Preoperative Considerations

There are four major issues with regard to the patient. PATIENT'S SKIN TYPE

Most clinicians use the modified Fitzpatrick scale (types I-VI Table 30-1). This is based on response to UV radiation. It is generally felt that type III and above (usually tan, sometimes burn) should be pretreated b.i.d. (twice a day) with hydro-quinone plus glycolic acid or Retin-A with or without topical steroids for 6 to 8 weeks before the resurfacing and beginning again after reepithelialization for several months to avoid postin-flammatory hyperpigmentation. Of equal importance is absolute avoidance of UV exposure until the erythema is completely resolved. Patients with Fitzpatrick types V or VI have the additional potential problem of postoperative hypopigmen-tation. This is directly related to the depth of the treatment, and a conservative approach in stages is highly recommended.

HISTORY OF SEVERE HERPETIC INFECTION

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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