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Advances in Dermatologic Surgery: Articles 6-10

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  • Plasma Skin Regeneration Technology
    Skin Therapy Letter: Volume 11 • Number 7 • September 2006
    Abstract: Plasma skin regeneration (PSR) technology uses energy delivered from plasma rather than light or radiofrequency. Plasma is the fourth state of matter in which electrons are stripped from atoms to form an ionized gas. The plasma is emitted in a millisecond pulse to deliver energy to target tissue upon contact without reliance on skin chromophores. The technology can be used at varying energies for different depths of effect, from superficial epidermal sloughing to deeper dermal heating. With the Portrait® PSR device (Rhytec, Inc.) there are three treatment guidelines termed PSR1, PSR2, and PSR3. The PSR1 protocol uses a series of low-energy treatments (1.0–1.2 Joules) spaced 3 weeks apart. The PSR2 protocol uses one high-energy pass (3.0–4.0 Joules) performed in a single treatment, and the PSR3 protocol uses two high-energy passes (3.0–4.0 Joules) performed in a single treatment. All protocols improve fine lines, textural irregularities, and dyspigmentation; however, skin tightening is probably more pronounced with the high-energy treatments.   |     Full Article ...

  • Novel Flaps for Lip Reconstruction
    Skin Therapy Letter: Volume 11 • Number 6 • July - August 2006
    Abstract: Reconstruction of the lips requires careful attention to aesthetic and functional goals. We describe our approach to lip repair and present novel methods to maintain symmetry and function, and optimize cosmetic results.   |     Full Article ...

  • The Use of Lasers for Decorative Tattoo Removal
    Skin Therapy Letter: Volume 11 • Number 5 • June 2006
    Abstract: As the incidence of tattoo placement continues to increase, so does the demand for tattoo removal, with more than 10 million people in the US alone with a tattoo. Used in an appropriate clinical setting, Q-switched lasers provide relatively efficacious clearance of decorative tattoo pigment with minimal side-effects. We present our clinical experience along with literature findings on decorative tattoo removal and the important issues practitioners should consider in the management of tattoos.   |     Full Article ...

  • Advances in Techniques for Endovenous Ablation of Truncal Veins
    Skin Therapy Letter: Volume 11 • Number 3 • April 2006
    Abstract: The latest techniques for endovenous occlusion, i.e., radiofrequency ablation catheters or endoluminal laser targeting water are our preferred methods for the treatment of saphenous-related varicose veins. Clinical experience with endovenous techniques in more than 1,000 patients shows a high degree of success with minimal side effects, most of which can be prevented or minimized with use of tumescent anesthesia. Within the next 5 years, these minimally invasive endovenous ablative procedures involving saphenous trunks should have virtually replaced open surgical strippings.   |     Full Article ...

  • The Forehead Flap for Nasal Reconstruction: How We Do It
    Skin Therapy Letter: Volume 11 • Number 2 • March 2006
    Abstract: The forehead flap is a useful technique to reconstruct deep and large nasal defects. It can safely be performed under local anesthesia in an outpatient setting. Advantages of this flap include the fact that it provides an excellent color and texture match to the missing nasal skin. Disadvantages include the fact that it is at least a two-stage procedure and that often patients require "touch up" surgeries to provide the best possible cosmetic outcome.   |     Full Article ...

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