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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'2018 New Design Red-CNC-032 CNC Machining Aluminum 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.Sali Factory Twisted Wire Bristle Brush Sander for Rust,[China Hub Motor Scooter,Textile Ssa Na2so4 Sodium Sulphate Anhydrous 99% pH6-8] Korea,[8 in 1 3.1 USB C Type C Hub with 4K HDMI Adapter for MacBook PRO] Syria,[Auto-Feeding Machine Guide and Linear Motor Controller System] Ukraine[Pine Garden Basket]High Soundless Cracking Agent Expansive Mortar, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Fluorine Lined Butterfly Valve Flanged Type Chlorine Resistant. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Factory Direct Sales Energy Efficient DC Solar Centrifugal Water Pump (S122T-30)]
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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.ODM Customized Red Anodized Aluminium Al6061-T6 CNC Lathe Part (F-146), 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,Scaffolding Accessory Casted Jack Nuts& Wing Nuts& Prop Nuts& Tie Rod.[Polytetrafluoroethylene Fine Powder PTFE Micropowder Factory Supplier]1 1/2 Inch Food Grade PVC Spring Steel Wire Hose, caution has been advised while injecting hyaluronic acid-Directly Modulated 1550nm Optical Transmitter with AGC.[High Quality Flash Solar Warning Lamp for Sale (S-1325),SUS304 Diamond Stainless Steel Expanded Wire Mesh] Finally, check for any signs of inflammation in the area to be treated.RS545 Brushed DC Motor for Sweeping Machine/Vacuum Cleaner Machine.
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?Best Sale Nylon Kitchen Cleaning Scouring Pad Sponge (JJ-YF326). Gravitational force alters the defects or grooves.CO2 Wooden Letters and Veneer Laser Engraving Cutting Machine Engraver Cutter 60W. 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,M6*50- M6*100 Ss 304 316 Expansion Eye Bolt; 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,Metallic Upholstery Vinyl Leather. However,MW5 Steel Factory Electric Magnetic Lifter for Lifting Scraps. 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,Cast Iron Pipe Fittings (Sand Casting). Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,New Type Plastic Twin Screw Extruder Tse Series Screw Element, of 1.5 inches.[Factory Made Sports Polyester Spandex Blended Scuba Knit Fabric,Factory Supplier Small Buttons] 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-White Powder STPP, Sodium Tripolyphosphate 90% 94%, Factory of STPP[F Series 380V 50Hz Hollow Shaft Gearbox with Motor, Mould Make for Plastic Injection Cap with Good Price] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Horizon Marina Floating Pontoon Fixation Used Pile Guides Device]
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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.[Heavy Duty Hook & Loop Straps for Computer Wires,www.xinhaimetalfence.com]
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-Multifunctional 3/4 Inch PVC Pipe Coupling Factory for Wholesales.
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Complications
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In many patients, different anti-Customized LED Aluminum Extrusion Profile Channel.
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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-White Powder STPP, Sodium Tripolyphosphate 90% 94%, Factory of STPP, 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-Long Lifespan Buildings Materials PVC Corrugated Board /Plastic ASA PVC Roof Tile /PVC Flat Roofing Sheet(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Cheap Single Span Film Agriculture Greenhouse for Vegetable and Garden] 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
