Advanced Techniques in Dermatologic Surgery - part 7 pps

... 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 the initial treatmen t; three cases of pinpoint bleeding were recorded (one fol- lowing the initial treatment and two at eight weeks), and one instance o...

Ngày tải lên: 14/08/2014, 07:20

... foot’’ and continue with the infraciliary skin incision using Westcott scissors to dissect the skin and the underlying orbicularis muscle. The infraciliary skin incision ends 2 mm beneath the inferior ... laser-assisted blepharoplasty of the upper and lower eyelid (transconjunctivally) in combination with UPCO 2 laser skin resurfacing of the periorbital skin is the state-of-the-art techniqu...

Ngày tải lên: 14/08/2014, 07:20

... result in decreas ed postoperative erythema and improved wound healing. We therefore recommend combining these two lasers as well as minimizing the risks inherent in their combination. A step-by-step method ... to the popular- ization of minimally invasive nonablative rejuve nation techniques. Minimally invasive ‘‘rejuvenative’’ techniques including the intense pulsed light (IPL) that...

Ngày tải lên: 14/08/2014, 07:20

... cyclophilin, a 17 kD immunophilin with isomerase activity important for intracellular protein folding. The cyclosporine–cyclophilin complex engages and inhibits calcineurin, a calcium-dependent phos- phatase. ... by increasing macrophage release of plas- minogen activator inhibitor 1 (PAI-1) and decreasing macrophage release of tissue plasminogen activator (t- PA) and urinary plasminogen act...

Ngày tải lên: 11/08/2014, 01:22

... mg (A) Topicaine b 4% Lidocaine Micro- emulsion 30–60 Yes Yes Rapid onset, cost- effective More clinical trials needed 20Â15 inches (A) S-Caine 7% Lidocaine: 7% Tetracaine Õ Oil -in- water 30–60 ... evaluating and comparing anesthetic efficacy have included venipuncture (7 13), pinprick testing (14), split-thickness skin graft donation (15– 17) , and laser pulses as pain stimuli. Laser- in...

Ngày tải lên: 14/08/2014, 07:20

... 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 ... Restylane Õ contains 20 mg/mL of partially cross-linked HA in preloaded 0.4, 0 .7, and 1.0 mL syringes. It is injected via a 30-gauge needle usually under local anesthetic. Restylane–Fine...

Ngày tải lên: 14/08/2014, 07:20

... Fat injection into muscles has also been helpful in other fields of medicine. In otolar yngology, fat has been injected into the vocal cords , resulting in improved muscle function (46–48). In ... epinephrine (15). A few authors recommend the use of Ringer’s lactate rather than normal saline, reasoning that glucose- containing solutions may enhance fat-cell viability (16,21). HARVESTIN...

Ngày tải lên: 14/08/2014, 07:20

... reducing pain ( 47) . Concomitant contact cooling occurs by delivering a laser pulse through a chilled sapphire tip or through a glass window containing cir- culating chilled water. Efficient pre- ... blistering, pigmentary and textural changes, scarring, inadvertent thrombosis of underlying ves- sels, and ocular injury when treating within the bony orbit. See the fol- lowing discussion in t...

Ngày tải lên: 14/08/2014, 07:20

... 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 generated by near infrared ... large foot- print IPL must be directed using a water-based interface between the crystal and the skin. The water-based gel serves critical functions of enhancing optical coupling, minimiz...

Ngày tải lên: 14/08/2014, 07:20

... technique, we routinely inject up to 800 mL of 0.1% to 0.2% lidocaine with epinephrine. Infusion of lidocaine, by using the 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. With Duplex guidance, a 16-gauge needle is inserted through the skin and guided into the saphenous vein....

Ngày tải lên: 14/08/2014, 07:20