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64 1590 99 002_1 - 21. February 2011
local causes of acne inversa are also destroyed in this procedure. After a normal epilation treatment,
this effect becomes obvious by a reduced smell development of the axillas.
The treatment of the affected areas is performed at 810 nm with 30-40 J/cm2. First, it is a single
treatment of the affected area. In the most favorable case, the treatment should be carried out in
the primary pustule or abscess stage without scar formation.
20 patients were treated within the last three years. Their diseases showed very different
development stages starting from the recessive abscess formation in the inguinal zone up to the
extended finding with partly considerable complications (repeated operations, condition after sepsis
with vertebral abscess formation).
All patients showed a positive reaction to the therapy. At best, new abscesses healed within few
days without requiring further antibiotic therapeutic measures. In case of inflammation reactions that
have already existed for a longer period of time (longer than 6 months) the inflammation could heal
within 6 weeks. In case of extended scar abscess cavities, an antiseptic effect could be achieved but
a healing of the cavity not; recessive symptoms are to be expected here.
Patients who have not had extensive scars yet or areas not scared yet showed a good recessive
prophylaxis. In the longest period about three years, a complete freedom of recessive symptoms
could be observed after an abscess separation performed under general anesthetic once a month
before. As an additional finding the smell development was reduced.
Compared with earlier investigations it can be said that a further therapeutic option for treating acne
inversa exists. It can be just used at the beginning of the development of the disease and go without
an operation in favorable cases.
For advanced disease cases, a significant improvement of the finding and the general condition of
the patients can be achieved. Here, primary radical operations with defect coverage are not required
and instead of this only minimum operations are necessary so that the disease can be better
tolerated by the patients.
6.7 Skin rejuvenation
Generally, the term skin rejuvenation is understood as an improvement of the skin structure (lifting,
reduction of the pore size), clearance of pigmentations and reduction of small wrinkles so that the
overall appearance is rejuvenated.
Also here, the treatment, contraindications, side effects and treatment procedure are similar to
epilation procedures. (See the corresponding chapters.)
Three treatments at 4 weeks intervals are to be performed.
But unlike the epilation treatment, the treatment consists of 3 passes in direct succession and then it
is the best to continuously cool the skin with a cooling mask.
3 treatments at one-month-intervals are required.
If, however, age spots shall be brightened(diagnosis must be absolutely reliable to exclude cancerous
and precancerous lesions!) a small spot size at a distance of about 1 mm from the skin is to be used
for the treatment. After the treatments the lentigines become darker first!
Make sure to inform your patients accordingly.
Lecture given by Sue McCoy, M.D. about Joint Laser Conference in Edinburgh, 2004
Translation from English:
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