Laser resurfacing

Prepping the Canvas

Opinions vary on whether pre-treating the skin improves outcomes of ablative laser procedures, but the literature does offer some guidance.
Preparing the Skin for Laser Resurfacing

The value of pretreatment skincare protocols for ablative laser procedures has been debated for decades. In 1998, doctors at Massachusetts General Hospital Dermatology Laser Center published the results of a survey and literature review on the effect of pre- and postprocedure skincare protocols in laser skin resurfacing (Dermatologic Surgery, February). The two main reasons postulated for treating the skin before invasive procedures are faster healing and less risk of post-inflammatory hyperpigmentation (PIH).

Selective Ablation

Achieving optimal outcomes with fractional ablative lasers.
Selective Ablation

Fractional laser delivery has expanded the option of ablative laser resurfacing to a much broader base of patients. Providers can prescribe treatments based on specific concerns, skin types and even individual downtime requirements. But in order to achieve the safest and most effective treatments, you need to know your individual devices well and keep a close eye on both clinical endpoints and patient selection. “Perform a physical exam to make sure the patient is healthy and doesn’t have any conditions that would interfere with the healing process,” says Michael H.

Multimodal Resurfacing

Combining aggressive laser resurfacing treatments can offer added benefits for select patients.
Multimodal Resurfacing

Combination procedures have become commonplace in medical aesthetic practices, typically involving treatments such as neurotoxins, dermal fillers and IPL or other energy-based devices. But do patients benefit from a combination of more aggressive laser treatments—and is it safe? This is the question Richard Fitzpatrick, MD, sought to answer in one of his last research projects. He and his colleague Douglas C.

Eye-Opening Combinations

Physicians are working with neurotoxins, dermal fillers and energy devices to synergistically rejuvenate the entire periorbital area.
Eye-Opening  Combinations

In the January 2015 issue of Plastic and Reconstructive Surgery, Manhattan plastic surgeon Michael A. Kane, MD, argues that when it comes to nonsurgical periorbital and brow rejuvenation, the best results come from using multiple modalities to treat the full range of concerns at once rather than singling out just one. We spoke with five prominent aesthetic practitioners who agree that today’s patients achieve the best results when treated with a combination of muscle-relaxing neurotoxins, versatile dermal fillers and energy-based devices.

Recognizing Complications

Protect your practice and patients by training staff to recognize potentially serious adverse events.
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Recognizing complications

Noninvasive cosmetic procedures have surged in popularity thanks to their affordability, effectiveness and strong safety profiles. Still, serious complications—including necrosis, infection and allergic reaction—can occur. In medical aesthetic practices, front desk staff and office managers are often the first to field calls from concerned patients. Training these staff members to differentiate between normal reactions that are part of the healing process and undesirable or dangerous complications is crucial to postprocedure care.