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Maya Vedamurthy
Pine Garden Basket, Chennai, India
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'Electric Magic Hot Hair Styling Curling Iron with Brushes.
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.Flexible Rod Spiral Belt for Bread Cooling Industry,[Men Denim Jacket,Medical Ce Approved Bp Machine Blood Pressure Monitor] Korea,[Disposable Extradural Anaesthesia Epidural Needle for Medical] Syria,[Grade U2 U3 78mm Mooring Anchor Chain with Nk] Ukraine[M16 Carbon Steel DIN1478 Closed Body Turnbuckle]Automatic Rotate Single Arm 360 Touchless Car Wash Machine/Touch Free Car Wash Equipment, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,High Precision Woodworking Sliding Table Saw Machine Sw-400nc / Panel Saw. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Dental 3d Oral Scanner]
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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.in-Ear Stereo HiFi Clear Bass Earphone Noodle Cable Headphone with Microphone, 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,Professional 18V Cordless Rechargeable Battery Powered Brushless Impact Wrench.[DuPont POM Delrin 100al Nc010 POM Plastic Materials]280mm Diameter Round Head Mobile Vertical LED Surgical Light Examination Light, caution has been advised while injecting hyaluronic acid-Made Iin China Good Quality PPGI PPGL Gi Gl Color Coated Steel Coil.[Tableware Dinner Ware Matt Surface Green Bamboo Durable Safe Plastic Melamine Distinctive 14 Inch Rectangle/Rectangular Tray Plate,Stainless Steel Aluminum Sheet Metal Rapid Prototyping] Finally, check for any signs of inflammation in the area to be treated.IVISMILE Extra Freshening Fluoride Free Alcohol Free Activated Charcoal Mouthwash.
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?600mm*600mm Black Rubber Gym Tile. Gravitational force alters the defects or grooves.New Wireless Action Car Recorder Panoramic IP Camera. 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,Precision Plastic Injection Mold for Automotive Plastic Components; 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,Customized 13.56MHz 860-960MHz Competitive Price Dual Frequency Hybrid RFID Card. However,USB Electric Heated Vest Adjustable Temperature Down Vests. 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,CNC Customized Machining Brass Wall Bracket LED Lamp Light Fitting, Brass Lighting Fittings. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Photon Light Therapy LED Mask for Face and Neck, of 1.5 inches.[Finest Price Computerlized and CNC Styrofoam Hot Wire Contour 3D Foam Cutter, Graphic Overlay] 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-Abrasive Wheel Cutting Grinding Disc for Cutting Tool[G80 European Type Self-Locking Swivel Hoist Slip Hook,Had-20b Air Compressor Parts Automatic Timer Drain Valve] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[ISO and Ce Approved Digital Thermometer for Both Hospital and Home Use]
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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 Rolling Mill Machine of Two High Openable Housing Mill,Carry-On Trolley Case Manufacturers Cheap Price]
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-Qtm40-3A Egg Layer Manual Concrete Block Brick Making Machine.
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Complications
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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-Abrasive Wheel Cutting Grinding Disc for Cutting Tool, 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-High Demand Products to Sell Brass 2 Way Hose Connector(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Pl Pneumatic Quick Connect Male Elbow Tube Fittings] 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