Subject(s)
Biomarkers, Tumor/analysis , Carcinoma, Merkel Cell/diagnosis , Cicatrix , Lymph Nodes/pathology , Skin Neoplasms/diagnosis , Sternotomy , Aged, 80 and over , Axilla , Carcinoma, Merkel Cell/chemistry , Carcinoma, Merkel Cell/pathology , Carcinoma, Merkel Cell/radiotherapy , Chromogranin A/analysis , Humans , Immunohistochemistry , Keratin-20/analysis , Lymphatic Metastasis/radiotherapy , Male , Skin Neoplasms/chemistry , Skin Neoplasms/pathology , Skin Neoplasms/radiotherapyABSTRACT
Intense pulsed light (IPL) has shown diverse results in hair clearance related to treatment protocols or skin phototype. Hirsutism may be due to endocrine disease, as in polycystic ovary syndrome (PCOS) and congenital adrenal hyperplasia (CAH), both of which conditions may be associated with obesity. Obesity complicates the metabolic pattern, particularly in terms of insulin resistance, which may worsen the clinical condition of hirsutism. This study evaluated the role of obesity in photoepilation, comparing the clinical efficacy, long-term hair reduction and patient satisfaction in 40 hirsute women with PCOS or CAH, either obese (n = 20) or of normal weight (n = 20). The IPL settings were the same for both groups, but the number of sessions varied according to the clinical results. Obese patients showed a statistically significant severity of initial hirsutism if compared to the non-obese population and, for this reason, required more sessions to achieve hair reduction. The results were maintained at the 2-year follow-up examination, with a high satisfaction rate in both groups.
Subject(s)
Hair Removal/methods , Hirsutism/complications , Hirsutism/radiotherapy , Low-Level Light Therapy/methods , Obesity/complications , Adolescent , Adrenal Hyperplasia, Congenital/complications , Adult , Female , Hirsutism/etiology , Humans , Middle Aged , Patient Satisfaction , Polycystic Ovary Syndrome/complications , Young AdultSubject(s)
Ambulatory Surgical Procedures , Postoperative Complications/prevention & control , Adult , Appointments and Schedules , Disseminated Intravascular Coagulation , Emergencies , Female , Hematoma/etiology , Hematoma/surgery , Hospitalization , Humans , Lipectomy , Mammaplasty , Pneumothorax/etiology , Postoperative Complications/etiology , Postoperative Hemorrhage/etiology , Postoperative Hemorrhage/surgery , Respiratory Insufficiency/etiology , Rhinoplasty , Shock, Hemorrhagic/etiology , SurgicentersABSTRACT
In the past, the traditional methods of removing siliconomas have been excision of the affected tissues or suction of the injected silicone. Unfortunately siliconomas are often found in exposed areas, where it is undesirable to leave visible scars, and suction is technically difficult and often unsuccessful because the affected tissues are so hard. Because we have used ultrasound-assisted liposuction for other procedures since 1984, it seemed logical to find out whether this technique would be useful to remove siliconomas. We have used it in three such patients, ranging in age from 36 to 84 years. Our mean follow up is 38 months (range 18 months-4 years). We have found that it results in improvement in all patients. The only problem was a minor burn at the entrance port in one patient.
