ABSTRACT
Existen diferentes opciones para el tratamiento de la lipoatrofi a secundaria a la inyección local de esteroides. Presentamos las diferentes alternativas de tratamiento y sus resultados sobre cuatro pacientes con diferente grado de lesión y en diferentes áreas corporales.
There are diff erent options for the treatment of lipoatrophy secondary to the local injection of steroids. We present the diff erent treatment alternatives and their results on four patients with diff erent degrees of injury and in diff erent body areas.
Subject(s)
Humans , Steroids/therapeutic use , Triamcinolone Acetonide/therapeutic use , Subcutaneous Fat/drug effects , Subcutaneous Fat/injuries , Saline Solution/therapeutic useABSTRACT
Introducción: con la dermoabrasión quirúrgica se tratan diversas imperfecciones de la piel utilizando instrumentos abrasivos como lijas, fresas y cepillos de alambre. El Plasma Rico en Plaquetas (PRP) es un preparado autólogo obtenido por centrifugación de sangre venosa extraída del propio paciente que contiene un 95 % de plaquetas y se puede utilizar en forma tópica sobre la herida post abrasión, lo que acelera la regeneración y la cicatrización tisular. Material y métodos: se trataron 32 pacientes (12 hombres y 20 mujeres) con promedio de 38 años de edad: 15 por cicatrices de acné, 13 por arrugas y surcos profundos y 4 por rejuvenecimiento facial. La dermoabrasión se realizó con anestesia local tumescente, utilizando lijas o fresas. El PRP se obtuvo de sangre venosa autóloga centrifugada y se aplicó en forma tópica. Resultados: todos los pacientes evolucionaron satisfactoriamente, con escasa formación de costras e inicio de reepitelización a los 5 días. Conclusión: En medicina cosmética y estética existen varias maneras de utilizar el PRP. Nosotros, los empleamos en forma tópica, como cicatrizante luego de la dermoabrasión quirúrgica, con muy buenos resultados. Las contraindicaciones son escasas y siendo un preparado autólogo rico en agentes hemostáticos, su uso evita la infección de las heridas así como el desarrollo de equimosis y hematomas.
Introductions: The surgical dermoabration consistes in the removal of the superficial dermis through out an abrasive process with sandpaper and/or diamonds drills that intends the attenuation of facial wrinkes, acne sequels and skin hiperpigmentation. The platelets rich plasma (PRP) is an autologous, nontoxic, nonalergenic product obtained from the patient's blood centrifugation, it contains 95 % of platelet and it can be used topically over the post dermoabration wound and it accelerates the repair and healing of the wounds. Material and method: we treated 32 patients (12 male and 20 female) of 38 years average: 15 with acne sequels, 13 with facial wrinkes and 4 because of facial rejuvenation. we did the surgical dermoabration with local tumescent anesthesia infiltration using sandpaper and/or diamonds drill. The PRP is obtained from the patient's autologous venous blood centrifugation. Results: All the patients had satisfactory results with less scar formation and a faster reepitelization process. Conclusion: In cosmetic and esthetic medicine there are many ways of uses the PRP. This paper shows our experience in the topical use of PRP in patients submitted to a surgical dermoabration. It's observed that when placing PRP in the wound the process of reepitelization of the wound is accelerated, allowing a better healing which is noticed as a shorter recovery time, avoiding infections and hematomas. it has not contraindications because is an autologous, nontoxic, nonalergenic product obtained by the patient blood centrifugation.
Subject(s)
Humans , Adult , Middle Aged , Acne Vulgaris/surgery , Acne Vulgaris/therapy , Platelet-Rich Plasma , Skin Aging , Skin Pigmentation , Surgical Instruments , Wound HealingABSTRACT
The authors report their experience with laserlipolysis, a surgical procedure that uses a Nd-YAG type laser with a 1064nm wavalenght to treat localized adiposity, as an isolated or associated method to other traditional procedures. The physical principles of laser action on the adipocyte, anesthetic details, application techinique, cases, advantages, limitations, disadvantages, complications and long-term results are analysed. Moreover, the principle of action of laserlipolysis - photo-hyperthermia - on fat and adjacent tissue is demonstrated and analysed by histological studies.