Advanced Radiesse Hand Lecture Final

•Télécharger en tant que PPT, PDF•

7 j'aime•2,240 vues

Dr. Patrick J. Treacy

Lecture to FACE Conference 2008 in London to show new technique of injecting the dorsum of hands with Radiesse

Santé & Médecine Business

Advanced Injectors Lecture BACD Regional Meeting London June 2008

MEDICAL DISCLOSURE: ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Presentation Content

Key Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CaHA Injectable Implant Key Components ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Uniform spherical CaHA particles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Calcium Hydroxylapatite Metabolisation CaHA performs as a filler initially.

Calcium Hydroxylapatite Metabolisation Macrophages dissolve gel carrier.

Calcium Hydroxylapatite Metabolisation Macrophages dissolve gel carrier & fibroblasts form new collagen.

Calcium Hydroxylapatite Metabolisation New resident tissue (collagen) anchors microspherules of CaHA.

Calcium Hydroxylapatite Metabolisation CaHA particles degrade and macrophages metabolize microspherules.

Where is Radiesse Injected? Mid-Dermis Deep Dermis Dermis/SQ Jx. Sub-Q Radiesse Safe Area

Injection technique 1 Inject retrograde in the mid-to-deep dermis near the junction of the subcutaneous tissue Miles Graivier, M.D. Roswell, GA.

Injection technique 2 Inject large volumes antegrade in the deep dermis to level of the subcutaneous tissue Miles Graivier, M.D. Roswell, GA.

Radiesse XL –a novel approach to pain free Radiesse

[object Object],[object Object],[object Object]

Traditional Anesthesia for Radiesse ,[object Object],[object Object],[object Object],[object Object],[object Object]

Disadvantage of Topical Agents ,[object Object],[object Object],[object Object]

Disadvantages of nerve blocks ,[object Object],[object Object],[object Object],[object Object]

Disadvantages of Local Infiltration ,[object Object]

Mixing Lidocaine with Radiesse ,[object Object],[object Object],[object Object],[object Object],[object Object]

Mixing Lidocaine with Radiesse ,[object Object],[object Object],[object Object],[object Object]

Radiesse Mixing with Lidocaine ,[object Object],[object Object],[object Object],[object Object]

Ailesbury Lidocaine Mixing Technique ,[object Object]

Similar US Lidocaine Mixing Technique ,[object Object]

Hand Volumisation ,[object Object],[object Object],[object Object],YOUNG OLD

Signs of Ageing Hand Soft Tissue Atrophy Pigmentation Venous prominence Tendon Show Wrinkles

Radiesse for Hand Volumisation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Radiesse in Hands Before Immediately After 1.3 cc

Radiesse for Hand Volumisation Before Immediately After 1.3 cc Mike Jasin, MD Tampa, FL

Contenu connexe

Tendances

Threadlift pp anti aging

Dian Andriani

UICAM - AdvancedDermalFillers.ppt

karunraj5

Chemical peel

INTERNATIONAL COSMETOLOGIST, FREELANCER IN DELHI

Soft tissue fillers are flexible substances that can be injected into the skin to improve the appearance of fine lines and wrinkles, plump lips, fill hollow cheeks, repair various facial imperfections, improve scars, and elevate deep folds. Perhaps nothing is more gratifying for cosmetic patients than having an immediate correction of rhytides or scars as a result of the injection of a dermal filler The result is a smoother, more youthful appearance with minimal "downtime" and maximum safety. Prof. Moawad uses a variety of soft tissue fillers, including, hyaluronic acid, and autologous fat (one's own fat) among others. Since filler substances do not involve major surgery and are generally cost-effective, men and women are using these youth-enhancing techniques more than ever. With the increasing desire for people to achieve a more youthful appearance, the aging baby boomer population, and the increased demand for "lunch-time procedures," the pharmaceutical market has responded by providing the cosmetic surgeon with an increasing number of options to meet the demands of the cosmetic patient.

The Art of Liquid Face Lift (Dermal Fillers)

Osama Moawad

Why choose Dermal Fillers Treatment ?

molanparker

Micro Thread Lift (Reandne) is the most Novel Thread Procedure having lots of advantages over Previous Threads based Procedure. The procedure is performed under Local Anesthetic Cream and has the following advantages for Face Contouring, Neck Lift, Wrinkle Treatment, Breast firming and lifting, Hip up, Saddle Bags and abdomen lift. The procedure is SAFE, Non Surgical, Shorter Procedure Time, Use of only topical Anesthesia, No downtime, Immediate Effect (3-4 days after procedure). http://spectronixglobal.com/

MIcro Lift Threads : Latest Revelation in Face and Body Lift http://spectroni...

