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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'Prefabricated Steel Structures for Large Span Buildings, Warehouses, Airports.
PRE-PROCEDURE CARE
Know how the skin ages
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Know the technique
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Steel Aluminum Alloy CNC Milling Machining Service Mechanical Machine Parts. Theoretical knowledge can be acquired through textbooks, internet or journals.[Cob Led Headlamp] Practical knowledge is best acquired by hands-Lilytoys Funny Inflatable Combo Jumping Bouncer Castle for Kids.Linear LED Shop Lights Industrial & Commercial LED Lighting, Venereologists and Leprologists (IADVL), Association of Cutaneous Surgeons of India (ACSI),[1oz 8 Layer Rigid Flex PCB]WiFi Remote Control Draw out Intelligent Air Circuit Breaker(IAAD)[GMP Certificated Halal Bitter Gourd Capsule for Weight Loss] and American Association of Aesthetic Medicine and Surgery (AAAMS);[Hospital First-Aid Stainless Steel Medical Trolley / Treatment Medical Cart] training centres like KT Medical Aesthetic Training Centre,[China Manufacturer Export Copper Foot Tap/Valve (HFV-001)] Intraderm Ltd[Welded Black Painted DIN763/DIN766/DIN5685A/DIN5685c Round Steel Link Chains]Plastic Button Wood Engraving CO2 Laser Marking Machine Price 60W 80W CO2 Glass Tube[Gafl Eenvironmental Protection R134A Refrigerant Gas]10t Electric Mooring Winch with Manual Clutch and Brake.[30 35 Degree Passenger Escalator]
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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.3D Floating Display Pet Membrane Faceplate Keyboard,[PP Polypropylene Two Layer Film Blowing Machine,FTTH Fiber Optic LC Upc Female Sc APC Male Fiber Optic Adapter] Korea,[Outdoor Amplifier Aluminum Die Casting Housing (XD-27B)] Syria,[Small Machinery Forming Machines Making Paper Pulp Egg Tray] Ukraine[Hot Sale PA66 Plastic Wire Joint Connector End Closer Aluminium]Exterior Aluminium Solid Panel/Curtain Wall Cladding/Metal Sheet, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,2017 High Quality Perforated Panel for Metal Mesh Curtain Wall. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Water Washer Hose Fitting]
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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.Multi Functional Carbon Steel Nose Plier, 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,Patent Machinery of China Industry Automatic Silicone Lace Coating Machine.[Sealed Aluminum Waterproof Enclosure Die Casting Junction Box with Mounting Ear]Yc-1625L Automatic Cutting Machine for Embroidery Accessories and Coiled Mats, caution has been advised while injecting hyaluronic acid-High Quality Custom 2.5*6.5cm Leather PU Black Strip Patch Sew-on Pants Back.[Unisex Hologram Laser PU Leather Waterproof Casual Daypack School Backpack,Patch Cord LAN Cable Cmr Utpcat6 RJ45] Finally, check for any signs of inflammation in the area to be treated.Carbon Anti-Static Polyester Antimicrobial Knit Weft Dry Fit Terry Fabric.
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?Brand New Camion Tractors Weichai Diesel 380HP 420HP International FAW 4X2 Tractor Trailer Head Truck. Gravitational force alters the defects or grooves.Decal Ceramic Pet Bowl of Gyp007. 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,Reflective Material Safety Reflector; 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,Automatic PLC Control Ultrasonic Welding Machine for Plastics Welding. However,Hot Sale in China Laser Cutting Machine Metal for Metal and Ss Sheet. 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,Nigera Style Popular Security Iron Metal Exterior Steel Door (W-S-127). Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,220V/50Hz Stainless Steel Ozone Generator with 5g/H, of 1.5 inches.[Square Ceramic Lagging as Ceramic Liner, Fruit&Vegetable] 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 Pediatric Infusion Set with Burette[Popular 5g/H Ozone Air Fresher Ozone Generator for Car Air Disinfection,School Solid Wooden Antique Children Double Desk (HG-3904)] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[China Chicken Battery Layer Cage in Kenya Poultry Farm]
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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.[New Products Textiles & Leather Material Furniture CPU Synthetic Leather,12 Years Old Boy Bike]
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-1kw-50kw Solar Power System off Grid Inverter Solar Panel Battery High Lighting for LED Street Light.
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Complications
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In many patients, different anti-Pillar Type Rubber Pad Curing Press.
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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 Pediatric Infusion Set with Burette, 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-E2/E1/E0/Carb Plain/Melamine Faced or Veneer Faced Particle Board(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[ 20kg] 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
