378 results match your criteria Complications of Dermatologic Laser Surgery

Expert recommendations on the assessment and management of complications due to hyaluronic acid soft tissue filler injections in Asians.

J Cosmet Dermatol 2022 Jun 14. Epub 2022 Jun 14.

Department of Dermatology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

Background: The use of hyaluronic acid (HA) fillers for medical aesthetic purposes is increasing worldwide. Nonetheless, adverse events do occur because of patient-specific issues, injection technique, or product factors. It would be mandatory to consider cultural and anatomical features of Asians in preventing and managing the complications of HA injections. Read More

View Article and Full-Text PDF

Safety in Dermatologic Procedures: Ophthalmologic Complications.

Actas Dermosifiliogr 2022 May 2. Epub 2022 May 2.

Servicio de Oftalmología, Hospital Universitario Virgen del Rocío, Sevilla, España.

Ophthalmological complications are uncommon in dermatologic surgery. Nonetheless, all surgeons should know the basics of recognizing, preventing, and treating the 4 complications addressed in this article from the series 'Safety in Dermatologic Procedures'. The first complication that surgeons should be familiar with is eye damage due to chemical irritants. Read More

View Article and Full-Text PDF

Getting to the Core of Contemporary Therapies for Post-Inflammatory Hyperpigmentation.

Piyu Naik

J Drugs Dermatol 2022 Mar;21(3):276-283

Post-inflammatory hyperpigmentation (PIH) is a typical complication of inflammatory dermatoses that more frequently and severely affects people with darker skin. External insults to the skin, such as burn injuries, dermatologic treatments, and intrinsic skin disorders (eg, eczema and acne), are common causes of PIH. Individuals with darker skin are prone to develop PIH, which can cause substantial psychological suffering. Read More

View Article and Full-Text PDF

Enhanced perfusion of elliptical wound closures using a novel adhesive suture retention device.

Health Sci Rep 2021 Sep 14;4(3):e364. Epub 2021 Sep 14.

School of Mechanical and Manufacturing Engineering University of New South Wales (UNSW Sydney) Sydney New South Wales Australia.

Background And Aims: The purpose of this investigation was to test the hypothesis that a novel adhesive retention suture device (ARSD) can increase perfusion at elliptical wound closures by distributing stress away from the suture site.

Methods: Stress in the skin around a suture both with and without support from an ARSD was evaluated using a finite element model. A single-center, randomized split-scar comparison trial using laser speckle contrast analysis was used to quantify the perfusion at elliptical wound closures in human patients both with and without an ARSD. Read More

View Article and Full-Text PDF
September 2021

The Pathogenesis and Management of Acne-Induced Post-inflammatory Hyperpigmentation.

Am J Clin Dermatol 2021 Nov 1;22(6):829-836. Epub 2021 Sep 1.

Department of Dermatology, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Acne vulgaris is a common inflammatory disease. Among patients with darker skin phototypes (Fitzpatrick III-VI), the inflammatory processes of acne stimulate excess melanogenesis and abnormal melanin deposition, leading to pigmentary sequelae known as post-inflammatory hyperpigmentation and post-inflammatory erythema in all skin tones, although post-inflammatory hyperpigmentation is more common in darker skin and post-inflammatory erythema in lighter skin. These pigmentary alterations can be long lasting and are often more distressing to patients than the active acne lesions. Read More

View Article and Full-Text PDF
November 2021

Potential Masquerader of Malignancy: Tophaceous Gout Causing Nail Dystrophy.

Dermatol Surg 2021 08;47(8):1149-1150

Director of Mohs and Dermatologic Surgery, Director of Surgical, Laser and Cosmetic Dermatologic Education, Assistant Professor of Dermatology, Weill Cornell Medicine Department of Dermatology, New York, New York.

View Article and Full-Text PDF

Common Dermatologic Procedures and the Associated Complications Unique to Skin of Color.

Dermatol Surg 2021 03;47(3):355-359

Department of Dermatology, University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma.

Background: The skin of color (SOC) population in the United States continues to grow, and these patients are undergoing various cosmetic and surgical procedures at increasing rates. There is a paucity of data on the potential complications associated with surgical and cosmetic procedures in this patient population.

Objective: We aim to educate dermatologic surgeons and clinicians on surgical and cosmetic procedures in patients of color and increase awareness of the potential complications unique to this patient population. Read More

View Article and Full-Text PDF

Dermatologic Complications Following Cosmetic and Reconstructive Plastic Surgery: A Systematic Review of the Literature.

Aesthetic Plast Surg 2021 12 6;45(6):3005-3018. Epub 2021 Jul 6.

