Pre-/postprocedure measures for laser/energy treatments: A survey.

BACKGROUND: Laser and energy-based devices may be used for many cutaneous indications, including facial resurfacing, improving skin conditions, and reducing signs of photoaging. Currently, no consensus papers or guidelines exist concerning peri-operative agents and specifically their use for laser skin resurfacing and their potential/possible role in prevention or treatment of side effects. AIM: To explore current practice using laser and energy devices, a survey was developed to identify the trends in pre- and postprocedural treatment measures. METHODS: The survey was sent out digitally to 300 randomly selected US dermatologist and plastic surgeon physicians practicing medical esthetics using laser and other energy devices treatment for facial rejuvenation. The survey gathered information on demographics, types of devices used in the clinic and pre-/postprocedural measures for facial laser, and other energy-based devices treatment. RESULTS: The survey was active from June 15, to July 15, 2018, and fifty-eight dermatologists and plastic surgeons completed the survey (19.3% response rate, 58/300). The results showed inconsistency in skin preparation strategies and postprocedure wound care. The majority of survey participants (55/58 [96%]) reported prophylactic oral antiviral use pre- and post-treatment; however, there was inconsistency about when to start and when to stop the use. A similar inconsistency existed in the recommended period of post-treatment sun protection before and after treatment. CONCLUSION: The results of the survey confirmed the lack of consistency in the types and duration of pre- and postprocedural measures-emphasizing the need for evidence-based recommendations to optimize outcomes, prevent infection, enhance comfort, and reduce downtime.

Bioestimulación facial con plasma rico en plaquetas / Facial biostimulation with platelet-rich plasma

Fundamento: la bioestimulación facial con plasma rico en plaquetas es un método actual de rejuvenecimiento facial que entra dentro de las terapias regenerativas. Objetivo: mostrar el papel principal de la bioestimulación como método positivo en las características de la piel facial. Métodos: se realizó una revisión bibliográfica de un total de 140 artículos originales publicados en Pubmed, Medline, Scielo y Google académico en los idiomas inglés y español mediante el gestor de referencias bibliográficas Endnote x9, de ellos se utilizaron 48 citas seleccionadas para realizar la revisión. Desarrollo: el envejecimiento es un proceso muy complejo, donde el envejecimiento cutáneo es una de sus manifestaciones más evidentes, por lo que el cirujano plástico busca constantemente formas de lograr atenuar este proceso, una de estas alternativas es la infiltración facial con plasma rico en plaquetas. Se describe la técnica de procesamiento de la sangre para obtener el plasma rico en plaquetas y el método empleado para la bioestimulación facial. Indicaciones y contraindicaciones del proceder. Conclusiones: la bioestimulación facial con plasma rico en plaquetas es un método sencillo, libre de complicaciones dado que se trabaja con material autólogo, mediante el cual se logran cambios positivos en la piel.

Background: facial biostimulation with platelet-rich plasma is a modern method for facial rejuvenation that is part of the regeneration therapies. Objective: to show the main role of biostimulation as a positive method for the characteristics of facial skin. Methods: a bibliographic review of 140 original articles published in Pubmed, Medline, Scielo and academic Google in English and Spanish, was made by means of the reference management software Endnote x9. Forty-eight citations were selected to make the review. Development: aging is a complex process and skin aging is one of its clearest manifestations; that’s why, plastic surgeons are constantly looking for new ways to reduce this process. One of these alternatives is facial infiltration with platelet-rich plasma. The technique of processing blood to obtain platelets-rich plasma and the method used for facial biostimulation are described. Indications and contraindications of the procedure are also described. Conclusions: facial biostimulation with platelet-rich plasma is a simple, complications-free method since the procedure is made with an autologous by means of which positive changes in the skin are achieved.

Lasers and laser-like devices: part one.

Lasers have been used in dermatology for nearly 50 years. Through their selective targeting of skin chromophores they have become the preferred treatment for many skin conditions, including vascular malformations, photorejuvenation and acne scars. The technology and design of lasers continue to evolve, allowing greater control of laser parameters and resulting in increased safety and efficacy for patients. Innovations have allowed the range of conditions and the skin types amenable to treatment, in both general and cosmetic dermatology, to expand over the last decade. Integrated skin cooling and laser beam fractionation, for example, have improved safety, patient tolerance and decreased downtime. Furthermore, the availability and affordability of quality devices continues to increase, allowing clinicians not only to access laser therapies more readily but also to develop their personal experience in this field. As a result, most Australian dermatologists now have access to laser therapies, either in their own practice or within referable proximity, and practical knowledge of these technologies is increasingly required and expected by patients. Non-laser energy devices utilising intense pulsed light, plasma, radiofrequency, ultrasound and cryolipolysis contribute to the modern laser practitioners' armamentarium and will also be discussed.