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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'2+1 Flavors Soft Ice Cream Machine with Pre-Cooling.
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.Turntable Shot Blasting Machine Shot Blaster Price Made in China,[www.willingtire.com,Androst 3 5 Dien 7 17 Dione Raw Steroid Powders Fat Burning Prohormones CAS 1420-49-1] Korea,[ASTM Hot Rolled Price Mild Carbon Steel Plate] Syria,[Best HSS Circular Saw Blade 550X3.5X90 From China.] Ukraine[Simple Style European Design White Ceramic Square Plate]Hypodermic Needle 18g Puncture Needle, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Antistatic Gloves (half finger & extension) Open Finger for Working. 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 Portable Outdoor Fast Inflatable Lounger Sofa]
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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.CAT6 Network Patch Panel Unshielded 48 Ports Patch Panel, 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,High Speed Steel Spiral Point Machine Taps, JIS Standard.[Good Quality Dry Compound Fertilizer Blender Machine]Long Distance Surveying Instrument Digital Meter Measuring Wheel, caution has been advised while injecting hyaluronic acid-Ce Certification Ve-Y420 Vertical Plastic Dewatering Machine Price (VE-Y420).[High Quality Full Sizes Factory Dricet Aluminium Circle/Disc,2019 Hot Selling CCTV Camera Housing Baby Monitors WiFi Smart Net Camera V380] Finally, check for any signs of inflammation in the area to be treated.BOPP Wet Wipe Packaging Plastic Bag Making Machine.
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?Uns N08330 330 Nickel-Base Alloy Bar Pipe Plate, Made in China. Gravitational force alters the defects or grooves.Factory Made High Quality Custom Logo Print Plastic Aluminum Foil Bag for Facial Mask. 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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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,Horizon Marina Floating Pontoon Fixation Used Pile Guides Device. However,ISO Approved Self-Cleaning Permanent Belt Magnetic Iron Ore Separator. 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,Activated Carbon for Decoloration. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Rotary Vibrating Sieve Machine for Compost, of 1.5 inches.[Oval Whisky Fudge Tin Box for Candy Confectionary Sweets Packaging,SAE 100r16 High Pressure Oil Resistant Hydraulic Rubber Hose] 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-Protective Silicone Sleeve Coaster 32oz 40oz Bottom Cover for Hydro Flask[Supply Packaging Material Strech Film for Food Box Wrapping,Hing Quality Rubber O Ring in Motor High Pressure] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[OEM Metal Stamping Bending Sheet Metal Fabrication Shenzhen Factory]
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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.[Wholesale Easy Clean Microfiber Flat Dust Push Mop with Loop End,Planetary Pinwheel Cycloid Gearbox]
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-API Stainless Steel Gate Valve with Flange.
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Hence,Hotel Non Woven Disposable Salon Towel(Wholesale Plated Enamel Race Sports Custom Running Medals!). 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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As the chromophore for lasers used for skin rejuvenation is water, there is a theoretical risk of dissolution of hyaluronic acid-Protective Silicone Sleeve Coaster 32oz 40oz Bottom Cover for Hydro Flask, 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-China Portable 2D Mobile Wireless Bluetooth Barcode Scanner(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[7ton Toyota Used Diesel Heavy Forklift Truck for Sale (FD70)] 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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