Advanced Techniques in Dermatologic Surgery - part 4 ppsx
Advanced Techniques in Dermatologic Surgery - part 4 ppsx
... foot’’and continue with the infraciliary skin incision using Westcott scissors todissect the skin and the underlying orbicularis muscle. The infraciliaryskin incision ends 2 mm beneath the inferior ... laser-assisted blepharoplasty ofthe upper and lower eyelid (transconjunctivally) in combination withUPCO2laser skin resurfacing of the periorbital skin is the state-of-the-arttechnique in ... Schneider-Affeld and FriedrichPrilocaine 2% 10.0 mLLidocaine 2% 10.0 mLEpinephrine 1:1000 0.66 mLSodium bicarbonate 8 .4% 6.0 mLTriamcinolon-acetonide 40 mg 0.33 mLPhysiologic saline (NaCl 0.9%)1000.0...
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Advanced Techniques in Dermatologic Surgery - part 1 pptx
... mg (A)Topicaineb 4% Lidocaine Micro-emulsion30–60 Yes Yes Rapid onset,cost-effectiveMore clinicaltrials needed20Â15 inches (A)S-Caine 7% Lidocaine:7%TetracaineÕOil -in- water30–60 ... and20 kg)Tetra-caineÕGel 4% TetracaineÕgelaLecithingel60–90 Yes No Anecdotalreports ofrapid onsetMore clinical andsafety trialsneededAmetho-caine 4% TetracaineÕ 40 –60 Yes No Rapid ... evaluating and comparing anesthetic efficacyhave included venipuncture (7–13), pinprick testing ( 14) , split-thicknessskin graft donation (15–17), and laser pulses as pain stimuli. Laser-induced...
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Advanced Techniques in Dermatologic Surgery - part 2 pptx
... more effec-tive. In a prospective, randomized, double-blind, parallel-group, dose-ranging study of 48 weeks, 60 women received 16, 32, or 48 U BTX-A Advanced Cosmetic Use of Botulinum Toxin Type ... creatinga paresis that might interfere with elocution and suction. We usually increasethe dilution in this area, injecting a total of 6 U BTX-A (reconstituted in 0. 24 mL) in a total of eight injection ... RestylaneÕcontains 20 mg/mL of partially cross-linkedHA in preloaded 0 .4, 0.7, and 1.0 mL syringes. It is injected via a 30-gaugeneedle usually under local anesthetic.Restylane–Fine LinesÕis...
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Advanced Techniques in Dermatologic Surgery - part 3 pot
... Fat injection into muscles has also been helpful in other fields of medicine. In otolar yngology, fat has been injected intothe vocal cords , resulting in improved muscle function (46 48 ). In ... technique was inspiredby a study in 1996 in which GuerroSantos et al. (44 ) demonstratedfive-year-survival of fat in rat muscle. The study further found thatthe muscle thickness continued to increase ... of urinary stress incontinenceusing paraurethral injection of autologous fat. Arch Esp Urol 1991; 44 :595–600.50. Shafik A. Perianal injection of autologous fat for treatment of sphincteric incontinence.Dis...
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Advanced Techniques in Dermatologic Surgery - part 5 potx
... Acad Dermatol 2000; 43 (3) :44 2 44 7. 44 . Raulin C, Greve B, Hammes S. Cold air in laser therapy: first experiences with a newcooling system. Lasers Surg Med 2000; 27(5) :40 4 41 0. 45 . Klavuhn KG, Green ... blistering, pigmentaryand textural changes, scarring, inadvertent thrombosis of underlying ves-sels, and ocular injury when treating within the bony orbit. See the fol-lowing discussion in the ... Unacceptable scarring is avoidedby using the laser in UltraPulseT mode to cut the skin and by keepingthe beam in focus and thus diminishing the zone of thermal damage ofthe incision’s margins. Prophylactically,...
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Advanced Techniques in Dermatologic Surgery - part 6 pps
... result in decreas edpostoperative erythema and improved wound healing.We therefore recommend combining these two lasers as well asminimizing the risks inherent in their combination. A step-by-stepmethod ... to the popular-ization of minimally invasive nonablative rejuve nation techniques. Minimally invasive ‘‘rejuvenative’’ techniques including the intensepulsed light (IPL) that originally developed ... Alto,CA,U.S.A.)Wavelight(Erlangen,Germany)Wavelength(nm)10 64 10 64 10 64 10 64 10 64 10 64 Pulseduration(msec)0.1–300 3 0.3–200 10–100 5–200 20– 140 Maximumfluence(J/cm2)300 10–70 500 200 10 40 0 15 40 0Cooling Contact Cryogen Cryogen/contactContact...
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Advanced Techniques in Dermatologic Surgery - part 7 pps
... wound-healing response ulti-mately lead to sustained collagen synthesis in the dermis.This is in contradistinctio n to traditional techniques of laser resur-facing, which involve eliminating the ... from the capil-laries to the surrounding tissue resulting in nonselective thermal injury.As a part of remodeling and wound healing process, there is an increase in collagen and elastin deposition ... occurred in five sites following theinitial treatmen t; three cases of pinpoint bleeding were recorded (one fol-lowing the initial treatment and two at eight weeks), and one instance ofpostinflammatory...
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Advanced Techniques in Dermatologic Surgery - part 8 docx
... reflections, and maintaining con-tinuity of the index of refraction of the skin–air interface. Clinical experi-ence has also emphasized the role of gel as a heat sink. Heat is generatedby near infrared ... ofsequentialpulsesTelangiectaticmatting550 2 .4 10–15 4. 0 22–30 DoubleNasal alaetelangiectasia570 2 .4 3.0 10–15 5.0–7.0 32 44 DoubleHemangioma 570 2 .4 3.0 10–20 6.0–8 32 42 DoublePoikiloderma 515, 550 1.5–2 .4 10–20 2 .4 4. 0 ... large foot-print IPL must be directed using a water-based interface between thecrystal and the skin. The water-based gel serves critical functions ofenhancing optical coupling, minimizing reflections,...
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Advanced Techniques in Dermatologic Surgery - part 9 docx
... technique, we routinely inject up to 800 mL of0.1% to 0.2% lidocaine with epinephrine. Infusion of lidocaine, by usingthe tumescent formula of 0.1% lidocaine with 1:1,000,000 epinephrine in the concentration ... cc of 1%lidocaine without epinephrine is injected at the pre-marked site. WithDuplex guidance, a 16-gauge needle is inserted through the skin andguided into the saphenous vein. When venous ... there is a increased competition between surface tension and Advanced Sclerotherapy: The Sclerosing Foam 319involves risks including intra-arterial injection, iatrogenic phlebitis, deepvein thrombosis...
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Advanced Techniques in Dermatologic Surgery - part 10 ppt
... saphenous vein with endoluminal radiofrequencythermal heating of the vein wall in combination with ambulatory phlebectomy: prelimin-ary 6-month follow-up. Dermatol Surg 2000 May; 26(5) :45 2 45 6.19. ... the post-operative pain incidence. We believe that effective energyfor vein sealing in our practice is mostly between 5 and 6, thus minimi-zing post-operative pain to less than 5%. In summary, ... yo,Japan, 200 5).Minimizing direct contact with the vein wall for hemoglobin-depen-dent methods minimizes the charring of the vein wall and probably lowersthe post-operative pain levels. Ideally...
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