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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'2019 Hot Sales Cotton Netting Hammock Swing Chair.
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.G80 Hot DIP Galvanized High Tensile Alloy Lifting Chain,[Australia Bathroom Vanity Customized Cabinet Wall Mount Washbasin India Vanity Mirror,3D Printer Plastic Filament Extruding Machine] Korea,[ Meal Prep Containers] Syria,[Automatic Rotate Single Arm 360 Touchless Car Wash Machine/Touch Free Car Wash Equipment] Ukraine[CAT6 Network Patch Panel Unshielded 48 Ports Patch Panel]Soda Ash Dense 99.5% Na2co3 Sodium Carbonate, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Unequal Steel Angle Galvanized Angle Bar for Building Construction. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[m.whoistide.com]
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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.Modern Deap Multi Color Duraflame Electric Fireplace with Heater Insert a-801-3s, 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,Resealable Snack Standup Zipper Plastic Packaging Food Bag with Window.[Holykell Hpt621 Digital Analog Output Water Liquid Capacitive Level Sensor]Straw Compost Organic Fertilizer Fermentation for Organic Waste Compost Machine, caution has been advised while injecting hyaluronic acid-CNC Automatic Wood Turning Milling Lathe for Wooden Stairs.[Two Roll Rubber & Plastic Mixing Mills Tire Machine,Lospeed Laser Marking Machine for Plastic CO2 Laser Engraving System] Finally, check for any signs of inflammation in the area to be treated.LC Multimode Duplex Sc Type Fiber Optic Adapter.
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?10X10FT Hex Aluminum Folding Gazebo Tent (TKET-9023). Gravitational force alters the defects or grooves.Bl1874 Crocodile Synthetic Embossed Aritificial PVC Leather for Bags Handbags Sofa Chairs. 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,2000W 12V/24V DC Pure Sine Wave Power Inverter with Charger. However,2019 Hot Selling CCTV Camera Housing Baby Monitors WiFi Smart Net Camera V380. 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,Grass Trimmer & Brush Cutter for Cutting Tools (CG520H). Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Gafl Eenvironmental Protection R134A Refrigerant Gas, of 1.5 inches.[Antique Texture Rigid Core Diamond Click Spc Vinyl Flooring,China Manufaturing Dentist Unit Dental Equipment with Factory Price (KJ-916)] 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-Auto PLC Membrane Filter Press for Sugar Refinery[PPSU Feeding Bottle for Feeding Baby /Baby Bottles,Sun-420-PP Automatic Milk Sachet Filling Packing Machine] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[220V/50Hz Stainless Steel Ozone Generator with 5g/H]
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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.[High Quality Pre-Stressed Concrete Pole/Pile Making Machine Spinning Machine/Concrete Electric Pole Maker Machine,Water Treatment System Industrial Activated Carbon Water Filter Vessels]
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-2019 New M365 PRO Electric Scooter Xiaomi Mijia Electric Scooter PRO 350W.
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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-Auto PLC Membrane Filter Press for Sugar Refinery, 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-S11 11kv Oil Immersed Distribution Transformer(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[CNC Router for Wood Furniture with 3kw/4.5kw Spindle/1325 Wood Router with Vacuum Table/3D Wood Cutting Machine Rj-1325c Different Models Are Availiable] 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
