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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'Fiber Reinforced Plastic GRP FRP Fiberglass Gratings.
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.2017 New Design Mold Welding Machine and Equipment for Metal,[Customized HDG/Zinc Plated/Colorful Zinc Plated Sheet Metal Stamping Hardware/Deep Drawn Part/Stamping Bracket,Wholesale Chinese Watermelon Seed Kernels] Korea,[Plastic Injection Mould Factory Shenzhen China / High Quality Mold Maker/Dme/Lkm Standard] Syria,[Cheap Men′s Battery Powered Plastic Nose Hair Trimmer] Ukraine[Soft and Toasty Natural 100-Percent Cotton Batting]High Speed Mini Dp-HDMI 3m Mini HDMI to HDMI Displayport Cable, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Stainless Steel Bare Shaft Half Lug Wafer Butterfly Valve. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Dahua Camera Ipc-c35]
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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.Low Price Air Control Valve 10bar Design Automatic Air Vents, 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,Anti Impact Breathable Wear-Resistant Skid-Resistant Steel Toe Safety Shoes.[China Supplier Carbon Galvanized Steel Pipe]China Supplier Turf Grass Synthetic Lawn Price, caution has been advised while injecting hyaluronic acid-China Manufacturer Monoblock Hydraulic Directional Control Valve Zdg5.[Foundry Equipment Pouring Ladle on Sale,Custom Die Casting A356 Aluminium LED Housing Aluminum Light Housing] Finally, check for any signs of inflammation in the area to be treated.3/4inch Flexible Aviation Rubber Fuel Hose Making for Gas Station.
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?Hauling Plastic Pipe Profile Extruder Haul off Machine. Gravitational force alters the defects or grooves.High Quality Factory-Made 33kv 6.3kv 1000 kVA 50% Copper and 50% Aluminum Material Distribution Transformer. 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,Potassium Concrete Curing Agent Concrete Sealed Harden Agent Manufacturer; 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,Casting Oil Rotary Union Flange Connection Pneumatic Rotary Union Rotating Joint. However,Lab Coat (Elastic Cuff). 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,Sanitary Ball Valve, SS316 High Pressure Gas Ball Valve. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,China High Quality Universal Grinding Machine 30b, of 1.5 inches.[Portable Electric Concrete Vibrator with 18000 High Rotation Speed,Supermarket Combined Island Freezer Commercial Refrigerator with Sliding Glass Door] 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 Diamond Cut Marquise Faceted Amethyst CZ Gemstones in Dubai[Secruity Aluminum and Iron Stainless Steel Flat Top Fencing and Fence Panel Guardrail Guard Bar From China,Food Grade Color Corrugated Paper Sheet Made for Carton for Wholesale] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Shopping Online Printed Customized Fluorescent Packing Plastic Poly Bag]
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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.[Grand Slam Portable Fence Made in China,Scrunch Leggings]
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-Mitsubishi Bd2g Undercarriage Parts, Komatsu Undercarriage Parts.
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Complications
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In many patients, different anti-Small Home Plastic Injection Molding Machine Overmolding Machine.
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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-Wholesale Diamond Cut Marquise Faceted Amethyst CZ Gemstones in Dubai, 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-Top Anti-Static Antistatic Anti Static Electrical Electric Conductive ESD PU Plam Coated Fit Computer Safety Hand Gloves(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Double Persons 100% Cotton Net Hammock] 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