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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'Static Sieve Bend Screen Filters.
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 Flow #1 #2 PP Polypropylene Melt Blown Filter Bag for Liquid Filtration,[Transportador De Rodillos De Mesa,G80 Hot DIP Galvanized High Tensile Alloy Lifting Chain] Korea,[Stainless Steel Crimped Wire Mesh with SGS From Anjia Factory] Syria,[Oval Fencing Wire 2.4X3.0mm] Ukraine[ Mining Cap Lamp]Waste Paper Recycle Used Egg Tray Machine/Automatic Paper Pulp Egg Tray Production Line/Small Machine Making Egg Tray, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Full Automatic Anti-Static Nonwoven Shoes Cover Making 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:[Energy Conservation Insulation Supplier & Factory]
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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.China Manufacturer Monoblock Hydraulic Directional Control Valve Zdg5, 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,3/4inch Flexible Aviation Rubber Fuel Hose Making for Gas Station.[Custom Cheap with High Quality Custom CNC Machining Parts]Hauling Plastic Pipe Profile Extruder Haul off Machine, caution has been advised while injecting hyaluronic acid-High Quality Factory-Made 33kv 6.3kv 1000 kVA 50% Copper and 50% Aluminum Material Distribution Transformer.[Easy Operation Bnt133 1/4′′ to 6′′ Used Hydraulic Hose Crimping Machine for Sale,High Soundless Cracking Agent Expansive Mortar] Finally, check for any signs of inflammation in the area to be treated.100kw Cummins Diesel Generator Set.
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?Decorative Aluminum Sheet Metal Fence Metal Panel for Garden. Gravitational force alters the defects or grooves.Carry on Luggage Duffel Gym Bag Sport Weekender Travel Bag. 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,Factory Manufacture Various Agriculture Tiller with Competitive Price; 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,China High Quality Universal Grinding Machine 30b. However,Electric Trailer Mounted Concrete Pump Hbts25-8-37. 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,Inflatable Water Walking Ball D1003a with Reinforced Soft Handle, Human Hamster Ball, Zorbing Ball. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Ce Approved High Quality Passenger Elevator/6 Person Passenger Lift, of 1.5 inches.[China Portable 2D Mobile Wireless Bluetooth Barcode Scanner,Wholesale Membrane Keypad Lenses with UL Certification] 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-Truck Air Dryer cartridge 14bar[Wholesale Amber Cosmetic Packaging Glass Jar for Face Cream,Yaye 18 Top Sell Ce/RoHS Approval COB 30W LED Projector / COB 30W LED Flood Light /COB 30W LED Downlight] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Professional Best Dehydrator for Making Jerky]
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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.[Custom Logo Gold Thread Woven Lanyard/Rope/Tape/Webbing/Ribbon for Garment/Pet,Customized Resin Snow Globe with Music for Christmas Deco]
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-Sap-303 Glass Bottle Rotary Screen Printing Machine Manufacturer.
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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-Truck Air Dryer cartridge 14bar, 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-Customizable Youth Blank Streetwear Cotton Hoodies with Reglan Sleeves(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Contemporary Dining Room Furniture Modern Rectangular 180cm Dining Table] 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