Spectronix Group

Biostimulant dermal fillers

The QCCP

SCIENTIFIC RATIONALE BEHIND THREAD LIFT PROCEDURE

molanparker

Chemical Peel.pptx

LiewJiaYong

All about Mesotherapy

Rozanne Aesthetic Clinic

Dermal Fillers

Laserklinic

We are truly in an “era of injectables,” with access to a varied armamentarium of products that yield dramatic aesthetic results with minimal recovery downtime. From its first published mention as an aesthetic treatment for glabellar lines in 1992, the use of commercially available BoNT type A (BoNTA) has captivated healthcare professionals and lay people alike. The availability of newer BoNTA formulations, with more expected in the near future, poses an exciting opportunity for aesthetic practitioners to reach an ever expanding potential patient base and provide increasingly refined treatment

The Art of Liquid Face Lift (Botox)

Osama Moawad

Face

Dr. Patrick J. Treacy

As age advances, Connective Tissue becomes thinner, collagen and elastin breakdown and results into wrinkles. PDO is Thread Lift Therapy, where thread will form an integral support structure for tissue of face due to Collagen Synthesis. MONO; COG: Crew Threads are three types of PDO thread. COG Thread are designed to anchor more firmly within the skin as it consist of barbs. COGS provide immediate face lifting effect, helps in producing brighter skin tone and rejuvenate the skin. Call us regarding Facial aesthetic :- Dr. Rajat Sachdeva +919818894041,01142464041 drrajatsachdeva@gmail.com Follow us here:- • Google+ link: https://goo.gl/vqAmvr • Facebook link: https://goo.gl/tui98A • Youtube link: https://goo.gl/mk7jfm • Linkedin link: https://goo.gl/PrPgpB • Slideshare link : http://goo.gl/0HY6ep • Twitter Page : https://goo.gl/tohkcI • Instagram page : https://goo.gl/OOGVig Learn more:- • www.sachdevadentalcare.com • www.dentalclinicindelhi.com • www.dentalimplantindia.co.in • www.dentalcoursesdelhi.com • www.facialaestheticsdelhi.com

Cog | Face Lift Surgery

Dr. Rajat Sachdeva

Botox and Dermal Fillers - Impressiosmedispa

Impressions MediSpa

facelift without surgery can be done by Botox ultherapy laser threadlifts LED laser skin resurfacing fillers All these are age defying non surgical facelift alternatives No risk of surgery is involved.These treatments encourages increased collagen production or remodelling of existing collagen.Supportive underlying tissues of the skin contract,resulting in tighter,more uplifted appearance of the skin. Dr Sachdeva's Dental clinic and Facial aesthetic centre is one of the leading clinics performing facelift without surgery in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments. To book an appointment contact: Dr. Rajat Sachdeva Director & Mentor Dr Sachdeva’s Dental Aesthetic And Implant Institute I 101, Ashok Vihar Phase 1, Delhi- 110052 Contact us at Phone : +919818894041,01142464041 Our Websites: www.sachdevadentalcare.com www.dentalimplantindia.co.in www.dentalclinicindelhi.com www.dentalcoursesdelhi.com Facebook- dentalcoursesdelhi Youtube- drrajatsachdeva Linkedin- drrajatsachdeva Slideshare- Dr Rajat Sachdeva Twitter Page- drrajatsachdeva Instagram page- surgicalmasterrajat

Face lift without surgery

Dr. Rajat Sachdeva

Chemical Peeling.ppt

LutfiMK

Cheek Fillers|Facial Aesthetic| Facial Aesthetic by Dr Rajat Sachdeva| Facial...

Dr. Rajat Sachdeva

Dr tarek mesotherapy

al azhar universty

Understanding Hyperpigmentation and Treating with Combined Strategies - NEW ...

Jordana Lewis

Tendances (20)

Threadlift pp anti aging

UICAM - AdvancedDermalFillers.ppt

Chemical peel

The Art of Liquid Face Lift (Dermal Fillers)

Why choose Dermal Fillers Treatment ?

MIcro Lift Threads : Latest Revelation in Face and Body Lift http://spectroni...

