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What to avoid: High-potency exfoliants and prescription-strength retinoids, like glycolic acid peels, products with salicylic acid, and Tretinoin, are not appropriate for the periocular zone unless specifically formulated for it

Patients should speak with our healthcare practitioner about any medications they are taking and follow any pre-treatment instructions provided

In these circumstances, obtaining x-rays to see if there is any significant joint line narrowing or if there are concerns about a concurrent MCL tear, obtaining bilateral valgus stress x-rays to see if there is a side-to-side difference in medial compartment gapping may be indicated

Thus an implantation of a DDD-R permanent pacemaker was planned