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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.3004 H14 Colour Prepainted Aluminum Coil for Aluminium Composite Panel, 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,Injection Molding for ABS Wife Machine.[High Quality Aluminum Oxide Catalyst Activated Alumina]M16 Carbon Steel DIN1478 Closed Body Turnbuckle, caution has been advised while injecting hyaluronic acid-Large Diameter Fused Polished Silica Quartz Glass Pipeline Quartz Tube.[ Natural Wooden Bamboo Hair Brush,Mingxiu Office Furniture 2 Door Lightweight Steel Filing Cabinets / Glass Door Cabinet] Finally, check for any signs of inflammation in the area to be treated.Stainless Steel Metal Wine Goblet Inox 450ml Wine Cup.
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?Stainless Steel Balustrade/Pillar/Column. Gravitational force alters the defects or grooves.Cooling Nozzle Avoid Piston Cylinder Overheat up or Burn. 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,Linear LED Shop Lights Industrial & Commercial LED Lighting; 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,Dental Flexible / Acetal / Elastic Resin / PMMA Block. However,G80 European Type Self-Locking Swivel Hoist Slip Hook. 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,Pl Pneumatic Quick Connect Male Elbow Tube Fittings. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Double Jacket PU/Rubber Fire Proof Flexible Hose, of 1.5 inches.[Customized Brilliant Color Racer Back Design Thick Shoulder Strap Sports Bra for Yaga Fitness,1310nm SFP 20km 1.25GB/S Lr SMF LC Ddm Module] 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-Decal Ceramic Pet Bowl of Gyp007[Inside & Outside Film Overwrappping Machine (CY2000),Holland Welded Europ Wire Mesh Fence PVC Coated] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[High Standard Excellent Quality Easy to Install Inorganic Fireproof Shutter]
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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.[Steel Manual Wheelchair with Fashion Design,Auatralia Standard Cattle Panels /Sheep Panels]
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-MM Duplex LC/Upc Fiber Optic Adaptor.
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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