Biostimulant dermal fillers

SCIENTIFIC RATIONALE BEHIND THREAD LIFT PROCEDURE

Chemical Peel.pptx

All about Mesotherapy

Dermal Fillers

The Art of Liquid Face Lift (Botox)

Face

Cog | Face Lift Surgery

Botox and Dermal Fillers - Impressiosmedispa

Face lift without surgery

Chemical Peeling.ppt

Cheek Fillers|Facial Aesthetic| Facial Aesthetic by Dr Rajat Sachdeva| Facial...

Dr tarek mesotherapy

Understanding Hyperpigmentation and Treating with Combined Strategies - NEW ...

Similaire à Advanced Radiesse Hand Lecture Final

Radiesse_HCP_Leave_Behind

Sarah Pirch

Restylane®️/Perlane®️ Injection Training Course Certification

Cosmetic Medical Training

Non-surgical Rejuvenation: A Personal Guide

Jessica Arevalo

Treatment for excessive sweating

skinclubaustralia

Laser Wrinkle Removal Procedures - Know Your Options

rhroach1

Dr Patrick Treacy lectures to AMWC Eastern Europe 2013 (Moscow)

Dr. Patrick J. Treacy

Final+sanctuary+medical+center+newsletter+january+2013(1)

Sanctuary Medical Center

Medical Aesthetics Industry Trends for 2017

Munira Qureshi

DermatologyTimesJune2015

Pamela Kreigh

viscoelasic

pratik mohod

The Multi-synchronous Facial rejuvenation study was done in 3-phases over a period of three weeks. Phase I included Dysport® at dilution 3.5:1 in 3 areas, glabellar, frontalis and periorbital. Phase 2 introduced intense fibroblast stimulation and modification through microneedling, PRP growth factor induction and near-red phototherapy. Phase 3 included low–level (CO2) Ultrapulse laser with settings (Energy) 100 mJ (Rate) 14w CPG 3/5/2 and adjunct near-red 633nm phototherapy. The study evaluated post procedural aesthetic results at two weeks, four weeks and twelve weeks. The length of downtime, patient discomfort and adverse side effects were noted for each phase. Clinical assessment of patients in each grouping was made at 2 weeks, I month and 3 months postoperatively in the presence of two aesthetic staff. The degree of improvement in photoageing was based on the degree of re-epithelialization rate, reduction of rhytides, reduction of tactile roughness and loss of hyperpigmentation and telangiectasias. The efficacy of treatment was evaluated using a variation of the five-point scale originally suggested by Dover et al.. Investigators and patients evaluated efficacy using palpability assessments and change from baseline score at 0, 6 and 12 weeks. A total global score was recorded in each patient based on the addition of points obtained from six photodamage variables. The degree of perceived improvement in overall aesthetic effect reflecting chronological age was assessed separately by patients and physicians using the Wrinkle Severity Rating Scale and the Global Aesthetic Improvement Scale. The WSRS is recognised as a valid and reliable instrument for quantitative assessment of facial skin folds, with good inter- and intra-observer consistency]. Wrinkle severity is measured by using a wrinkle severity rating scale with 1 being absent and 5 being extreme. By allowing objective grading of data, these proved useful clinical tools for assessing the effectiveness of facial volumisation with PRP and MN-633.

