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Consensus Statement: Most Skin Procedures OK With Retinoids Consensus Statement: Most Skin Procedures OK With Retinoids

Consensus statement changes recommendation to postpone skin procedures in patients on recent or concurrent systemic isotretinoin, except for manual dermabrasion and fully ablative laser treatments.Medscape Medical News
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Dermatology News Source Type: news

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BACKGROUND: Currently, the isotretinoin (13-cis-retinoic acid) package insert contains language advising the discontinuation of isotretinoin for 6 months before performing cosmetic procedures, including waxing, dermabrasion, chemical peels, laser procedures, or incisional and excisional cold-steel surgery. It is common practice to follow this standard because of concerns regarding reports of sporadic adverse events and increased risk of scarring. OBJECTIVE: To develop expert consensus regarding the safety of skin procedures, including resurfacing, energy device treatments, and incisional and excisional procedures, in the ...
Source: Dermatologic Surgery - Category: Dermatology Tags: Original Article Source Type: research
Conclusion Rhinophyma is a rare condition of uncertain pathophysiology. Management is surgical and, in view of the many techniques and procedures proposed, we advocate the slogan “to each his own technique”, until a consensus has been reached. Our technique combining dermabrasion, decortication and application of fibrin glue has given very good results.
Source: European Annals of Otorhinolaryngology, Head and Neck Diseases - Category: ENT & OMF Source Type: research
Regrets on getting that tattoo? The U.S. Food and Drug Administration (FDA), which regulates tattooing and tattoo removal, has some practical advice on tattoo removal. This information is taken directly from that report. “One way to go is professionally supervised laser removal, according to Mehmet Kosoglu, an FDA engineer. The process exposes a tattoo to pulses of high-intensity laser energy. After exposure, tattoo pigment breaks up into small pieces, which can then be naturally metabolized by the body or excreted. Some colors respond better to laser removal better than others, Kosoglu warns. Green, red and yellow a...
Source: BHIC - Category: Databases & Libraries Authors: Tags: General Source Type: blogs
Earlobe repair is a simple, office-based procedure. In a near-total tear, the ideal method is to slit open the defective area with the use of a scalpel or scissors, creating a raw area along the full length of the defect, before end-to-end closure with interrupted sutures. One of the challenges in earlobe repair is taking a thin enough slice on both sides to achieve a free-bleeding margin without taking too much of the ear itself. The procedure also becomes cumbersome in a smaller earlobe.
Source: Journal of the American Academy of Dermatology - Category: Dermatology Authors: Tags: JAAD Online: Surgical pearl Source Type: research
Abstract Surgical management of benign or malignant cutaneous tumors may result in noticeable scars that are of great concern to patients, regardless of sex, age, or ethnicity. Techniques to optimize surgical scars are discussed in this three-part review. In part 1, an overview of the importance of preoperative planning, intraoperative technique, and pathophysiology of wound healing is followed by a discussion of scar revision options for depressed/atrophic scars. Scar revision options for these scars include dermabrasion, needling and subcision, punch excision and grafts, fillers, nonablative fractional lasers, a...
Source: Skinmed - Category: Dermatology Authors: Tags: Skinmed Source Type: research
AbstractSebaceous adenomas, histologically facial angiofibromas, are closely associated with the tuberous sclerosis complex. The dermatologic disorder constitutes one of the main characteristics for that disease. The lesions commonly involve the central part of the face, including the cheeks, perioral region and nose with predominance in the nasolabial folds, causing a major cosmetic disfigurement. Aesthetic surgery of the face comprises different forms of ablative treatments using mechanical dermabrasion, shave excision, radiofrequency ablation, cryosurgery, laser therapy, and electrocoagulation. The use of Versajet &trad...
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research
We describe a series of cases of moderate or severe rhinophyma treated with high-frequency electrosurgery in the dermatology department of Hospital Simón Bolivar and in private clinics in Bogota, Colombia, between 2012 and 2016. The cosmetic result, as assessed by both the clinicians and the patients, was satisfactory in all cases. Three patients presented hypertrophic scars that were treated with steroid injections and silicone gel sheeting. Two patients presented persistent erythema. However, there were no serious infections and none of the patients required further surgery. Electrosurgery is one of the simplest a...
Source: Actas Dermo-Sifiliograficas - Category: Dermatology Authors: Tags: Actas Dermosifiliogr Source Type: research
ConclusionsSurgical and nonsurgical modalities are variable tools for management of giant congenital nevus. No doubt, skin graft is a good option for management of giant nevus.Level of Evidence: IV, therapeutic study.
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research
Source: The Journal of Dermatology - Category: Dermatology Authors: Tags: Letter to the Editor Source Type: research
To the Editor: Although safe use of oral retinoids with dermabrasion and resurfacing laser procedures have  been reported in patients on isotretinoin, waiting 6-12 months after isotretinoin cessation is typically recommended before undergoing elective surgery.1,2 This recommendation arose from theoretical concern and from 9 prior cases (6 dermabrasions, 3 laser procedures) of delayed wound healing or keloid formation after cosmetic procedures in patients on isotretinoin.2,3 We aimed to evaluate the prevalence of scarring and postoperative complications in patients exposed and not exposed to is...
Source: Journal of the American Academy of Dermatology - Category: Dermatology Authors: Tags: Research letter Source Type: research
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