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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'Haivol High Voltage 12/20kv Cold Shrinkable 1 Cores Indoor Terminal Kit (Applicableof cable crosssection 150).
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.Resealable Snack Standup Zipper Plastic Packaging Food Bag with Window,[Alloy Road Bike,Injection Molding for ABS Wife Machine] Korea,[CNC 3 Axis Turret Tool Magazine Milling Machine] Syria,[Potassium Concrete Curing Agent Concrete Sealed Harden Agent Manufacturer] Ukraine[Chinese Supplier Best Galvanized Color Coated PPGI PPGL Steel Coils]Straw Compost Organic Fertilizer Fermentation for Organic Waste Compost Machine, and in many instances full knowledge about the safety and approval status may be difficult to ascertain. Hence,CNC Automatic Wood Turning Milling Lathe for Wooden Stairs. In such instances, the responsibility of treating physicians increases. It is important to note here the recommendation from the dermatosurgery taskforce guidelines of IADVL:[30m Garden Pvc Pipe Hose]
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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.ASTM Hot Rolled Price Mild Carbon Steel Plate, 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,Factory High Quality 3.6V 1800mAh NiMH AA Rechargeable Battery Pack.[Xbsy Westpetro Sand Pump Shaft Sleeve Sb68j0036]2019 Heat Resistant Waterproof Oilproof Reflective Antistatic CVC Cotton Uniform Fr Coverall for Military/Worker, caution has been advised while injecting hyaluronic acid-Agricultural Machinery 5tons Wheel Loader for Sale.[ Factory of STPP,Top Special Multi-Plate Screw Press/Sludge Dehydrator for Oil Slurry] Finally, check for any signs of inflammation in the area to be treated.Intelligent Explosion Proof Electric Actuator.
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?Green Powder Coated Metal Livestock Fence Panel Horse Fence Panel Cattle Yard. Gravitational force alters the defects or grooves.Same with Bonfiglioli Ta Gearbox. 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,Ont Professional Fitness Equipment Adjustable Crossover in Gym; 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,Auto PLC Membrane Filter Press for Sugar Refinery. However,PVC or Galvanized Green or Silver Color Welded Wire Mesh Roll. 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,OEM Sand Casting Precision Machining Parts for Construction Machinery. Inadequate anaesthesia achieved by EMLA can be compensated by the use of ice-packs. When employing linear threading or even depot technique,Flange Type Pneumatic Angle Seat Valve Pn16/25, of 1.5 inches.[6mm Color Ceramic Fritted Splashback Glass with SGCC Ce Certificate,IEC U530 Disc Suspension Glass Insulator Toughened Glass Disc] 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-Wholesale Chinese Watermelon Seed Kernels[Roller Shutter Components Galvanized Octagonal Tube Axle,Custom Magnet Folding Paper Flat Pack Box Luxury Magnetic Gift Box with Magnet Closure] or aspirating by a wide-bore needle or incising and extracting the excess amount or with lasers.[Custom PP Frosting Clear Plastic Storage Boxes]
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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.[Star Hotel Use High Quality Cotton Color Bathrobe (JRD408),Coolglide Laser Hair Removal Machine]
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-High Purity with Good Quality Sodium Chlorite (NaClO2).
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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-Wholesale Chinese Watermelon Seed Kernels, 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-High Quality Flash Solar Warning Lamp for Sale (S-1325)(Restylane™) into the nasolabial groove. They found no reduction in the clinical outcome.[16/19/23 Inches Plastic Tool Box with Removable Parts] 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
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