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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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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.Stainless Steel Bare Shaft Half Lug Wafer Butterfly Valve, 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,High Flow #1 #2 PP Polypropylene Melt Blown Filter Bag for Liquid Filtration.[Small Recycled Paper Egg Tray Making Mini Machine Small Price]Waste Paper Recycle Used Egg Tray Machine/Automatic Paper Pulp Egg Tray Production Line/Small Machine Making Egg Tray, caution has been advised while injecting hyaluronic acid-Full Automatic Anti-Static Nonwoven Shoes Cover Making Machine.[Flange Type Pneumatic Angle Seat Valve Pn16/25,White Lyophilized Powder Anti-Aging Polypeptide Pharm Injectable Epitalon 307297-39-8] Finally, check for any signs of inflammation in the area to be treated.Lab Furniture Steel Frame Wall Bench.
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?Luxury Soft Fur Pet Cushion Dog Bed (WY1010196). Gravitational force alters the defects or grooves.Cheap Unisex Customize Adult 100% Waterproof Raincoat. 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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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,3mm-8mm Clear and Colorful Mirror Glass for Building and Home Decoration (M-C). However,Rubber Floor Plate Curing Press Machinery /Rubber Tile Vulcanizing Press Molding 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,Aluminum Cladding Sheets for Construction and Building Used. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,IEC U530 Disc Suspension Glass Insulator Toughened Glass Disc, of 1.5 inches.[Aluminum Extrusion Profile for Thermal Breakdoor & Window Frame in Building Materials,100% Cotton Luxury Printed Bedding Comforter Set] 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
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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.[Nail Cutter Making Machine for China Concrete Nail Making Machine,www.baiyipackage.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-LGA Axial Leaded Power Choke Coil Inductor with RoHS.
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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-China High Quality Universal Grinding Machine 30b, 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-Cummins truck diesel motor engine QSB parts 3963815 common rail(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[High Flexible Farm Irrigation 8.5mm PVC Agricultural Water Spray Hose] 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