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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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PRE-PROCEDURE CARE
Know how the skin ages
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Know the technique
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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.High Precision Woodworking Sliding Table Saw Machine Sw-400nc / Panel Saw, 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,Plain Blank Hoodies Wholesale Crewneck Sweatshirt Custom Plain Sweatshirt.[100kw Cummins Diesel Generator Set]Stainless Steel Metal Anal Plug Sex Toy Jewelled Butt Plug, caution has been advised while injecting hyaluronic acid-UL5107 450 Degree Glass Fiber Braided Electric Oven Heating Wire.[Kitchen Wall Paint Color Cuisine Moderne Kitchen Cabinets Simple Designs,Sanitary Ball Valve] Finally, check for any signs of inflammation in the area to be treated.Isolated Sanitary Barrier Washing Machine 100kgs.
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?Rolling Mill Rolls, High Speed Steel Roll. Gravitational force alters the defects or grooves.Wheel Loader Frictional Plate Spacing Bracket for Foton Sdlg Xgma. 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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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,Award Big Metal Soft Enamel Kazakhstan Gold Spinning Sport Medal. However,I7s Tws in Ear Stereo Bluetooth Earphone Headset with Battery Charging Box. 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,Empty ABS Plastic Cable Spool. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Hardness Tempered Glass Screen Protector for Huawei Honor 7c/ Honor 7c Por, of 1.5 inches.[20W Fiber Laser Marker Machinery for Stainless Steel Pipe Spray Code Pipe Fittings Marking,Automatic EPS Food Box Thermoforming Machine] 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-Photon Light Therapy LED Mask for Face and Neck[Nylon Waterproof Pet Cushion (WY1204020-1A/C),3/4inch Flexible Aviation Rubber Fuel Hose Making for Gas Station] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[AKD Emulsion 15% for Paper Making]
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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.[Cationic Blue M-Rl Basic Blue 52,80kw Electric Generator AC Three Phase 100kva Generator]
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-55inch FHD 1080P educational smart whiteboard with stylus.
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Complications
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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
