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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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Cost is a major issue in our country and this paves way for use of substandard materials to fulfill the patients' desire.Holykell Hpt621 Digital Analog Output Water Liquid Capacitive Level Sensor,[Modern Style Green Garden House Greenhouse Kits (RDGU0816-6mm),Wholesale Diamond Cut Marquise Faceted Amethyst CZ Gemstones in Dubai] Korea,[LC Multimode Duplex Sc Type Fiber Optic Adapter] Syria,[China Hardware Cast Iron Casting Auto Parts] Ukraine[12V Brushed DC Electric Gear Motor 50kgf High Torque Low Speed]Ultrafiltration Hollow Fiber Membrane for UF Water Equipment (AQU-200), and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Small Home Plastic Injection Molding Machine Overmolding Machine. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Ductile Iron Pipe Fittings Prices]
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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.Antistatic Gloves (half finger & extension) Open Finger for Working, 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,Automatic Aluminium Can Carbonated Drinks Canning Filling Machine.[Multifunctional 3/4 Inch PVC Pipe Coupling Factory for Wholesales]Trehalose Natural Food Additive, caution has been advised while injecting hyaluronic acid-Frame Guide Hydraulic Forming Press Machine for Stainless Steel Cookware.[100ml Square Glass Diffuser Bottle with Cap,Planetbio Korea Hot Products Aesthefill Dermal Filler] Finally, check for any signs of inflammation in the area to be treated.2.2L Oversize PETG Portable Kettle Sports Bottle.
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?Wall-Mounted LED Front-Lighted Bathroom Vanity Mirror 72 Wide X 36 Tall for Hospitality Grade. Gravitational force alters the defects or grooves.Double Persons 100% Cotton Net Hammock. 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,Long Distance Surveying Instrument Digital Meter Measuring Wheel; 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,Black Tko Wholesale Vape Carts 0.8ml Empty Tank Vape Cartridges Atomizer 510 Thread Sauce Carts. However,Hamburger Boxes, French Fries Box Fast Take Away Food Box Making Machine Carton Erecting Machine. 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,Digital Keyboard Switch, Graphic Overlay, Membrane Keyboard. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,20W Fiber Laser Marker Machinery for Stainless Steel Pipe Spray Code Pipe Fittings Marking, of 1.5 inches.[Cheap Unisex Customize Adult 100% Waterproof Raincoat,2019 Hot Sales Cotton Netting Hammock Swing Chair] 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-Rotary Vibrating Sieve Machine for Compost[0.30 - 1.25 mm White Clear Crushed Glass Sands,Professional 18V Cordless Rechargeable Battery Powered Brushless Impact Wrench] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Scaffolding Accessory Casted Jack Nuts& Wing Nuts& Prop Nuts& Tie Rod]
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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.[Wholesale Chinese Watermelon Seed Kernels,CAS 314728-85-3 for Nootropic Treatment]
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-Luxury Modern Foam Cement Prefab Houses, Module House, Container House.
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Complications
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In many patients, different anti-API Stainless Steel Gate Valve with Flange.
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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-Rotary Vibrating Sieve Machine for Compost, 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-Small Roll Feeding High Efficient Shopping Bag Handle Making Machine(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[ CPU Coolers] 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