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INDIVIDUAL ARTICLE: Algorithm for Nonenergy and Injectable Treatment Pre-/Post-Procedure Measures.

Michael Gold, Anneke Andriessen, David Goldberg

    Journal of Drugs in Dermatology : JDD
    |November 16, 2021
    PubMed
    Summary
    This summary is machine-generated.

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    This study introduces a new algorithm for optimizing facial rejuvenation treatments. It provides physicians with guidance on pre-treatment, during-treatment, and post-treatment measures for non-energy and injectable procedures.

    Area of Science:

    • Dermatology
    • Aesthetic Medicine
    • Cosmetic Surgery

    Background:

    • Non-energy and injectable treatments are popular for facial rejuvenation.
    • Existing literature focuses on reducing adverse events but lacks a comprehensive algorithm for pre- and post-treatment care.
    • A standardized approach is needed to optimize outcomes and patient safety.

    Purpose of the Study:

    • To develop a clinical algorithm for optimizing outcomes in non-energy and injectable facial rejuvenation treatments.
    • To provide physicians with evidence-based and expert-opinion guidance on pre-, during-, and post-procedure measures.
    • To establish a consensus on best practices for enhancing treatment efficacy and minimizing risks.

    Main Methods:

    • A panel of dermatologists and plastic surgeons convened virtually.

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  • The Delphi method was adapted for a virtual setting to reach consensus.
  • Literature reviews and expert experience informed the algorithm development.
  • Main Results:

    • The algorithm includes measures for optimizing outcomes before, during, and after procedures.
    • Preventive measures include sun avoidance and broad-spectrum sunscreen (SPF 30+).
    • Pre-treatment recommendations involve avoiding alcohol, retinol peels, and certain medications (e.g., aspirin, NSAIDs).
    • Skin preparation options include isopropyl alcohol, chlorhexidine, or hypochlorous acid (HOCl), with HOCl noted for its antimicrobial properties.
    • Literature shows inconsistency regarding pre- and post-procedure topical agents and skincare.

    Conclusions:

    • The developed algorithm supports optimal treatment outcomes for patients undergoing non-energy and injectable facial rejuvenation.
    • It offers physicians practical guidance for managing patient care throughout the treatment process.
    • The algorithm aims to standardize and improve the safety and effectiveness of these popular aesthetic procedures.