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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'Fertilizer Mixing Machine for Sale.
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.High Quality Agricultural Equipment Film Greenhouse for Strawberry and Fruit Planting Garden Products,[1204 Ball Screw,Ce FCC RoHS Approved 60LEDs/Meter 5050 RGB LED Strip Light Ws2811] Korea,[Best PCBA Soldering Machine Wave Soldering Equipment] Syria,[Sheet Metal Fabrication Industry Custom Parts Sheet Metal Radiator Covers] Ukraine[ cream]Medical Ce Approved Bp Machine Blood Pressure Monitor, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Large Tactical Sling Backpack Molle Military Bag EDC Chest Crossbody Men. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[www.clin-ele.com]
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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.Stainless Steel Biological Pilot Fermenter Tank for Bacterial Yeast Beer Yogurt, 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,Manual Round Vegetable Mandoline Grater Slicer Chopper.[Home Office Bolt Less Storage Book Display Shelf]Calcium Lignosulfonate/Lignosulfonate Concrete Admixture CAS 8061-52-7, caution has been advised while injecting hyaluronic acid-Excellent Quality and Low Price of Glass Disc Suspension Insulator.[ 8#,Elegant Click Lock Vinyl Plank PVC Wood Flooring] Finally, check for any signs of inflammation in the area to be treated.Double Action Deep Draw Metal Forming Hydraulic Press Machine for Steel Box.
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?Lospeed Laser Marking Machine for Plastic CO2 Laser Engraving System. Gravitational force alters the defects or grooves.Canvas Custom Screen Printed High Top Men Canvas Shoes. 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,Aluminum Frame Polyester Fabric Office Screen for Sale (B5100); 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,Original Injector Oil Nozzle for Excavator Engine Part 6HK1/4HK1 (part number: 8-98173342-00). However,Prefabricated Steel Structures for Large Span Buildings, Warehouses, Airports. 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,Humizone Ultra Potassium Humate Leonardite Source Foliar Fertilizer. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Medical PC Platform Full Digital B&W Trolley Ultrasound Scanner, of 1.5 inches.[Fruit and Vegetable Cleaner Food Bubble Lemon Cleaning Machine Passion Fruit Processing Machine (TS-X200),Gusu Equipment for Production of Chocolate Qdj] 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-Cooling Nozzle Avoid Piston Cylinder Overheat up or Burn[Full Set Fancy Glass Perfume Bottle with High Quality,Biodegradable White Color Take Away Disposable Lunch Box] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Sali Factory Twisted Wire Bristle Brush Sander for Rust]
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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.[PVC or Galvanized Green or Silver Color Welded Wire Mesh Roll,Vertical Radial Impeller Small Head Irrigation Pump]
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-WiFi Remote Control Draw out Intelligent Air Circuit Breaker.
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Complications
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In many patients, different anti-LCD Handheld Pulse Oximeter with Recharge battery.
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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-Cooling Nozzle Avoid Piston Cylinder Overheat up or Burn, 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-Exterior Aluminium Solid Panel/Curtain Wall Cladding/Metal Sheet(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Latest Design Beard Comb Facial Hair Shaping Tool with Brush] 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