ABSTRACT
Treatment options for cosmetic improvement of the skin and body continue to grow more numerous with each passing year. The decline in utilization of invasive surgical treatments for aging and body contour correlates with the recent rise in laser and light devices. These light based technologies transmit either a single or broad wavelength of amplified light to the skin, resulting in volumetric tissue heating. Depending on the chromophore targeted and wavelength applied, varied applications exist to treat numerous cosmetic concerns. Radiofrequency (RF) devices have become more popular recently as science has advanced and brought new, safer, and better therapies.
Subject(s)
Catheter Ablation , Cosmetic Techniques , Radiofrequency Therapy , Dermatology/methods , Humans , Skin AgingABSTRACT
Cosmetic procedures are growing in popularity and are associated with unique risks. Considering potential complications and prioritizing patient safety will help practitioners improve outcomes of elective procedures. In part II of this continuing medical education article, we provide a comprehensive review of patient safety in cosmetic procedures, including medical and legal issues surrounding the supervision and training of physician extenders.
Subject(s)
Cosmetic Techniques/standards , Dermatologic Surgical Procedures/standards , Patient Safety , Biocompatible Materials/adverse effects , Cosmetic Techniques/adverse effects , Dermatologic Surgical Procedures/adverse effects , Humans , Lasers/adverse effects , Neurotoxins/adverse effectsABSTRACT
IMPORTANCE: Pseudoaneurysm is a well-known complication of trauma and iatrogenic injury to the vasculature. We report 3 cases of postsurgical pseudoaneurysm after Mohs surgery. OBSERVATIONS: Three patients who underwent Mohs surgery for nonmelanoma skin cancers presented between 2 and 4 weeks after surgery with several days' history of painful, enlarging, pulsatile subcutaneous masses. The lesions were diagnosed as postsurgical pseudoaneurysm. During surgical repair of each lesion, we identified vascular outpouchings that were connected to the injured arteries by sinus tracts. In all 3 patients, we ligated the affected artery and the neck of each lesion and reapproximated the skin. All wounds healed well without further recurrence. CONCLUSIONS AND RELEVANCE: Most reported cases of pseudoaneurysm formation in the head and neck involve the superficial temporal artery and its branches, and they typically occur secondary to blunt force trauma. Our cases are unique in that they included 1 case of a superficial temporal lesion but also 2 cases outside this system: 1 of the lateral nasal artery and 1 of the angular artery. We propose operative repair as the treatment of choice for facial pseudoaneurysms that complicate dermatologic surgery.
Subject(s)
Aneurysm, False/surgery , Iatrogenic Disease , Mohs Surgery/adverse effects , Skin Neoplasms/pathology , Skin Neoplasms/surgery , Aged , Aged, 80 and over , Aneurysm, False/diagnosis , Aneurysm, False/etiology , Carcinoma, Basal Cell/pathology , Carcinoma, Basal Cell/surgery , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/surgery , Follow-Up Studies , Humans , Male , Middle Aged , Mohs Surgery/methods , Nose/pathology , Nose/surgery , Postoperative Complications/diagnosis , Postoperative Complications/surgery , Risk Assessment , Sampling Studies , Treatment Outcome , Vascular Surgical Procedures/methodsABSTRACT
We report a case of focal preauricular dermal dysplasia in an 18-day-old healthy girl. We discuss the classification of focal preauricular dermal dysplasia within the spectrum of focal facial dermal dysplasia and aplasia cutis congenita.
