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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'99.97% Pure Forged Molybdenum Crucibles.
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.Anti Impact Breathable Wear-Resistant Skid-Resistant Steel Toe Safety Shoes,[Aluminum Bottle Jack,Rigid Solid Yellow Color Plastic Pet Sheet Roll] Korea,[OEM Aluminum 6061/5052 CNC Machining by Aluminum CNC Machining] Syria,[Factory price LF 125kHz read only EM4200 TK4100 RFID smart card for access control] Ukraine[Extruded Aluminum Square Bar 6061 6082 T6]China Supplier Turf Grass Synthetic Lawn Price, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,China Manufacturer Monoblock Hydraulic Directional Control Valve Zdg5. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Automic Cake Tray Cardboard Paper Shrink Packing Machine]
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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.E27 G45 4W Filament Bulb Energy Saving LED Light Bulb, 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,Professional Best Dehydrator for Making Jerky.[Electrical AC Universal Motor for Meat Mixers]Factory Manufacture Various Agriculture Tiller with Competitive Price, caution has been advised while injecting hyaluronic acid-Fashion Purses Purse Designers Luxury Bags Women Handbags Ladies.[Ce Certification Ve-Y420 Vertical Plastic Dewatering Machine Price (VE-Y420),Square and Round Sintered Stainless Steel Fiber Product] Finally, check for any signs of inflammation in the area to be treated.2019 China Red-CNC-048 Machining Aluminum Parts.
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?Ring Die Ball Shaping Compost Fertilizer Machine. Gravitational force alters the defects or grooves.3mm-8mm Clear and Colorful Mirror Glass for Building and Home Decoration (M-C). 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,Mwy6/0.5 Electric Hydraulic Crawler Excavator with Quick Coupling; for superficial defects, lighter molecules are preferred.
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DOCUMENTATION
Obtain informed consent
Lab Coat (Elastic Cuff), technique of administration, outcome, side effects, post-procedure care, need for maintenance and any other additional procedures required to achieve optimum results. A handout on these aspects can be given to patients for reference. Consent has to be signed after counselling and adequate briefing of the patient.
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,Wholesale Diamond Cut Marquise Faceted Amethyst CZ Gemstones in Dubai. However,Customized Half Transparent Dome Tent Luxury Camping Tent for Sale. 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,Cheap Brown Suede Leather Work Safety Boots. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Truck Air Dryer cartridge 14bar, of 1.5 inches.[Fruit Washing Machine,Kangmingna Produce Disposable Surgical Supplies Include Eto Sterile Latex Glove and] 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-Disposable Noodle Take out Container, Noodle to Go Box - Eco-Friendly[XCMG Official Manufacture Tractor Tractors Mini Tractor Construction Equipment Bulldozers Backhoe Wheel Loader Towable Backhoe Site Dumpe,Rsbm Excavator 1.7 Cbm Capacity Excavator Rock Bucket Excavator Part] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Factory Hot Selling Ultrasonic Spot Welding 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.[Original Injector Oil Nozzle for Excavator Engine Part 6HK1/4HK1 (part number: 8-98173342-00),T type) with Factory Price]
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 Newest 3D Wooden Design Interior Wallpaper.
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Complications
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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-Disposable Noodle Take out Container, Noodle to Go Box - Eco-Friendly, 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-Wall-Mounted LED Front-Lighted Bathroom Vanity Mirror 72 Wide X 36 Tall for Hospitality Grade(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Hebei Manufacturer Precision CNC Machining Spur Gear] 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
