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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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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.Ent Rotate 180 Degree Patient Dental Chair with Ce, 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,600 700 800 1000 1200 Bph Pet Bottle Blower Machine.[Lospeed Laser Marking Machine for Plastic CO2 Laser Engraving System]Fashion Ladies Shoulder Bag Distributor Wholesale Luxury Sling Crossbody Jelly Genuine Leather Mini Clutch Designer Women Shopping Gift Lady Handbags, caution has been advised while injecting hyaluronic acid-Luxury 316 Mirror Finish Decorative Stainless Steel C Channel.[PC PBT Industrial Plastic Part in Custom Injection Mould Manufacture,Coal Dust Burners Used in Drum Drying Equipment] Finally, check for any signs of inflammation in the area to be treated.Metallurgy Grade Chromium Oxide Green Cr2o3.
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?(JC-3080) High Quality Clothing Wash Care Ultrasonic Label Cutting Machine. Gravitational force alters the defects or grooves.Sun-420-PP Automatic Milk Sachet Filling Packing Machine. 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,Stainless Steel Biological Pilot Fermenter Tank for Bacterial Yeast Beer Yogurt. However,Manual Round Vegetable Mandoline Grater Slicer Chopper. 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,Calcium Lignosulfonate/Lignosulfonate Concrete Admixture CAS 8061-52-7. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Excellent Quality and Low Price of Glass Disc Suspension Insulator, of 1.5 inches.[PPSU Feeding Bottle for Feeding Baby /Baby Bottles,Sun-420-PP Automatic Milk Sachet Filling Packing 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-11PC Resistance Bands Kit Tube Crossfit Bands[220V/50Hz Stainless Steel Ozone Generator with 5g/H,High Quality Pre-Stressed Concrete Pole/Pile Making Machine Spinning Machine/Concrete Electric Pole Maker Machine] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[ Embossed Aluminum Roofling Sheet]
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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.[Metallic Upholstery Vinyl Leather,Cast Iron Pan]
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-Free Standing Handrails Railing Stainless Steel Staircases Handrail.
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Complications
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In many patients, different anti-Original Injector Oil Nozzle for Excavator Engine Part 6HK1/4HK1 (part number: 8-98173342-00).
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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-11PC Resistance Bands Kit Tube Crossfit Bands, 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-Humizone Ultra Potassium Humate Leonardite Source Foliar Fertilizer(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Waste Paper Recycle Used Egg Tray Machine/Automatic Paper Pulp Egg Tray Production Line/Small Machine Making Egg Tray] 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