'Multi-synchronous Facial rejuvenation' with Dr. Patrick Treacy Moscow 2013

Dr. Patrick J. Treacy

CASE “ So, Doctor, Can You Fix This? ” A Case Involving a Medical Spa 1 5 Dr. Franz Goyzueta, a Bolivian - born physician with a medical offi ce on Broadway in upper Manhattan, leaned back in his big offi ce chair and refl ected on what had happened over the past few months. He had embarked on an ambitious effort to expand his practice of over 15 years beyond oncology, internal medicine, and osteoporosis. In Spring 2005, he established a medical spa named Magique Medical Spa. Dr. Goyzueta offered a full range of non - surgical, advanced cosmetic treatments for the face (e.g., laser hair removal, anti - wrinkle treatments, chemical peels, and microdermabrasion), for the body (e.g., anti - cellulite treatments, abdominal and pelvic mesotherapy, and stretch mark removal), and for the hair (e.g., hair loss prevention therapy) in the Queens location. A menu of services and a description of different types of medical spa treatments appear in Exhibits 15/1 and 15/2 . Dr. Goyzueta found that non - laser intense pulsed light (IPL) treatments to eliminate This case was written by Frederick D. Greene, Carolyn E. Predmore, and Janet L. Rovenpor, all from Manhatten College. It is intended as a basis for classroom discussion rather than to illustrate either effective or ineffective handling of an administrative situation. Used with permission from Janet Rovenpor. both15.indd 717both15.indd 717 11/11/08 12:26:47 PM11/11/08 12:26:47 PM C A S E 1 5 : “ S O , D O C T O R , C A N Y O U F I X T H I S ? ”7 1 8 Ex hi bi t 15 /1 : M ag iq ue M ed ic al S pa ’s M en u of S er vi ce s (t ri fo ld b ro ch ur e, e xt er io r) both15.indd 718both15.indd 718 11/11/08 12:26:48 PM11/11/08 12:26:48 PM 7 1 9 Ex hi bi t 15 /1 : C on tin ue d (t ri ol d br oc hu re , in te ri or ) “ S O , D O C T O R , C A N Y O U F I X T H I S ? ” both15.indd 719both15.indd 719 11/11/08 12:26:51 PM11/11/08 12:26:51 PM C A S E 1 5 : “ S O , D O C T O R , C A N Y O U F I X T H I S ? ”7 2 0 Exhibit 15/2: A Glossary of Medical Spa Treatments Aromatherapy – The therapeutic use of plant essential oils. Botox – BOTOX® is a formulation of botulinum toxin type A. It is derived from the bacterium Clostridium botulinum. This bacterium produces a protein that blocks the release of acetycholine and relaxes muscles. Botox works by weakening the muscles of facial expressions. Once the rest- ing tones of the treated muscles are weakened, the pull on the muscles relaxes and the overlying skin fl attens. Cellulite Treatments – Cellulite treatment programs use advanced technology to combine subatmos- pheric pressure with a state-of-the-art mechanical massage to enhance a slimmer, trimmer fi gure and eliminate rippling effects of cellulite. Chemical Peels – Facial peels are used to reduce wrinkling, especially that which is associated with sun d ...

CASE So, Doctor, Can You Fix This ” A C.docx

wendolynhalbert

Facial Cosmetic surgery (1).pptx.pdf

AryamanPatil2

Richarld L. Lindstrom MD

Healthegy

Please note there is a correction in the reversal procedure and adrenaline should not be used during an acute ischaemic event. (1) Discontinue injection of HLA immediately (2) Massage the affected area immediately (3) Apply warm packs of gauze to area (microwave) (4) Apply nitro-paste or 10mgs transderm-nitro patches (Novartis) for up to 12 hours (5) Mix 300 units of hyalase (0.2mls) with 0.2mls (Wockhardt UK) of 2% lidocaine (Astra Zeneca) (6) Inject hyalase in 5–6 lots of 75u to occluded area with caution to possible side effects (7) Hydrocortisone 100 mg IV stat if potential embolic signs and reticular formation happens the next day (8) Dexamethasone 4mgs daily for three days f potential embolic signs and reticular formation happens the next day Lignocaine with adrenaline is NOT to be used during an acute ischaemic event Lignocaine with adrenaline is NOT to be used during an acute ischaemic event ABSTRACT: Soft tissue augmentation with dermal fillers has become an integral part of most aesthetic practices. Fortunately, adverse reactions are usually mild and transient. However, significant adverse events such as vascular occlusion also occur. Vascular compromise occurs because of embolisation and or compression material into onto the vasculature. In this article, the author theorises that late onset vascular occlusion may occur not only due to embolisation but because hyaluronic acid (HA) expands due to its hydrophilic action and compresses the facial artery or its branches. He proposes that intravenous steroids should be added to the accepted reversal protocol. His goal is not to promote this as a definitive measure but rather to establish a discussion on treatment protocols that may be helpful to other physicians in the future.

Reversal of a HLA dermal filler induced facial artery occlusion

Dr. Patrick J. Treacy

Recent Advances in local Anaesthesia in dentistry

Dr.Prashant Karasu

Introduction: Labia minora that protrude past the labia majora are aesthetically unsatisfactory to some women. Patient preference is for minimally invasive procedures with little or no downtime and minimal scarring. Fat grafts and crosslinked hyaluronic acid have been used to treat the labia majora and mons pubis for aesthetic improvement of the external female genitalia. Here, the author describes a simple and effective technique for addressing hypotrophic labia majora by injecting diluted Calcium Hydroxylapatite (CaHA).

Scientifi c Journal of Clinical Research in Dermatology

SciRes Literature LLC. | Open Access Journals

Dr. Darm, Fall II 2012 Online Brochure

Dr. Darm Aesthetic Medicine

New modalities in antiaging by Dr. Juliana Ghaben Specialist Dermatologist . ...

