ABSTRACT
Studies of satisfaction with tattoo removal outcomes by laser, rated by clients themselves, including qualitative aspects, are sparse. We studied long-term results and client satisfaction with tattoo removal by Q-switched YAG laser. Client satisfaction is influenced by numerous factors: pretreatment expectations, objective observations, pretreatment information, laser treatment procedures, and outcome, including subjective experiences such as pain. Client-surgeon interaction during the full laser treatment course is a major determinant of client satisfaction. The client is in a dynamic state of mind and undergoes a change of opinion during a laser treatment course as a result of his/her experiences. In this continuous process of learning, expectations are changed from a state of high expectation before treatment to a more realistic state with acceptance of outcome. The laser surgeon shall be aware of his/her role as a tutor and prepare the client for a situation, where outcomes can be acceptable albeit not ideal.
Subject(s)
Laser Therapy/methods , Physician-Patient Relations , Surgeons , Tattooing/adverse effects , Denmark , Humans , Laser Therapy/adverse effects , Laser Therapy/psychology , Lasers, Solid-State/adverse effects , Lasers, Solid-State/therapeutic use , Patient Education as Topic , Personal Satisfaction , Surveys and QuestionnairesABSTRACT
Cohesive polydensified matrix (CPM®) hyaluronic acid fillers are now available with or without lidocaine. The aim of this study was to investigate the safety and performance of CPM® fillers with lidocaine in the clinical setting. In an open-label, prospective, postmarketing study, 108 patients from seven sites in Germany and Denmark were treated with one or more lidocaine-containing CPM® fillers. Performance was assessed using the Merz Aesthetics Scales® (MAS). Pain was rated on an 11-point visual analog scale. Patients' and physicians' satisfaction as well as adverse events were recorded. Improvements of ≥1-point on MAS immediately after and 17 days posttreatment were observed in ~90% of patients compared with baseline. All investigators assessed ejection force, product positioning, and performance as similar or superior to the respective nonlidocaine products. Overall, 94% of investigators were satisfied with the esthetic outcomes and were willing to continue using the products. All patients except one were satisfied with the results, and all were willing to repeat the treatment. Mean pain scores were low during (<3.0) and after injection (<0.6). Except for one case of bruising, all adverse events were mild to moderate. CPM® fillers with lidocaine are safe and effective for a wide range of esthetic facial indications.
ABSTRACT
Lasers and light sources are increasingly used in dermatology. Due to the limited financial resources of the public health care system, the Danish Dermatological Society has developed recommendations for distinguishing medical laser treatments to be provided free of charge from cosmetic self-payment treatments. Several considerations underlie the recommendations: present legislation; the diagnosis, etiology, severity, and anatomical location of the disease; and the availability of evidence-based treatments. It is suggested that the recommendations constitute the basis for referring patients to dermatological treatment involving laser and intense pulsed light in Denmark.
Subject(s)
Cosmetic Techniques/economics , Facial Dermatoses/radiotherapy , Laser Therapy , Laser Therapy/methods , Low-Level Light Therapy/methods , Surgery, Plastic/methods , Denmark , Facial Dermatoses/surgery , Female , Hirsutism/radiotherapy , Humans , Insurance, Health/economics , Insurance, Health/legislation & jurisprudence , Laser Therapy/economics , Low-Level Light Therapy/economics , Male , Surgery, Plastic/economics , Tattooing , Telangiectasis/radiotherapyABSTRACT
Skin resurfacing with carbon dioxide (CO(2)) laser is a currently popular means of improving rhytides and scars of the face. Side effects are few, but delayed healing has been reported due to infections. A case of unexplained slow healing following CO(2) laser resurfacing in a previously healthy sixty-seven year old woman is reported. Although healing was extremely delayed, it is important to emphasize that a satisfactory cosmetic response was obtained after 16 months.
