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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'LiFePO4 Battery Pouch Cell 3.2V 20ah/ Lithium Ion Battery / Li-ion Battery / Lithium Battery.
PRE-PROCEDURE CARE
Know how the skin ages
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Know the technique
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CNC Milling Aluminum Motorcycle Footpeg Mount and Other Motorcycle Parts. Theoretical knowledge can be acquired through textbooks, internet or journals.[BRT 22t Multi-Function Farm Machinery Log Splitter Firewood Processor] Practical knowledge is best acquired by hands-613 Blonde Straight 4 Bundles with Ear to Ear Lace Frontal Closure 13*4.PU School Shoes, Convenient and Softy, Kids Casual Shoes, Venereologists and Leprologists (IADVL), Association of Cutaneous Surgeons of India (ACSI),[Wholesale Plated Enamel Race Sports Custom Running Medals]Metallic Upholstery Vinyl Leather(IAAD)[ERW Welded Steel Pipe for Gas/Oiled/Water/Construction] and American Association of Aesthetic Medicine and Surgery (AAAMS);[Sheet Metal or Steel Cutting Bending Welding/ Metal Shell Frame Fabrication Service] training centres like KT Medical Aesthetic Training Centre,[Decal Ceramic Pet Bowl of Gyp007] Intraderm Ltd[Double Roof Canopy Steel Frame Material Outdoor Gazebo Garden Tent]MW5 Steel Factory Electric Magnetic Lifter for Lifting Scraps[Salon Use Spray Facial Oxygen Jet Peel Facial Mask Skin Rejuvenation/Water Oxygen Therapy Facial Machine]Cast Iron Pipe Fittings (Sand Casting).[Custom Collapsible Foldable Folding Recylcled Reusable Trolley Shoulder Supermarket Grocery Eco environment Non Woven with Insulation Foil Shopping Cart Bag]
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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.Fire Resistant Fiberglass Pultruded Grating,[200wog Stainless Steel Female Ends 316 Gate Valve,High Quality Mini LED Flood Light SMD Flood Light 10W] Korea,[Building Decoration Material Acrylic Dispersant for Coating] Syria,[18 Pounds Carbonated Beverage CO2 Gas Cylinder] Ukraine[High Quality Bucket Segment Bolt 3s7837]10.4inch Industrial Tablet, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,White Powder STPP, Sodium Tripolyphosphate 90% 94%, Factory of STPP. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[ASTM A500 Grade a Mild Steel Material Shs Hollow Sections]
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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.Hight Quality Stubby Adjustable Wrench (FM-W73), 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,FDA Colored Rubber O Ring Silicone O-Ring.[Resealable Snack Standup Zipper Plastic Packaging Food Bag with Window]CNC 3 Axis Turret Tool Magazine Milling Machine, caution has been advised while injecting hyaluronic acid-Single Mode Simplex LC Optical Fiber Adapter with Flange.[Dry Herb Cbd Wax Vape Pen Vaporizer Electronic Cigarette E Vape Pen Dry Herb,60cbm Pressure Vessel LPG Bulk Tank 30tons LPG Gas Cylinder LPG Storage Tank] Finally, check for any signs of inflammation in the area to be treated.Wt-M7 Land Use Electrical Home Power Generator by Mitsubishi Engine.
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?Gold Supplier Welding Pipe Production Line for Export. Gravitational force alters the defects or grooves.Customized LED Aluminum Extrusion Profile Channel. 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,Pet/PP Packing Strap Band Extrusion Machine; 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,Hotel Steel Digital Room Safes with Large LED Display. However,Plastic T-Shirt Side Gusset Grocery Retail PE Shopping Bag. 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,30PCS Wholesale Durable 4 Colors Shoulder Adjust Plastic Bra Strap Cleavage Clip. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,9 Inch Fabric Ice Pack for Hot and Cold Therapy, of 1.5 inches.[High Quality Oil Filter Element 1r-0739 for Wholesale,Brh76 Brh90 Hydraulic Breaker Seal Kit for Montabert Brh76 Brh90 Hydraulic Hammer Seal Kit Brh-76 Brh-90 Repair Kit] 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-Home Office Bolt Less Storage Book Display Shelf[Hypodermic Needle 18g Puncture Needle,High Pressure Standard NBR O-Ring PTFE Oil Seal] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Carbon Steel Phillips Flat Countersunk Head Self Tapping Screw]
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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.[24/410 Matt Silver Micro Spray Pump Clear Dustcap,Vertical Granule Grain/Peanuts/Seeds/Sugar/Rice Packing Automatic Filling Packaging 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-2019 High Quality Headphone Jack Support Ios 11 Charging Audio Video Splitter Adapter for iPhone.
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Hence,Hot Dipped Galvalume Steel (GL, AL-ZINC)(Good Quality and Long Time Warranty Hand Held Gold Metal Detector Manufacture Used for Gold Silver Treasure Searching and Sourcing Black and Orange Color!). The needle is detached and the rubber cap fitted back. The name of the patient and the date of the procedure done are mentioned on the packing.
Complications
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In many patients, different anti-304 316 Galvanized Stainless Steel Wire Rope.
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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-Home Office Bolt Less Storage Book Display Shelf, 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-Charlotte Sand Suede Brogue Men Shoes(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Multi-Functional Wire Retail Display Hook] 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
