Advanced Techniques in Dermatologic Surgery - part 6 pps

... 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 ... epinephrine (15). A few authors recommend the use ofRinger’s lactate rather than normal saline, reasoning that glucose-containing solutions may enhance fat-cell viability ( 16, 21).HARVESTING ... boiling, steaming, autoclaving, or using radiation.Before starting the surgery, the skin is disinfected; skin disinfectionshould be repeated at regular intervals during surgery. The surgeonshould...

... 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 ... antibiotics-containing ophtalmic ointment mayproduce allergic contact reaction with severe in ammation especiallywhen using on the periorbital skin after laser skin resurfacing. Corti-costeroid ... 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,...

... 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 ... 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, ... J/cm2.Apart from clinical assessments, outcome measures included lesioncounts and skin biopsies immediately after treatment, and at 6- , 1 2-, and 24-week follow-up visits.290 Alam et al.involving...

... 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 1 6- gauge needle is inserted through the skin andguided into the saphenous vein. When venous ... thus ensuring minimal heat-ing of blood but efficient heating of the vein wall.Thus recent technological advances including introduction of specificapplication electrodes and accompanying microprocessor...