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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'Vitamin Ad3e Oily Injectable Solution (80/40/20).
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.Hex Bolt/Hex Socket Bolt/Square Head Bolt//Stud Bolt/Flat Head Bolt/ Plow Bolt/Countersink Head Bolt/Guardrail Bolt/Hex Flange Head Bolt/Eye Bolt/T Bolt,[High Pressure Pn16 Stainless Steel Slip on Flanges,Rcyd-Z8 Refrigerator Waste Recycling Line Magnetic Separator Suspended Overband Magnets] Korea,[Black Tko Wholesale Vape Carts 0.8ml Empty Tank Vape Cartridges Atomizer 510 Thread Sauce Carts] Syria,[Construction Machinery Mini Hydraulic Crawler Excavator] Ukraine[Fh1000 (C) Fh1200 (C) Newest Laboratory Stainless Steel Ductless Fume Hood]Spray Rotary Vegetable Floating Sterilizing Washing Machine Drum Mold for Fruti and Vegetables, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Steel and Wood Lab Table Furniture School Laboratory Equipment. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[www.baotn.com]
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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.Wholesale Easy Clean Microfiber Flat Dust Push Mop with Loop End, 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,Luxury Spc Rigid Core Lvp Click Waterproof Vinyl Plank Flooring HD-F224.[65inch Full HD Portable Floor Standing Interactive Smart Whiteboard]Heavy Duty Hook & Loop Straps for Computer Wires, caution has been advised while injecting hyaluronic acid-Textile Ssa Na2so4 Sodium Sulphate Anhydrous 99% pH6-8.[Telescope Bicycle Pump Mini Pump with Schrader Presta Head (HPM-064),Large Foldable Collapsible Plastic Industry Pallet Container] Finally, check for any signs of inflammation in the area to be treated.China Supplier Carbon Galvanized Steel Pipe.
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?Meat Analog Machine Including Tspand Tvp Food. Gravitational force alters the defects or grooves.Small Velvet Jewelry Packing Pouch Custom Logo. 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,275ml Ice Beer Cocktail Carbonated Drink Glass Bottle; 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,Professional Custom Kraft Paper Gift Box Drawer Jewelry Pastry Box. However,400 Ton Straight Side Double Point Punch Machine. 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,Garden Men Outdoor Casual EVA Clog Red Shoes 20284. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Anti Slip Wholesale Cow Rubber Mat Agricultural Rubber Stable Matting Stall Mat, of 1.5 inches.[Ob4040b Factory Price Standard 40 Aluminum Extrusion Profile for Industry,Trikke High Power Electric Carving Vehicle 48V Elektrische Balancing Scooter] 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-Aluminium Profile Curtain Wall with Home Accent Decoration[Best Selling Cr80 Blank PVC Plastic Cards with Magnetic Stripe, Stage Board] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Roadsafe Traffic 43cm Length Emergency Car Triangle Sign Warning Triangle]
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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.[Electro Magnetic Lifter for Handling Scraps MW5-150L/1,Automatic Potato Chips Making Machines 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-CCTV H. 265 3.0MP CCTV Video Surveillance IR Dome IP HD Camera for Elevator Use.
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Pd + QC3.0 Car Charger for Mobile Phone. Bellewet al., studied the sterility of non-animal stabilized hyaluronic acid gel syringes stored for 2–9 months at room temperature after patient injection. They could not culture any bacterial growth (aerobic as well as anaerobic) from any of the samples.[Fashion Ladies Shoulder Bag Distributor Wholesale Luxury Sling Crossbody Jelly Genuine Leather Mini Clutch Designer Women Shopping Gift Lady Handbags] Similar studies done with injectable collagen also opined favourably on the reuse of the stored collagen.[D6e Flexible Lower Radiator Water Hose Excavator Engine Parts 14579231 Ec210bp,Medical Disposable 3-Ply Nonwoven Surgical Face Mask with Strips]
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Complications
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In many patients, different anti-Galvanized Wire Straight Line Wire Drawing Machine.
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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-Aluminium Profile Curtain Wall with Home Accent Decoration, 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-Electro Galvanized Binding Wire/ Electro Gi Wire(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[CMC Transparent Grade for Coating Production] 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
