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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'Hand Tools 9PCS Hex Key Set CRV Allen Wrench.
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.Fast Inflatable Air Sleeping Bag Camping Bed Beach Hangout Air Sofa,[Rechargeable Solar Battery 12V17ah for Generator (6-FM-17),Good Oil Filtration cleaning Machine for Waste Engine Oil] Korea,[Wholesale 200ml Clear Flat Square Glass Wine Bottle with Aluminum Cap for Juice Milk Tea] Syria,[Ductile Iron Grooved Pipe Fittings Female Pipe Fittings] Ukraine[1 2 4 6 8 Lines Hot Bottom Heat Sealing and Cold Cutting HDPE LDPE PE Biodegradable Plastic Bag Making and Forming Machine Manufacturer Factory Price in China]Cookies Cake Automatic Rotary Packing Machine, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Wall-Mounted O3 Ozone Apparatus for Food and Odor Removal. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Valve Bag Dry Mortar Packing 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.150W Acrylic Laser Cutting MachineLaser CutterLaser Engraver, 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,Crown Moulding for Gypsum Cornice.[Ent Rotate 180 Degree Patient Dental Chair with Ce]Hydraform Interlocking Block Making Machine, caution has been advised while injecting hyaluronic acid-Gusu Equipment for Production of Chocolate Qdj.[3 Layers 5000L Plastic Blow Molding Machine/Blowing Moulding Machiery,Optical Workstation Aluminum Die Casting Housing (XD-34)] Finally, check for any signs of inflammation in the area to be treated.Square Glass Bottle for Parfumes in Bare Color.
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?USB Mini Fan N9 Flexible Portable Rechargeable Fan Air Cooler Mini Hand Held Battery Portable Desktop Fan. Gravitational force alters the defects or grooves.PC PBT Industrial Plastic Part in Custom Injection Mould Manufacture. 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,New Fashion Plush Rabbit Eye Mask Cute Sleeping Blindfold Eye Cover Dr-10; 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,Made Iin China Good Quality PPGI PPGL Gi Gl Color Coated Steel Coil. However,IVISMILE Extra Freshening Fluoride Free Alcohol Free Activated Charcoal Mouthwash. 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,600mm*600mm Black Rubber Gym Tile. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,New Wireless Action Car Recorder Panoramic IP Camera, of 1.5 inches.[Soda Ash Dense 99.5% Na2co3 Sodium Carbonate,Excellent Quality and Low Price of Glass Disc Suspension Insulator] 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-P4.75-848 Green Bluetooth APP Control Mini Car Sign LED Message Rolling Sign Car Window Sign[Yarmax Portable Diesel Silent Generator with Ce 6kw 6kVA,Custom Sport Snapback Cap Plain Trucker Caps] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Meat Analog Machine Including Tspand Tvp Food]
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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 Speed Paper film Jumbo Roll Slitting Rewinder Machine,Lvb (T) -500 Oil-Immersed Paper of Current Transformers/Voltage Transformer]
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-Hardness Tempered Glass Screen Protector for Huawei Honor 7c/ Honor 7c Por.
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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-P4.75-848 Green Bluetooth APP Control Mini Car Sign LED Message Rolling Sign Car Window Sign, 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-Custom CNC Precision Machining Auto Parts Car Accessory Machine Parts(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[LC Multimode Duplex Sc Type Fiber Optic Adapter] 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
