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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.613 Blonde Straight 4 Bundles with Ear to Ear Lace Frontal Closure 13*4,[m.asiamzsteel.com,HVAC Duct Making Machine Manufacture Auto Line 5] Korea,[Protective Painter Carpet Felt Underlay] Syria,[Aux Audio Cable Type C to 3.5mm Jack Earphone Adapter Type-C to 3.5mm Headphone Converter for iPhone] Ukraine[Stainless Steel Biological Pilot Fermenter Tank for Bacterial Yeast Beer Yogurt]PU School Shoes, Convenient and Softy, Kids Casual Shoes, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Metallic Upholstery Vinyl Leather. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[High Quality LC APC Type Fiber Optical Fast Connector]
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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.Custom Promotional Pink Fashion Kids Baby Sun Visor Snapback Cotton Party Hat Sport Baseball Cap with Embroidered Printed Logo, 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,Fire Resistant Fiberglass Pultruded Grating.[Metallurgy Grade Chromium Oxide Green Cr2o3]10.4inch Industrial Tablet, caution has been advised while injecting hyaluronic acid-White Powder STPP, Sodium Tripolyphosphate 90% 94%, Factory of STPP.[ Tp Type Non-Woven Abrasives Roloc Disc,Rubber Floor Plate Curing Press Machinery /Rubber Tile Vulcanizing Press Molding Machine] Finally, check for any signs of inflammation in the area to be treated.High Quality X Ray Lead Glasses with Good Prices.
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?High Quality FTTH Network Quick Connector Sc/Upc/ADP Fiber Optic Fast Connector. Gravitational force alters the defects or grooves.Limestone Cement Dry Grinding Equipment for Sale. 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,High Quality 40L Mini Portable 45W 12V/24V Car Fridge; 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,CD Series Pid Intelligent Temperature Controller CD101. However,Economic Folding Container House for Sale. 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,New Product Wood CO2 Fiber Laser Cutting Machine for Sale. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Hot Sale MID-Temperature Commercial Dehydrator Large Capacity for Nuts, Fruit&Vegetable, Meat Drying, of 1.5 inches.[Water Jet Cutter Machinery Spare Parts with High Pressure Cross,Small Roll Feeding High Efficient Shopping Bag Handle Making Machine] 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-Hotel Steel Digital Room Safes with Large LED Display[1kw-50kw Solar Power System off Grid Inverter Solar Panel Battery High Lighting for LED Street Light,Pet Dog Cat Glove Brush Cleaning and Grooming Products] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[10ton Telescopic Hydraulic Truck Crane]
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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.[Aluminum Conductor PE Insulated Triplex Cable,Wholesale Car Accessories Promotion PU Leather Inflatable Soft Car Seat Head Neck Rest Pillow]
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-Disposable Femoral Transradial Medical Device Radial Catheter Introducer Sheath.
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Complications
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In many patients, different anti-Design Kitchen Stainless Steel Sheet Mirror Silver Etching Finished in Grade 304 316 201 for Cabinet.
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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-Hotel Steel Digital Room Safes with Large LED Display, 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-Water Jet Cutter Machinery Spare Parts with High Pressure Cross(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Customized Steel Fabrication Welding Process Service] 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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