Division of Plastic Surgery, Department of Surgery, G5-347 Clinical Sciences Center, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI, 53711, USA.

Purpose: Plastic surgery procedures, including minimally invasive cosmetic procedures, continue to grow in popularity. Although dermatologic complications following plastic surgery procedures are rare, the authors have encountered several of these complications in their practice, including herpes simplex virus (HSV-1) and varicella zoster virus (VZV) infections, pyoderma gangrenosum (PG), contact dermatitis, and suture hypersensitivity. These cases prompted a systematic literature review of dermatologic complications following plastic surgery procedures. Read More

View Article and Full-Text PDF
December 2021

COVID-19: The experience from Iran.

Clin Dermatol 2021 Jan-Feb;39(1):23-32. Epub 2020 Dec 15.

Department of Dermatology, Tehran University of Medical Sciences, Tehran, Iran; Autoimmune Bullous Diseases Research Center, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.

The first cases of coronavirus disease 2019 (COVID-19) in Iran were detected on February 19, 2020. Soon the entire country was hit with the virus. Although dermatologists were not immediately the frontline health care workers, all aspects of their practice were drastically affected. Read More

View Article and Full-Text PDF

Nd:YAG laser in association with pulsed dye laser for the treatment of PHACES syndrome.

Dermatol Reports 2021 Mar 17;13(1):8751. Epub 2021 Mar 17.

Department of Health Sciences, Unit of Dermatology, Magna Graecia University, Catanzaro, Italy.

The acronym PHACES stands for posterior fossa malformations, hemangiomas, arterial anomalies (cardiovascular or cerebrovascular), coarctation of the aorta/cardiac defects, eye abnormalities, and sternal defects. The characteristic dermatological clinical manifestation of PHACES syndrome is a segmental and extensive hemangioma, usually on the face. A combined therapy with 1,064 nm Nd-YAG/595-nm pulsed dye laser was performed in a young 15-year-old patient with PHACES syndrome, who presented a hemangioma on the left side of the face, located in the periorbital region. Read More

View Article and Full-Text PDF

Ocular Complications After Laser or Light-Based Therapy-Dangers Dermatologists Should Know.

Dermatol Surg 2021 05;47(5):624-629

Department of Dermatology, University of California, Irvine, California.

Background: Laser and light-based technologies have been used in the medical field for over 50 years. In dermatologic and cosmetic practice, cutaneous side effects are commonly discussed; however, ocular injury may also occur.

Objective: To complete a systematic review of the current literature regarding ocular complications in the dermatologic field after laser and/or light-based therapies. Read More

View Article and Full-Text PDF

Therapeutic effects of a new invasive pulsed-type bipolar radiofrequency for facial erythema associated with acne vulgaris and rosacea.

J Cosmet Laser Ther 2020 Jul 2;22(4-5):205-209. Epub 2021 Mar 2.

Department of Dermatology, Hanyang University College of Medicine, Seoul, Korea.

Facial erythema from rosacea and acne is one of the most common problems encountered in dermatologic clinics. Effective therapeutic interventions for persistent erythema, which can cause patients frustration and psychological distress, are needed. The aim of this study was to evaluate the efficacy and safety of an invasive short pulsed-type bipolar radiofrequency device (IPBRF) for the treatment of intractable facial erythema. Read More

View Article and Full-Text PDF

Prevention of Scarring With Intraoperative Erbium: YAG Laser Treatment.

J Drugs Dermatol 2020 Nov;19(11):1040-1043

Background: Scars can develop as a result of surgical incisions and pose psychological, cosmetic, and physical stress to the patients affected. Lasers have been used for scar revision, but little information exists regarding intraoperative use and efficacy.

Objective: To evaluate a 2,940-nm fractional erbium:YAG laser to improve scar appearance when used immediately after skin closure. Read More

View Article and Full-Text PDF
November 2020

Acne fulminans.

G Ital Dermatol Venereol 2020 Dec 21;155(6):711-718. Epub 2020 Oct 21.

Dermatology Clinic, University of Catania, Catania, Italy -

Acne fulminans (AF) is a rare and severe form of inflammatory acne presenting clinically with an abrupt outburst of painful, hemorrhagic pustules and ulceration, that may or may not be associated with systemic symptoms, such as fever, polyarthritis, and laboratory abnormalities. It typically affects male teenagers with a pre-existing acne. Although the pathogenetic mechanism has not been established yet, a role of genetic, abnormal immunologic response, drugs intake, hormonal imbalance and viral infection, as causal factors, has been identified. Read More

View Article and Full-Text PDF
December 2020

Elective Treatment of Dermatosis Papulosa Nigra: A Review of Treatment Modalities.

