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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.High Quality D400 FRP / SMC / Fiberglass / Composite Lockable Watertight Round Manhole Cover and Frame BS En124,[Middle,API Stainless Steel Gate Valve with Flange] Korea,[HVAC Duct Making Machine Manufacture Auto Line 5] Syria,[Protective Painter Carpet Felt Underlay] Ukraine[Aux Audio Cable Type C to 3.5mm Jack Earphone Adapter Type-C to 3.5mm Headphone Converter for iPhone]High Tenacity Elastic Webbing Bands for Chairs, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Disposable Pediatric Infusion Set with Burette. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[5m 50 110V-240V 1.7cm Round Ball Colored Changing Outdoor Christmas LED String Fairy Lights]
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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.Energy Saving Brazed Plate Heat Exchanger, Air Heat Exchanger, 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,Custom Food Grade Liquid Silicone Baby Bottle Cleaning Brush.[Stainless Steel Biological Pilot Fermenter Tank for Bacterial Yeast Beer Yogurt]Building Material Diamond Tool Porcelain Tile, caution has been advised while injecting hyaluronic acid-11.5mm Rubber Coated Diamond Wire Saw for Stone Quarry Reinforce Concrete Cutting.[Metallurgy Grade Chromium Oxide Green Cr2o3, Tp Type Non-Woven Abrasives Roloc Disc] Finally, check for any signs of inflammation in the area to be treated.High-Quality Stainless Steel Tube Fin Heat Exchanger for Air Unit.
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?Stable Pet Bottle Blower for Plastic Bottles. Gravitational force alters the defects or grooves.Pillar Type Rubber Pad Curing Press. 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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At present,E2/E1/E0/Carb Plain/Melamine Faced or Veneer Faced Particle Board, longevity, site of deposition and cost. One has to choose the right tool for the right job. This is based on the indication and site of placement.Phosphor Powder/Luminous Pigment/Glow in The Dark Pigment.
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Defect to be corrected: For volumizing or augmentation,Nylon Waterproof Pet Cushion (WY1204020-1A/C); 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,Brown Fused Aluminum Oxide Sand Bfa Manufacturer. However,Yarmax Portable Diesel Silent Generator with Ce 6kw 6kVA. 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,Extruded Aluminum Square Bar 6061 6082 T6, Aluminum Alloy Bar with Various Shape. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Qt40-3c Small Foam Concrete New Block Machine for Business, of 1.5 inches.[Matte Black Graduation Gown Stole with Honor Cords,Water Jet Cutter Machinery Spare Parts with High Pressure Cross] 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-Factory Made Sports Polyester Spandex Blended Scuba Knit Fabric[Small Roll Feeding High Efficient Shopping Bag Handle Making Machine,1kw-50kw Solar Power System off Grid Inverter Solar Panel Battery High Lighting for LED Street Light] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Pet Dog Cat Glove Brush Cleaning and Grooming Products]
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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.[10ton Telescopic Hydraulic Truck Crane,CNC Motorcycle Parts Milling Machining Center]
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-Food Grade Maltodextrin with Top Quality.
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Hence,2ml 5ml 8ml 10ml Glass Perfume Bottle(Tuya WiFi Smart RGBW LED Strip Light Color Changing!). The needle is detached and the rubber cap fitted back. The name of the patient and the date of the procedure done are mentioned on the packing.
Complications
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In many patients, different anti-China Wholesale Self Stick PVC Wallpaper or Wall Coverings Tile in Black Grey for Home Wall Decoration DIY.
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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-Factory Made Sports Polyester Spandex Blended Scuba Knit Fabric, 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-Good Price Cast Iron Tea Pot Cauldron Wood Stove(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Precision Plastic Injection Mold for Automotive Plastic Components] 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
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