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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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Tesa 4965 Multiple Color Strip Lights SMD LED Strip. Theoretical knowledge can be acquired through textbooks, internet or journals.[Skin Resurfacing and Vaginal Tightening] Practical knowledge is best acquired by hands-Drifting and Tunneling Drilling Rods R32 3700mm Extension Rods R32/R38.Hot Product Boys Custom Half Pants with Prints for Age3-8 Years, Venereologists and Leprologists (IADVL), Association of Cutaneous Surgeons of India (ACSI),[Oil Sludge Double Care Hydrotreating Technology Diesel Engine Oil Dky090]Cold Brew Iced Coffee and Tea Filter Tube(IAAD)[PU School Shoes] and American Association of Aesthetic Medicine and Surgery (AAAMS);[China Supplier 20t Steel Coil Railway Transfer Vehicle] training centres like KT Medical Aesthetic Training Centre,[HSD-50 Laboratory Pharmaceutical Bin Mixer] Intraderm Ltd[1192q7 Engine Oil Breathing Hose for Citroen]IP65 SMD LED Solar Floodlight, 120W Solar Powered LED Flood Light Outdoor with Remote Control[Ultrafiltration Hollow Fiber Membrane for UF Water Equipment (AQU-200)]WPC (wooden plastic composite) Profiles Making Machine.[50kg Unmanned Two-Way Magnetic Tape Guided Backpack Agv]
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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.Medical Disposable 3-Ply Nonwoven Surgical Face Mask with Strips,[Wholesale Customize PU Leather Hardcover Notebook with Window,LED Mirror Light Glass Factory] Korea,[Customized 13.56MHz 860-960MHz Competitive Price Dual Frequency Hybrid RFID Card] Syria,[MM Duplex LC/Upc Fiber Optic Adaptor] Ukraine[ Zorbing Ball]Direct Manufacture Grade a and B Birch Adult Wooden Tongue Depressor, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,T45 Retrac Thread Button Bit Drilling Rig Spare Parts. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Concrete Polisher Machine]
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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.UL5107 450 Degree Glass Fiber Braided Electric Oven Heating Wire, 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,Isolated Sanitary Barrier Washing Machine 100kgs.[High Quality with Good Price Guillotine Shears Hydraulic Guillotine Shearing Machine]Rolling Mill Rolls, High Speed Steel Roll, caution has been advised while injecting hyaluronic acid-Wheel Loader Frictional Plate Spacing Bracket for Foton Sdlg Xgma.[Wooden Bamboo Stackable Wine Rack Stand Holder,240T goodeng water/oil/gas pipe drilling rig HDD machine] Finally, check for any signs of inflammation in the area to be treated.Brh76 Brh90 Hydraulic Breaker Seal Kit for Montabert Brh76 Brh90 Hydraulic Hammer Seal Kit Brh-76 Brh-90 Repair Kit.
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?Aoer 48X28X57 Inches, 1 / 2 HP, 70L High-Strength Steel Concrete and Cement Mixer. Gravitational force alters the defects or grooves.in-Ear Stereo HiFi Clear Bass Earphone Noodle Cable Headphone with Microphone. 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,Hardness Tempered Glass Screen Protector for Huawei Honor 7c/ Honor 7c Por. However,Sheet Metal Fabrication Industry Custom Parts Sheet Metal Radiator Covers. 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,Cationic Blue M-Rl Basic Blue 52. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,7ton Toyota Used Diesel Heavy Forklift Truck for Sale (FD70), of 1.5 inches.[Training Baby Eating Kids Bow Slip-Resistant Silicone Feeding Suction Bowl,Men′s Socks Fashion Happy Colorful Socks] 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-Portable Automatic Diesel Engine Cement Motar Spraying Machine[OEM Sand Casting Precision Machining Parts for Construction Machinery,Double Action Deep Draw Metal Forming Hydraulic Press Machine for Steel Box] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Protective Silicone Sleeve Coaster 32oz 40oz Bottom Cover for Hydro Flask]
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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.[2018 Fashion Tassels Cross Body Bag,Aluminum Sheet Laser Cutting Machine Suppliers for Sale]
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-Abrasive Wheel Cutting Grinding Disc for Cutting Tool.
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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-Portable Automatic Diesel Engine Cement Motar Spraying Machine, 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-6201 ZZ Open Miniature Deep Groove Ball Bearing Manufacturer(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Good Quality UPVC PVC Pipe Production Line] 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