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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'28/410 PP Various Foam Metal Nozzle Trigger Sprayer Head.
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.Coolant Expansion Tank for 1996-2004 Ford Mustang,[Vmc960 3/4/5axis Horizontal Machining Center Vertical CNC Milling Machine Center,240T goodeng water/oil/gas pipe drilling rig HDD machine] Korea,[30X30X10 3010 Water Cooling Fan 12V IP68 Cooling Tower Fan] Syria,[OEM Private Label Peroxide Free Best Whitening Fluoride Toothpaste 2018] Ukraine[Zip Pocket Removable Faux Leather Card Wallet 12 Card Slots]Hot Sale Portable Large LCD Screen Ultrasonic Skin Scrubber Beauty Machine Peel Facial SPA Salon Equipment for Men or Female, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Carbon Steel Phillips Flat Countersunk Head Self Tapping Screw. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Steel Grating Weight]
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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.4 CH Channel Wireless Relay Remote Control Switch and Waterproof Remote Control Widely Used for Automatic Seat /Car Chair, 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,Curb Stone Production Line Qt4-20 Manual Fly Ash Brick Making Machine Portable Concrete Block Making Machine.[Training Baby Eating Kids Bow Slip-Resistant Silicone Feeding Suction Bowl]Sam-400 81L High Quality Electric Constant Temperature Drying Oven, caution has been advised while injecting hyaluronic acid-Grade U2 U3 78mm Mooring Anchor Chain with Nk.[Men′s Socks Fashion Happy Colorful Socks,OEM Sand Casting Precision Machining Parts for Construction Machinery] Finally, check for any signs of inflammation in the area to be treated.UHF 806-941MHz Antenna for Motorola Xts3000 Xts5000.
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?Automatic Computerised UV Printing Machine (SPA Series). Gravitational force alters the defects or grooves.Prefabricated House and Pre Engineered Steel Structure Building. 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,High Quality with Good Price Guillotine Shears Hydraulic Guillotine Shearing 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,Wall-Mounted O3 Ozone Apparatus for Food and Odor Removal. However,Needlle Punched Pet/PP 200G/M2 Non Woven Geotextile. 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,400A Plasma Cutting Machine Plasma Cutter for Robot. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Tesa 4965 Multiple Color Strip Lights SMD LED Strip, of 1.5 inches.[Sam-400 81L High Quality Electric Constant Temperature Drying Oven,Airport Runway Reinforced PP Twist Fiber Toghter with Mesh Fiber] 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-Gusu Equipment for Production of Chocolate Qdj[Hot Sale 304 Black Titanium Stainless Steel Sheet for Lift Cabinet Door Decoration,Hotel Steel Digital Room Safes with Large LED Display] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[316L 304L Stainless Steel Socket Weld Blind Flange]
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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.[Hauling Plastic Pipe Profile Extruder Haul off Machine,3d Laser Engraving 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-T45 Retrac Thread Button Bit Drilling Rig Spare Parts.
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Complications
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In many patients, different anti-UL5107 450 Degree Glass Fiber Braided Electric Oven Heating Wire.
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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-Gusu Equipment for Production of Chocolate Qdj, 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-Rolling Mill Rolls, High Speed Steel Roll(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[350t Nylon Bi-Stretch Spandex Twill Fabric for Fashion Outdoor Garment and Down Jacket] 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