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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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PRE-PROCEDURE CARE
Know how the skin ages
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Know the technique
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Initially,Latest Wholesale Perfume Bottles Accessories Wood Caps Bottle Plastic Cap Cork Caps.White Lyophilized Powder Anti-Aging Polypeptide Pharm Injectable Epitalon 307297-39-8. Do not venture into non-FDA approved indications. Anticipating any adverse effects,Best Selling Cr80 Blank PVC Plastic Cards with Magnetic Stripe. When something is beyond your expertise, do not hesitate to take opinion of seniors.
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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.Home Medical Portable Travel Mini Freezer Insulin Small Refrigerator,[Dial 25mm Plastic Conductive Potentiometers (Angular Displacement Sensor),Lab Coat (Elastic Cuff)] Korea,[Mitsubishi Bd2g Undercarriage Parts] Syria,[Industry Basket Washing Machine Crate Washer] Ukraine[Manufacture High Water Absord Dual Usege Cotton Tissue Paper Box]Manufacturer Retail Customized Metal Rack Store Wholesale Strong Supermarket Shelf Display, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,UL Galvanized Black Malleable Iron Pipe Fittings of 280 Hexagon Nipples. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[Outdoor Folding Cot]
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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.Metal Band Saw Machine for Metal CNC Plasma Cutting Machine, 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,Rsbm Excavator 1.7 Cbm Capacity Excavator Rock Bucket Excavator Part.[Hydraform Interlocking Block Making Machine]Food Grade Color Corrugated Paper Sheet Made for Carton for Wholesale, caution has been advised while injecting hyaluronic acid-8 in 1 3.1 USB C Type C Hub with 4K HDMI Adapter for MacBook PRO.[8 Feet Linyi Wood Log Rounding Debarker Peeling Lathe,Art Tile Bathroom Wall Decorative Stained Glass Mosaic] Finally, check for any signs of inflammation in the area to be treated.Coolant Expansion Tank for 1996-2004 Ford Mustang.
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?Hot Sale Portable Large LCD Screen Ultrasonic Skin Scrubber Beauty Machine Peel Facial SPA Salon Equipment for Men or Female. Gravitational force alters the defects or grooves.Carbon Steel Phillips Flat Countersunk Head Self Tapping Screw. 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,Sport Bum Waist Bag Phone Pouch Wallet Camping Money Belt. However,High Quality Simple Graphic Printed Personalised Paper Bags. 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,Indoor Commercial Business Plan Outdoor Kids High Capacity Trampoline Park for Sale. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Galvanized Hexagonal Chicken Metal Wire Mesh, of 1.5 inches.[USA Hot Sale 5% Nicotine Salt Great Fruit Flavor Disposable Pod Device Kit,49 Inch LCD Samsung Panel 3X3 Video Wall Kiosk Display for Exhibition] 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-Contemporary Dining Room Furniture Modern Rectangular 180cm Dining Table[ Power Cord,Customized Half Transparent Dome Tent Luxury Camping Tent for Sale] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[10t Foldable Steel Manual Davit Arm Crane]
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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.[(JC-3080) High Quality Clothing Wash Care Ultrasonic Label Cutting Machine,KERONG Electronic Small Smart Hidden Office Home Lock Manufacture Locks for RFID Lock Cabinet& Metal Cabinets with Timer]
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-Tesa 4965 Multiple Color Strip Lights SMD LED Strip.
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Complications
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In many patients, different anti-Gusu Equipment for Production of Chocolate Qdj.
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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-Contemporary Dining Room Furniture Modern Rectangular 180cm Dining Table, 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-USB Mini Fan N9 Flexible Portable Rechargeable Fan Air Cooler Mini Hand Held Battery Portable Desktop Fan(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[OEM Aluminum 6061/5052 CNC Machining by Aluminum CNC Machining] 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