Skin Therapy Lett 2020 09;25(4):1-5

Pacific Derm, Vancouver, BC, Canada

Dermatosis papulosa nigra is a benign skin lesion found most frequently on the face of patients with skin of color. Elective treatment is occasionally requested. However, in view of knowledge gaps regarding aesthetic treatments for skin of color, patients can be exposed to unnecessary risks or simply denied treatment options due to physician reservation. Read More

View Article and Full-Text PDF
September 2020

Gentle ND:YAG Laser Therapy in the Treatment of Cutaneous Venous Malformations.

Facial Plast Surg Aesthet Med 2021 Jul-Aug;23(4):289-293. Epub 2020 Aug 26.

Department of Otolaryngology and Head and Neck Surgery, University of Arkansas for Medical Sciences, Arkansas Children's Research Hospital and Research Institute, Little Rock, Arkansas, USA.

Venous malformations (VMs) are congenital vascular malformations that grow progressively and never resolve on their own. Cutaneous VMs are difficult to treat due to risk of injury and deformation. The purpose of this study was to examine the safety and efficacy of a modified neodymium-doped yttrium aluminum garnet laser (Gentle YAG) in the management of cutaneous VMs. Read More

View Article and Full-Text PDF

Post-Inflammatory Hyperpigmentation: A Review of Treatment Strategies.

J Drugs Dermatol 2020 Aug;19(8):763-768

Post-inflammatory hyperpigmentation (PIH) is a reactive process resulting from increased melanin or abnormal distribution of melanin secondary to inflammatory skin conditions, dermatologic therapies, and external stimuli. Because PIH is a common condition that has a substantial effect on the quality of life, an understanding of its treatment modalities is essential. Though there are many therapeutic strategies for hyperpigmentary conditions such as melasma that are described in the literature, fewer studies focus on PIH. Read More

View Article and Full-Text PDF

Laser safety in isotretinoin use: online survey of public perception.

J Dermatolog Treat 2022 Mar 14;33(2):778-781. Epub 2020 Jun 14.

Dermatology Department, Prince Sultan Military Medical City Riyadh, Riyadh, Saudi Arabia.

Background: The safety of laser therapy in patients taking isotretinoin is controversial. Recent evidence suggests that laser during isotretinoin treatment is safe. Our study aims to assess public perception and willingness to undergo laser intervention while receiving isotretinoin. Read More

View Article and Full-Text PDF

Dermatologic Laser Side Effects and Complications: Prevention and Management.

Am J Clin Dermatol 2020 Oct;21(5):711-723

City Medical Aesthetics Center, Vancouver, BC, Canada.

The evolution of modern laser and light-based systems has mirrored the demand for clinically effective treatments and the need for safer technologies with reduced postoperative recovery, side effects, and complications. With each new generation of lasers, more selective tissue destruction can be achieved with reduced unwanted sequelae. Patient selection and preparation, operator technique, and expeditious recognition and management of post-treatment side effects are paramount in avoiding complications and patient dissatisfaction. Read More

View Article and Full-Text PDF
October 2020

Infantile Hemangioma: An Updated Review.

Curr Pediatr Rev 2021 ;17(1):55-69

Department of Paediatrics, The Chinese University of Hong Kong, and Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Hong Kong.

Background: Infantile hemangiomas are the most common vascular tumors of infancy, affecting up to 12% of infants by the first year of life.

Objective: To familiarize physicians with the natural history, clinical manifestations, diagnosis, and management of infantile hemangiomas.

Methods: A Pubmed search was conducted in November 2019 in Clinical Queries using the key term "infantile hemangioma". Read More

View Article and Full-Text PDF
October 2021

Emerging medical treatments for hidradenitis suppurativa.

J Am Acad Dermatol 2020 Aug 11;83(2):554-562. Epub 2020 Apr 11.

Department of Dermatology, Henry Ford Hospital, Detroit, Michigan. Electronic address:

Hidradenitis suppurativa (HS) is a chronic inflammatory disease affecting intertriginous skin areas, and it is characterized by recurrent painful episodes of inflammatory drainage. Although the pathophysiology of HS is not fully understood, recent research points to an imbalance of cytokines as a contributing factor to the associated symptoms of purulent drainage and sinus tract formation. HS lesions are often characterized by a superimposed pathogenic/commensal bacterial infection that can improve with targeted antibiotic therapy. Read More

View Article and Full-Text PDF

Laser Treatment of Accidental Tattoos: Experience at a Tertiary Referral Center.

Dermatology 2020 2;236(4):383-389. Epub 2020 Apr 2.

Department of Dermatology, University Hospital of Zurich, Zurich, Switzerland,

Background: To date, information on laser treatment of accidental tattoos is limited.

