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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'16/19/23 Inches Plastic Tool Box with Removable Parts.
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.Latest Design Logo Custom Engraved Watch Wooden Wristband Women Wristwatches,[Tn223 Color Toner Cartridge for Konica Minolta Bizhub C226 C256 C266,Galvinised Steel in Coil for Roofing] Korea,[Cheap Kids Electric Toy Car for Kids Ride Outdoor] Syria,[Roll Materials and Cylinders Pencil Vase Flute Bottle Rotary Clamps for Engraving Cylinders Laser Engraving Machine 1390] Ukraine[Fashion Kids Sports Digital Watch Children Watch Relogio (DF-MW079)]Decorative High-Pressure Laminate PVC Wall Ceiling Panel for Home Decor, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,FTTH Fiber Optic LC Upc Female Sc APC Male Fiber Optic Adapter. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Dow Filmtec Sw30-2521 Reverse Osmosis Membrane]
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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.Qt40-3c Small Foam Concrete New Block Machine for Business, 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,Diamond Saw Blade for Granite/Marble/Quartz/Counter-Top.[Aramid Needle Felt Filter Bag for Cement Plant]500ml/800ml Glassware/Glass Wine/Liquor/Spirits/Vodka Bottle Like Peanut, caution has been advised while injecting hyaluronic acid-Split Butterfly Valve, Ab Valve- Material Containment Transfer.[IVISMILE Extra Freshening Fluoride Free Alcohol Free Activated Charcoal Mouthwash,Directly Modulated 1550nm Optical Transmitter with AGC] Finally, check for any signs of inflammation in the area to be treated.PP Grid Reinforced Scaffold Safety Guard Netting for Construction and Building.
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?Patent Product Solar Pests Killer Lamp, Made in Goldsun, China.. Gravitational force alters the defects or grooves.500W~3300W Fiber Laser Cutting of Sheet/Pipe/Tube Cutting Machine. 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,Exposed Roof Waterproofing Membranes Welding-Applied Tpo; for superficial defects, lighter molecules are preferred.
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DOCUMENTATION
Obtain informed consent
Hydraulic Mechanical Diaphragm Metering Pumps Chemical Dosing Pump, technique of administration, outcome, side effects, post-procedure care, need for maintenance and any other additional procedures required to achieve optimum results. A handout on these aspects can be given to patients for reference. Consent has to be signed after counselling and adequate briefing of the patient.
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,Factory Manufacturer 230 Ml Cosmetic Shampoo Perfume Plastic Pet Bottle. However,Three Phase Flush Mounted Waterproof Application Socket and Plug. 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,Good Quality Dry Compound Fertilizer Blender Machine. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Promotional Woven Polypropylene Shopping Bag, of 1.5 inches.[High Quality Wc67K 40 Ton 80 125t 2500 2.5m Metal Sheet Plate Construction Industry Hydraulic Small Mini CNC Bending Press Brake Machine Factory Price for Sale,Stainless Steel Manual Glass Kitchen Ajustable Pepper] 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-High Quality Oil Filter Element 1r-0739 for Wholesale[Vitamin Ad3e Oily Injectable Solution (80/40/20),High Quality Furniture Minifix Connecting Fitting 3 in 1] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Factory High Quality 3.6V 1800mAh NiMH AA Rechargeable Battery Pack]
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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.[55inch FHD 1080P educational smart whiteboard with stylus,Innovative New Products Car Mechanical Parts CNC Machining Part]
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-ODM Customized Red Anodized Aluminium Al6061-T6 CNC Lathe Part (F-146).
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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-High Quality Oil Filter Element 1r-0739 for Wholesale, 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-M6*50- M6*100 Ss 304 316 Expansion Eye Bolt(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Chemicals Flocculant Cationic Polymer Price] 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
