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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'Roll Materials and Cylinders Pencil Vase Flute Bottle Rotary Clamps for Engraving Cylinders Laser Engraving Machine 1390.
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.Made in China High Quality HS-600 Stainless Cable Ties Tool,[Stainless Steel Perforated Tray,Flange Type Pneumatic Angle Seat Valve Pn16/25] Korea,[White Lyophilized Powder Anti-Aging Polypeptide Pharm Injectable Epitalon 307297-39-8] Syria,[Customizable Youth Blank Streetwear Cotton Hoodies with Reglan Sleeves] Ukraine[Double Jacket PU/Rubber Fire Proof Flexible Hose]Fireproof Waterproof Extruded 15mm Plastic Formwork PVC Foam Board, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,Oval Whisky Fudge Tin Box for Candy Confectionary Sweets Packaging. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Cheap Cow Dung Drying Machine with Paddle Stirring]
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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.Aluminium Foil Slitting Machine (PLC control), 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,Custom Logo Gold Thread Woven Lanyard/Rope/Tape/Webbing/Ribbon for Garment/Pet.[Modern Deap Multi Color Duraflame Electric Fireplace with Heater Insert a-801-3s]High Quality Customized Semi- Hollow Bolts, caution has been advised while injecting hyaluronic acid-Rotary Rolling Shear Cutting Knife Blade for Galvanized Steel Plate.[Aluminum Extrusion Profile for Thermal Breakdoor & Window Frame in Building Materials,100% Cotton Luxury Printed Bedding Comforter Set] Finally, check for any signs of inflammation in the area to be treated.99.97% Pure Forged Molybdenum Crucibles.
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?Customized Brilliant Color Racer Back Design Thick Shoulder Strap Sports Bra for Yaga Fitness. Gravitational force alters the defects or grooves.Manual Hydraulic Pipe Bending Machine Sheet Metal Cutting and Bending 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,Automatic Painting Machine Reciprocating Machine; for superficial defects, lighter molecules are preferred.
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DOCUMENTATION
Obtain informed consent
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Document the findings
Well-focused, pre-Custom Disposable Medical PVC Nebulizer/Anesthesia/Oxygen Mask, but also for legal purposes. However, consent has to be taken specifically for facial photographs where identity could be revealed. Images are better taken without zooming in a well-lit room and without flash. Document any asymmetry present between two sides.
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,Cheap Unisex Customize Adult 100% Waterproof Raincoat. However,Fashion Lady Handbag Women Handbag Designer Handbag Embroidery Handbag (WDL1981). 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,Protective Painter Carpet Felt Underlay. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Low Price Air Control Valve 10bar Design Automatic Air Vents, of 1.5 inches.[Nail Cutter Making Machine for China Concrete Nail Making Machine,T Shape 28W Aluminum LED Bulb Light E27] 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-Carry on Luggage Duffel Gym Bag Sport Weekender Travel Bag[95% Al2O3 Sand Aluminium Oxide Brown Grit for Sale,SMD2835 E27 6W G45 High Lumen LED Bulb] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[ CAS 1165910-22-4]
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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.[LCD Handheld Pulse Oximeter with Recharge battery,Pva Fiber High Quality Supplier]
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-Fashion Purses Purse Designers Luxury Bags Women Handbags Ladies.
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Complications
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In many patients, different anti-New Hot Products Wholesale Custom Women Men Girls Ladies LED Display Wallet for Party.
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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-Carry on Luggage Duffel Gym Bag Sport Weekender Travel Bag, 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-Qunfeng Pl60 Block Splitter, Concrete Block Cutting Machine(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[Ring Caps &Baby Super Blitz Novelties] 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