Spectronix Group

Ndds

Ankit Sharma

Similaire à Advanced Radiesse Hand Lecture Final (20)

Radiesse_HCP_Leave_Behind

Restylane®️/Perlane®️ Injection Training Course Certification

Non-surgical Rejuvenation: A Personal Guide

Treatment for excessive sweating

Laser Wrinkle Removal Procedures - Know Your Options

Dr Patrick Treacy lectures to AMWC Eastern Europe 2013 (Moscow)

Final+sanctuary+medical+center+newsletter+january+2013(1)

Medical Aesthetics Industry Trends for 2017

DermatologyTimesJune2015

viscoelasic

'Multi-synchronous Facial rejuvenation' with Dr. Patrick Treacy Moscow 2013

CASE So, Doctor, Can You Fix This ” A C.docx

Facial Cosmetic surgery (1).pptx.pdf

Richarld L. Lindstrom MD

Reversal of a HLA dermal filler induced facial artery occlusion

Recent Advances in local Anaesthesia in dentistry

Scientifi c Journal of Clinical Research in Dermatology

Dr. Darm, Fall II 2012 Online Brochure

New modalities in antiaging by Dr. Juliana Ghaben Specialist Dermatologist . ...

Ndds

Plus de Dr. Patrick J. Treacy

South African interview with Dr. Patrick Treacy

Dr. Patrick J. Treacy

A 53-year-old Irish female presented with an intractable trigeminal neuralgia pain in the region of her left maxillary nerve (V2) who did not respond to pharmacotherapy including pregabalin 300mgs bd and gabapentin 300mgs bd. She had been admitted to hospital for one month for intravenous oxycodone hydrochloride. She had also more than fifty nerve blocks in the previous years and had undergone stereotactic gamma knife radiosurgery which had work for five months but later resulted in uncontrollable dysesthesia pain in the region of her left maxillary nerve. She defined this as a continual unpleasant sensation of something 'crawling' under her skin in her left periorbital. There was a sensation of intense pain in her left external nasal area and that of electric shock, burning, and pins and needles and left mental area.

Using Botox for trigeminal neuralgia

Dr. Patrick J. Treacy

The Irishman Behind the Mask

Dr. Patrick J. Treacy

'Facial Disfigurement' by Dr. Patrick Treacy

Dr. Patrick J. Treacy

Dr Patrick Treacy treating pulled earlobes

Dr. Patrick J. Treacy

Dr Patrick Treacy shares some of his most challenging cases. This month he ta...

Dr. Patrick J. Treacy

Dr Patrick Treacy shares some of his most challenging cases. This month he talks about treating Cutaneous Malignant Melanoma. Melanoma, also known as malignant melanoma, is a type of cancer that develops from the pigment-containing cells known as melanocytes. They typically occur in the skin but may rarely occur in the mouth, intestines, or eye. In women they most commonly occur on the legs, while in men they are most common on the back. Sometimes they develop from a mole with concerning changes including an increase in size, irregular edges, change in color, itchiness, or skin breakdown

Dr Patrick Treacy treating Cutaneous Malignant Melanoma

Dr. Patrick J. Treacy

Dr Patrick Treacy shares some of his most challenging cases. This month he talks about treating cutaneous warts. Warts appear in various forms on different sites of the body and include common warts (verruca vulgaris), plane or flat warts, myrmecia, plantar warts, coalesced mosaic warts, filiform warts, periungual warts, anogenital warts (venereal or condyloma acuminata), oral warts and respiratory papillomas.

Dr Patrick Treacy treating cutaneous warts

Dr. Patrick J. Treacy

Dr Patrick Treacy on devices for dealing with post-pregnancy baby weight

Dr. Patrick J. Treacy

Treating Freyes Syndrome with Botox

Dr. Patrick J. Treacy

This paper looks at the possibility of combining five established therapies in an attempt to address common concerns related to facial ageing. The therapies included microneedling, low dose Ultralase laser, (PRP) plasma rich protein growth factors, Omnilux 633 light and neurotoxins. The technique is called the DUBLiN face-lift as an acronym of the procedures involved. D Dermaroller U Ultralase Laser B Blood growth factors Li Light (near red 633) N Neurotoxin. The author compared this method to fractionalised laser skin resurfacing (FLSR) in terms of reduction of photoageing and overall aesthetic effect. Neurotoxin was used in both studies.

Dr Patrick Treacy on combining therapies for optimal outcomes in treating the...

