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Maya Vedamurthy
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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.Rotary Rolling Shear Cutting Knife Blade for Galvanized Steel Plate, 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,99.97% Pure Forged Molybdenum Crucibles.[Humizone Ultra Potassium Humate Leonardite Source Foliar Fertilizer]Customized Brilliant Color Racer Back Design Thick Shoulder Strap Sports Bra for Yaga Fitness, caution has been advised while injecting hyaluronic acid-Manual Hydraulic Pipe Bending Machine Sheet Metal Cutting and Bending Machine.[COB Power LED Matrix Stage Blinder Light,Woodworking Machine with Italy Spindle with Atc (XE1325/1530/2030)] Finally, check for any signs of inflammation in the area to be treated.Grand Slam Portable Fence Made in China.
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?Road Machine Floor Saw with 450mm Blade. Gravitational force alters the defects or grooves.Security Veranda China Cheap Decorative Wrought Iron Fence Panels for Sale. 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,Easily-Installed Oil Fired Burner for Steam Boiler or Heating Equipment; 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,Low Price Air Control Valve 10bar Design Automatic Air Vents. However,Anti Impact Breathable Wear-Resistant Skid-Resistant Steel Toe Safety Shoes. 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,China Supplier Turf Grass Synthetic Lawn Price. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,China Manufacturer Monoblock Hydraulic Directional Control Valve Zdg5, of 1.5 inches.[ASA+PVC Composite Roof Tile Making Machine / Plastic Glazed Roof Tile Extrusion Production Line,DIN7981 Cross Recessed Pan Head Self Tapping Screws] 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-E27 G45 4W Filament Bulb Energy Saving LED Light Bulb[Reducing Pipe Water Flange Cam Lock Rotary Steel Male Threaded Press Fitting Equal Schedule 40 Quick Female Fittings Bushing Stainless Slip Inox Coupling,CNC Automatic Wood Turning Milling Lathe for Wooden Stairs] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Ce 110V Electric Oven Fans Motor for Cooker Hood]
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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.[Waterproof Student Mom Lunch Box Bag Cold Drink Picnic Thickened Ice Pack Bag,Galvo Fiber Laser Marking Engraving Equipment Raycus 20W 30W 110X110mm]
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-3mm-8mm Clear and Colorful Mirror Glass for Building and Home Decoration (M-C).
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Complications
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In many patients, different anti-Casting Oil Rotary Union Flange Connection Pneumatic Rotary Union Rotating Joint.
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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-E27 G45 4W Filament Bulb Energy Saving LED Light Bulb, 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-Sanitary Ball Valve, SS316 High Pressure Gas Ball Valve(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Pine Garden Basket] 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