Objectives: This study analyzes the efficacy and safety of quality-switched ruby, quality-switched Nd:YAG and picosecond lasers in the treatment of accidental hyperpigmentation in a larger patient cohort. To date, there is limited information on laser therapy of accidental hyperpigmentation. Read More

View Article and Full-Text PDF

Management of recalcitrant vitiligo in Vogt-Koyanagi-Harada syndrome: Adjuvant ablative fractional laser.

Pediatr Dermatol 2020 May 4;37(3):514-516. Epub 2020 Mar 4.

Dermatology Department, Gülhane School of Medicine, Health Sciences University, Ankara, Turkey.

The course of dermatologic findings in Vogt-Koyanagi-Harada disease is variable. Herein, we report the remarkable repigmentation of widespread facial vitiligo lesions in an adolescent girl with Vogt-Koyanagi-Harada disease. The patient was treated with a combination of fractional erbium:YAG laser, topical tacrolimus, and phototherapy. Read More

View Article and Full-Text PDF

Pernio-Induced Toe Pain in the Setting of Onychocryptosis: A Case Report.

J Am Podiatr Med Assoc 2020 Jan;110(1):Article7

Pernio is an inflammatory condition of the skin associated with cold exposure. The dermatologic manifestations may vary, and this entity is frequently misdiagnosed. Its association with systemic disease underscores the importance of accurate diagnosis. Read More

View Article and Full-Text PDF
January 2020

[Rieger-Marchac flaps: Complications and patient satisfaction].

Ann Dermatol Venereol 2020 Apr 11;147(4):265-270. Epub 2020 Feb 11.

Service de dermatologie, université Paris Descartes, hôpital Cochin-Centre Tarnier, Assistance publique-Hôpitaux de Paris, 89, rue d'Assas, 75006 Paris, France.

Purpose: Like all surgical procedures, dorsal nasal flaps may be followed by both early and late complications. The aim of this study was to evaluate the surgical complications and cosmetic outcome of dorsal nasal flaps over a 7-year period in an academic dermatologic surgery unit.

Patients And Methods: Data were collected retrospectively for all patients undergoing dorsal nasal flap between 1 January 2006 and 31 December 2013. Read More

View Article and Full-Text PDF

Experiences With Medical Spas and Associated Complications: A Survey of Aesthetic Practitioners.

Dermatol Surg 2020 12;46(12):1543-1548

Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, Pennsylvania.

Background: Medical spas have experienced a recent rise in popularity. However, rules and regulations vary nationwide. Given the number of complications attributable to medical spas, questions remain about currently regulatory practices and whether they are sufficient to protect patients from harm. Read More

View Article and Full-Text PDF
December 2020

Effect of short-term ischemia on microcirculation and wound healing of adipocutaneous flaps in the rat.

Acta Cir Bras 2020 10;34(12):e201901203. Epub 2020 Feb 10.

PhD, DSc, Department of Operative Techniques and Surgical Research, Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary. Conception and design of the study, analysis and interpretation of data, manuscript preparation.

Purpose: Composite flaps used in reconstructive surgery may intra- and postoperatively suffer from hypoperfusion and/or ischemia-reperfusion influencing wound healing. We aimed to follow-up the effect of ischemia on adipocutaneous flaps' wound healing and microcirculation.

Methods: In anesthetized rats groin flaps were formed bilaterally. Read More

View Article and Full-Text PDF

Cutaneous laser surgery for secondary burn reconstruction: Cost benefit analysis.

Burns 2020 05 16;46(3):561-566. Epub 2020 Jan 16.

The Welsh Laser Centre, the R&D Dept, Swansea Bay University Health Board Swansea, Wales, UK; Welsh Centre for Burns and Plastic Surgery Wales, UK.

Thermal disease presents a major burden to individual patient morbidity, healthcare cost as well as to over all economy. Burns also also represent a significant per-patient utlilisation of finite healthcare resources. Secondary complications in these patients, such as multiple drug resistant organisms, may have a devastating effect. Read More

View Article and Full-Text PDF

A comparative study between oral tranexamic acid versus oral tranexamic acid and Q-switched Nd-YAG laser in melasma treatment: a clinical and dermoscopic evaluation.

J Dermatolog Treat 2021 Nov 7;32(7):819-826. Epub 2020 Jan 7.

Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Background: Melasma is a common acquired disorder of pigmentation.

Objective: To compare the efficacy of oral tranexamic acid (TA) versus oral TA and Q-switched Nd: YAG laser (1064-nm wavelength) in the treatment of melasma.

Materials And Methods: Sixty patients were divided into two groups. Read More

View Article and Full-Text PDF
November 2021