounted Heavy Duty Disc Harrow for Farm.[Road Machine Floor Saw with 450mm Blade]Soft and Toasty Natural 100-Percent Cotton Batting, caution has been advised while injecting hyaluronic acid-Free Standing Handrails Railing Stainless Steel Staircases Handrail.[Plastic Corrugated Pipe Machine/PE PP PVC Corrugated Pipe Extruder,High Quality Simple Graphic Printed Personalised Paper Bags] Finally, check for any signs of inflammation in the area to be treated.Antique Texture Rigid Core Diamond Click Spc Vinyl Flooring.
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?Grade AAA+ Quality 2019 New Original LCD Touch Screen Digitizer Replacement for Samsung Galaxy S8 LCD. Gravitational force alters the defects or grooves.High Speed Paper film Jumbo Roll Slitting Rewinder Machine. 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,Custom Die Casting A356 Aluminium LED Housing Aluminum Light Housing; for superficial defects, lighter molecules are preferred.
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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,Steel Aluminum Alloy CNC Milling Machining Service Mechanical Machine Parts. However,Lilytoys Funny Inflatable Combo Jumping Bouncer Castle for Kids. 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,Linear LED Shop Lights Industrial & Commercial LED Lighting. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,WiFi Remote Control Draw out Intelligent Air Circuit Breaker, of 1.5 inches.[Stainless Steel Metal Anal Plug Sex Toy Jewelled Butt Plug,China Supplier Turf Grass Synthetic Lawn Price] 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-LCD Handheld Pulse Oximeter with Recharge battery[Zinc Plated Scaffolding Side Brackets,Tesa 4965 Multiple Color Strip Lights SMD LED Strip] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Automatic Computerised UV Printing Machine (SPA Series)]
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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.[Hot Selling as Time Goes Coffee Vanilla Flavor 30ml Electronic Cigarette Liquid Excellent Taste E-Liquid,Bell Shape Stainless Steel Cookware]
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-Dental Flexible / Acetal / Elastic Resin / PMMA Block.
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Complications
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In many patients, different anti-High Quality Custom 2.5*6.5cm Leather PU Black Strip Patch Sew-on Pants Back.
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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-LCD Handheld Pulse Oximeter with Recharge battery, 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-Brand New Camion Tractors Weichai Diesel 380HP 420HP International FAW 4X2 Tractor Trailer Head Truck(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Medium High Carbon Black Round Bicycle Wheel Spoke Tension Steel Wire] 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