Dr. Patrick J. Treacy

Dr Treacy’s treating facial popular sebaceous hyperplasia

Dr. Patrick J. Treacy

At present, there’s a paucity of literature regarding both the prevention and management of serious events, despite the fact that these complications are the very things that patients and physicians both continually fear. Many physicians, (including myself), feel that corporate prefer not to address these issues and they are driven underground. Over the years, many of my colleagues have referred me their more serious problems and I consequently have developed a certain experience in this area. This insight into complications of dermal filler use will serve to highlight both of these problems and try to help one manage these complications if they should ever happen to you.

Dr Patrick Treacy discusses dermal filler complications and how to deal with ...

Dr. Patrick J. Treacy

Treating Cutaneous Warts

Dr. Patrick J. Treacy

Speakers medical agenda 2015 (patrick)

Dr. Patrick J. Treacy

Behind The Mask

Dr. Patrick J. Treacy

Dr Treacy's casebook - FUE Hair Transplantation

Dr. Patrick J. Treacy

‘Behind The Mask’ – The Extraordinary Story of The Irishman who Became Michae...

Dr. Patrick J. Treacy

A 23-year-old Siberian female patient presented with a changing lesion on her abdomen. The patient stated the lesion was present for about two years and it started off from within a freckle, which started to grow larger and somewhat darken in appearance. It had the clinical appearance of a melanoma and the dermoscopy three-point checklist (designed to allow non-experts not to miss detection of melanomas) was used to determine whether this had a high likelihood of malignancy. It included: Asymmetry: asymmetry of colour and structure in one or two perpendicular axes Atypical network: pigment network with irregular holes and thick lines Blue-white structures: there was some evidence of blue- white veil and regression structures

Dr Patrick Treacy on Diagnosis and Treatment of Malignant Melanoma

Dr. Patrick J. Treacy

Dr Treacy's Casebook

Dr. Patrick J. Treacy

Plus de Dr. Patrick J. Treacy (20)

South African interview with Dr. Patrick Treacy

Using Botox for trigeminal neuralgia

The Irishman Behind the Mask

'Facial Disfigurement' by Dr. Patrick Treacy

Dr Patrick Treacy treating pulled earlobes

Dr Patrick Treacy shares some of his most challenging cases. This month he ta...

Dr Patrick Treacy treating Cutaneous Malignant Melanoma

Dr Patrick Treacy treating cutaneous warts

Dr Patrick Treacy on devices for dealing with post-pregnancy baby weight

Treating Freyes Syndrome with Botox

Dr Patrick Treacy on combining therapies for optimal outcomes in treating the...

Dr Treacy’s treating facial popular sebaceous hyperplasia

Dr Patrick Treacy discusses dermal filler complications and how to deal with ...

Treating Cutaneous Warts

Speakers medical agenda 2015 (patrick)

Behind The Mask

Dr Treacy's casebook - FUE Hair Transplantation

‘Behind The Mask’ – The Extraordinary Story of The Irishman who Became Michae...

Dr Patrick Treacy on Diagnosis and Treatment of Malignant Melanoma

Dr Treacy's Casebook

Dernier

Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery ★ CALL US High Class Luxury and Premium Escorts ServiCe We Provide Well Educated, Royal Class Female, High-Class Escorts Offering a Top High-Class Escorts Service In the & Several Nearby All Places Of . ★ Get The High Profile, Bollywood Queens , Well Educated , Good Looking , Full Cooperative Model Services. You Can See Me at My Comfortable Hotels or I Can Visit You In hotel Our Service Available IN All SERVICE, 3/4/5 STAR HOTEL , In Call /Out Call Services.24 hrs ,$P13 ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • Models • Vip Models • Russian Models • Foreigner Models • TV Actress and Celebrities • Receptionist • Air Hostess • Call Center Working Girls/Women • Hi-Tech Co. Girls/Women • Housewife • Collage Going Girls. • Travelling Escorts. • Ramp-Models • Foreigner And Many More.. Incall & Outcall Available… • INDEPENDENT GIRLS / HOUSE WIFES ★ I Guarantee You To Have An Unforgettable Experience With Me.A Curvy Body, long Hair and Silky Smooth Skin. She Is an Independent Escorts Model Will Give You More Pleasure & Full Satisfaction. Call Now Seema:- 8250092165

Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery

Jyoti singh

Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos and Number ★ CALL US High Class Luxury and Premium Escorts ServiCe We Provide Well Educated, Royal Class Female, High-Class Escorts Offering a Top High-Class Escorts Service In the & Several Nearby All Places Of . ★ Get The High Profile, Bollywood Queens , Well Educated , Good Looking , Full Cooperative Model Services. You Can See Me at My Comfortable Hotels or I Can Visit You In hotel Our Service Available IN All SERVICE, 3/4/5 STAR HOTEL , In Call /Out Call Services.24 hrs ,$P13 ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • Models • Vip Models • Russian Models • Foreigner Models • TV Actress and Celebrities • Receptionist • Air Hostess • Call Center Working Girls/Women • Hi-Tech Co. Girls/Women • Housewife • Collage Going Girls. • Travelling Escorts. • Ramp-Models • Foreigner And Many More.. Incall & Outcall Available… • INDEPENDENT GIRLS / HOUSE WIFES ★ I Guarantee You To Have An Unforgettable Experience With Me.A Curvy Body, long Hair and Silky Smooth Skin. She Is an Independent Escorts Model Will Give You More Pleasure & Full Satisfaction. Call Now Seema:- 9332606886

Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...

call girls hydrabad

👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi College Call Girls Virugambakkam No💰Advance Booking Details Are here: just visit website: https://www.loversbabe.com/ #Call Girl In Chennai, #Chennaicallgirls #CallgirlserviceChennai, #CallgirlsinChennai #locantoChennaicallgirls #Chennaicallgirls #Chennaicallgirlsimages #Chennaicallgirlskothrud #Chennaicallgirlslocanto #Chennaicallgirlsmobno #Chennaicallgirlsmobileno #Chennaicallgirlsmobilenumber #Chennaicallgirlspics #ChennaicallgirlsChennaiescorts #Chennaicallgirlsrates #Chennaicallgirlsservice #Chennaicallgirlsservices #Chennaicallgirlsskokka Click On WhatsApp Chat +91-7427069034 Chennai Escorts Make You Feel Like Royalty Chennai Escorts catering to high profile clients are available #S07 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completionx

👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...

rajnisinghkjn

These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

Cardiac Output, Venous Return, and Their Regulation

MedicoseAcademics

Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Available Call Mrs Leela Ji +91-8630512678 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Lucknow Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In Lucknow Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 8630512678 !! Thank you for Visiting.

Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...

soniyagrag336

Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow Uttar Pradesh WhatsApp Chat : +91-9984666624 Get More Information About Lucknow Escorts Service Lucknow Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow U...

Janvi Singh

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Rishikesh Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Rishikesh Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Rishikesh Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available

Steve Davis

❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Chandigarh Call Girls Service ☎️ Call Girls In Chandigarh BEST CALL GIRL ESCORTS SERVICE IN CHANDIGARH CALL WATTSAPP 98151-579OO THE MOST BEAUTIFUL INDEPENDENT ESCORT CALL GIRL SERVICE In Chandigarh WE ARE PROVIDING GENUINE CALL GIRL SERVICE I AM A a NATURAL BRUNETTES, SLIM BODY, NATURAL LONG HAIR AND ALL TYPE OF HAIR IS A NATURAL BRUNETTE IN THE MOST BEAUTIFUL MODELS INDEPENDENT ESCORT GIRL I AM A NATURAL BRUNETTE WITH ROOM AND HOTEL AND A NATURAL BRUNETTE WITH A BODY MADE FOR SIN AND ALL TYPE OF ME ALL THE TIME I SEND YOU A HAIR, VERY SOCIABLE AND FUNNY, READY TO ENTERTAIN TO ENTERTAIN U AND MAKE FORGET ABOUT TO AGET ENTERTAINMENT YOU AND MAKE FORGET ABOUT ALL THE PROBLEMS. LET'S HAVE A WONDERFUL TIME TOGETHER AND FORGET ABOUT EVERYTHING ALL TYPE SERVICE ENJOYMENT SAFE AND SECURE IN CALL OUT CALL HOME AND HOTEL ANYTIME AVAILABLE AND ALL TYPE SERVICE ENJOYMENTPANCHKULA INDEPENDENT BEST CALL GIRL ESCORTS SERVICE IN PANCHKULA INDEPENDENT CALL GIRL Chandigarh Call Girls In Chandigarh BEST Call Girls in CHANDIGARH Escort Service provide Cute Nice sweet and Sexy Models in beautiful CHANDIGARH city cash in hand to hand call girl in CHANDIGARH and CHANDIGARH escorts. HOT & SEXY MODELS // COLLEGE GIRLS IN CHANDIGARH AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ 100% SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE Profiles Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & 24x7 :: 3 * 5 *7 *Star Hotel Service .In Call & Out call Services : ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without a Condom)-❤️ Chandigarh Call Girls Service☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Chandigarh Call Girls Service ☎️ Call Girls In Chandigarh

❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...

