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[What's new in interventional dermatology?]

C Raimbault1

  • 1Dermatologue libérale, 30, rue des Clercs, 57000 Metz, France, présidente du Groupe de dermatologie esthétique et correctrice (gDEC) de la Société française de dermatologie, past présidente de l'Association de dermatologie esthétique et laser de l'Est (ADELE).

Annales De Dermatologie Et De Venereologie
|December 26, 2018
PubMed
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New dermatologic procedures improve filler safety and efficacy. Hyaluronidase protocols prevent vascular complications, while myomodulation refines injection techniques. Oral tranexamic acid aids melasma treatment, and botulinum toxin expands its applications.

Area of Science:

  • Dermatology
  • Aesthetic Medicine
  • Interventional Dermatology

Background:

  • Vascular complications from filler injections are a significant concern.
  • Advances in interventional dermatology offer new treatment possibilities.
  • Established treatments like pulsed dye laser have limitations, such as recurrence.

Purpose of the Study:

  • To review recent advancements in understanding, preventing, and treating complications associated with aesthetic fillers.
  • To highlight novel approaches in interventional dermatology, including myomodulation and new protocols for hyaluronidase use.
  • To discuss emerging treatments for challenging conditions like melasma and the adjunctive therapies for port wine stain recurrence.

Main Methods:

  • Review of recent publications on filler complications and treatments.
Keywords:
Acide hyaluroniqueAcide tranexamiqueBotulinum toxinHyaluronic acidHyaluronidaseLaser à colorant pulséMyomodulationToxine botuliniqueTranexamic acidpulse dye laser

Related Experiment Videos

  • Analysis of new protocols for hyaluronidase in managing vascular embolism.
  • Exploration of the concept of myomodulation and its application in aesthetic corrections.
  • Evaluation of oral tranexamic acid for melasma treatment.
  • Assessment of expanding applications for botulinum toxin.
  • Review of pulsed dye laser therapy for port wine stains and strategies to manage neo-angiogenesis.
  • Main Results:

    • New hyaluronidase protocols effectively prevent skin necrosis and blindness from hyaluronic acid filler embolism.
    • Myomodulation, by adjusting filler injection depth, can rebalance muscle forces for aging-related deficits.
    • Oral tranexamic acid shows potential utility in managing difficult melasma cases.
    • Botulinum toxin is finding broader applications in both aesthetic and medical treatments.
    • While pulsed dye laser is standard for port wine stains, adjuvant treatments are needed to combat post-laser neo-angiogenesis and recurrence.

    Conclusions:

    • Updated hyaluronidase protocols significantly enhance the safety of hyaluronic acid fillers.
    • Myomodulation offers a novel approach to dynamic facial contouring and age-related volume correction.
    • Oral tranexamic acid presents a promising option for melasma management.
    • The expanding role of botulinum toxin underscores its versatility in dermatological treatments.
    • Addressing neo-angiogenesis is crucial for improving long-term outcomes of pulsed dye laser therapy for vascular lesions.