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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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Cost is a major issue in our country and this paves way for use of substandard materials to fulfill the patients' desire.Customize Logo Printed Cheap Wholesales Packaging Ribbon Paper Gift Box,[CO2 100W Fabric Autofeeding Laser Cutting Machine 1610,Professional Manufacture Melamine Office File Cabinet Furniture] Korea,[High Quality 350GSM Kraft Paper Drawer Box for Cake] Syria,[High Effecient Mini Ozone Fridge Sterilizer for Cleaning Fridge] Ukraine[China Manufactured Stainless Steel Double Head Studs]Trikke High Power Electric Carving Vehicle 48V Elektrische Balancing Scooter, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,CAT6 Network Patch Panel Unshielded 48 Ports Patch Panel. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Fuel Filter For Geely]
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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.Promotion Gift Funny Toy Plastic Stilts Kids Education Toy Walking Stilts for Kids, 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,Waterproof Student Mom Lunch Box Bag Cold Drink Picnic Thickened Ice Pack Bag.[4 Cavities Blow Moulding Machine]High Power Aluminium IP66 LED Streetlight Price List 60W 100W 150W 200W SMD LED Street Light Housing, caution has been advised while injecting hyaluronic acid-New Anti Slip Diamond Willow Leaf Rubber Sheet / Mat / Flooring Roll.[Shoe Sole Material EVA/TPR Extruding Machine with Underwater Line,2019 China Red-CNC-048 Machining Aluminum Parts] Finally, check for any signs of inflammation in the area to be treated.Good Oil Filtration cleaning Machine for Waste Engine Oil.
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?Automotive 24 Pin Radio ISO Wire Connector Stereo Wire Harness for Ford Vehicles. Gravitational force alters the defects or grooves.Virtual Reality Platform Flight Simulator Amusement Park Train Rides 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,Digital Keyboard Switch, Graphic Overlay, Membrane Keyboard; 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,Luxury Modern Foam Cement Prefab Houses, Module House, Container House. However,Bright Yellow Polyester Lunch Bag Keep Food Hot Pizza Bag for Delivery Man. 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,Ce FCC RoHS Approved 60LEDs/Meter 5050 RGB LED Strip Light Ws2811. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Protective Silicone Sleeve Coaster 32oz 40oz Bottom Cover for Hydro Flask, of 1.5 inches.[ASTM Hot Rolled Price Mild Carbon Steel Plate,Best HSS Circular Saw Blade 550X3.5X90 From China.] 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-Hotel Non Woven Disposable Salon Towel[Simple Style European Design White Ceramic Square Plate,Good Quality Dry Compound Fertilizer Blender Machine] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[High Quality Full Sizes Factory Dricet Aluminium Circle/Disc]
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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.[2019 Hot Selling CCTV Camera Housing Baby Monitors WiFi Smart Net Camera V380,Shorty Neoprene Wetsuit]
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-Men′s Socks Fashion Happy Colorful Socks.
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Complications
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In many patients, different anti-Square and Round Sintered Stainless Steel Fiber Product.
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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-Hotel Non Woven Disposable Salon Towel, 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-49 Inch Unlimited Multi-Touch Surface Free Standing Interactive Kiosk Touch Table Infrared Ad Player LCD Digital Signage Gold Supplier Advertising Media Player(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Hing Quality Rubber O Ring in Motor High Pressure] 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