Rashmi Entertainment

In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.

Circulatory Shock, types and stages, compensatory mechanisms

MedicoseAcademics

Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available WhatsApp Chat : +91-8854095900 Get More Information About Mussoorie Escorts Service Mussoorie Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available

Janvi Singh

Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Wayanad Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Wayanad Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Wayanad Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore Call Girl Service Available 6378878445 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 6378878445 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 6378878445 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 6378878445 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 6378878445 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE #v08-Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion FOR BOOKING 6378878445

💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...

dilbirsingh0889

💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalore Call Girls Service 💰 Call Girls In Bangalore Call Mrs Naina Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in bangalore Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In bangalore Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.

💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...

gragneelam30

ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx

Swetaba Besh

Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP Escorts Service Available 24*7 Book Call Mrs Janvi Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Bangalore Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In Bangalore Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.

Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...

dishamehta3332

Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Kathua Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Kathua Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Kathua Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Rajasthan Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-9521753030 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...

Janvi Singh

Dr. Faiza delivers an insightful lecture on the distinguishing characteristics of skeletal, smooth, and cardiac muscles, offering a comprehensive understanding of their histology, physiological anatomy, electrophysiological properties, and contractile mechanisms. Through meticulous tabulation and comparison, she aims to equip learners with a detailed comprehension of the unique features and functionalities of each muscle type. Beginning with a detailed exploration of histological differences, Dr. Faiza outlines key distinctions such as multinucleation in skeletal muscle, mononucleation in smooth and cardiac muscles, and the presence of striations in skeletal and cardiac muscles. She meticulously elucidates the structural arrangement of each muscle type, highlighting their cellular morphology and organization within tissues. Transitioning to physiological anatomy, Dr. Faiza navigates through various aspects including innervation, level of control, initiation of contraction, and modification by hormones. By delineating the role of the somatic nervous system in skeletal muscle control, and contrasting it with the autonomic nervous system's influence on smooth and cardiac muscles, she offers a nuanced understanding of neural regulation in muscle physiology. Furthermore, Dr. Faiza delves into electrophysiological properties, elucidating the mechanisms underlying action potential generation, duration, and ionic basis in each muscle type. Through insightful analysis, she reveals how differences in action potential characteristics contribute to variations in muscle contraction speed, duration, and resistance to fatigue. Finally, Dr. Faiza meticulously examines the contractile mechanisms of skeletal, smooth, and cardiac muscles, shedding light on the sliding filament theory, mechanisms of calcium action, and speed of contraction. By comprehensively comparing these mechanisms, she provides learners with a deep understanding of the intricate processes governing muscle contraction and function. Through engaging presentation and meticulous analysis, Dr. Faiza's lecture serves as a valuable resource for students seeking a thorough understanding of the fundamental differences between skeletal, smooth, and cardiac muscles.

Difference Between Skeletal Smooth and Cardiac Muscles

MedicoseAcademics

ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx

Swetaba Besh

Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts service book now CALL WATTSAPP THE MOST BEAUTIFUL INDEPENDENT ESCORT CALL GIRL SERVICE, WE ARE PROVIDING GENUINE CALL GIRL SERVICE I AM A a NATURAL BRUNETTES, SLIM BODY, NATURAL LONG HAIR AND ALL TYPE OF HAIR IS A NATURAL BRUNETTE IN THE MOST BEAUTIFUL INDEPENDENT ESCORT GIRL I AM A NATURAL BRUNETTE WITH ROOM AND HOTEL AND A NATURAL BRUNETTE WITH A BODY MADE FOR SIN AND ALL TYPE OF ME ALL THE TIME I SEND YOU A HAIR, VERY SOCIABLE AND FUNNY, READY TO ENTERTAIN TO ENTERTAIN U AND MAKE FORGET ABOUT TO GET ENTERTAIN U AND MAKE FORGET ABOUT ALL THE PROBLEMS. LET'S HAVE A WONDERFUL TIME TOGETHER AND FORGET ABOUT EVERYTHING ALL TYPE SERVICE ENJOYMENT SAFE AND SECURE IN CALL OUT CALL HOME AND HOTEL ANYTIME AVAILABLE AND ALL TYPE SERVICE ENJOYMENT

Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...

Dipal Arora

Dernier (20)