Lecture 13
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Questions and Answers

Which procedure is considered cosmetic according to the provided definitions?

  • Removing a freckle (correct)
  • Treating acne
  • Prescribing medication for skin rashes
  • Cutting facial hair

What is primarily responsible for facial skin aging?

  • Poor diet
  • Chronic UV light exposure (correct)
  • Lack of sleep
  • Genetic factors

What is a common misconception regarding wrinkle creams?

  • They generally contain antioxidants.
  • Moisturizers can improve skin appearance.
  • Ingredients like alpha-hydroxy acids help with skin texture.
  • They all have strong supporting data for effectiveness. (correct)

Which of the following benefits does alpha-hydroxy acid provide?

<p>Improves texture of the skin surface (D)</p> Signup and view all the answers

What effect do antioxidants in wrinkle creams primarily have?

<p>They prevent further damage and promote healing (A)</p> Signup and view all the answers

What type of skin change is NOT considered cosmetic according to the definitions given?

<p>Abnormal pigmentation (B)</p> Signup and view all the answers

What is a key reason that the skin on the upper inner arm appears less aged than facial skin?

<p>It is naturally photoprotected (D)</p> Signup and view all the answers

What is the primary purpose of using moisturizers in skincare?

<p>To improve skin hydration and appearance (A)</p> Signup and view all the answers

What is the primary material used in the most common types of fillers?

<p>Hyaluronic acid (C)</p> Signup and view all the answers

What is the typical recovery time for a superficial chemical peel?

<p>1-2 days (B)</p> Signup and view all the answers

Which type of chemical peel is best suited for deep, significant wrinkles?

<p>Deep peel (B)</p> Signup and view all the answers

What is the approximate cost range for a hyaluronic acid filler?

<p>$500-$1000 (B)</p> Signup and view all the answers

What is the primary benefit of retinoids when used chronically on the skin?

<p>They improve texture, pigmentation, and wrinkles. (B)</p> Signup and view all the answers

How does a medium depth peel differ in pain level compared to a superficial peel?

<p>More painful often requiring conscious sedation (A)</p> Signup and view all the answers

Which procedure has a recovery time of approximately one month?

<p>Deep peel (C)</p> Signup and view all the answers

How do retinoids stimulate improvements in the skin?

<p>By promoting differentiation of epidermal keratinocytes and stimulating collagen production. (C)</p> Signup and view all the answers

What aspect do injectable fillers primarily target?

<p>Static wrinkles. (D)</p> Signup and view all the answers

What type of changes can be expected in the skin after a deep chemical peel?

<p>Total regeneration of the epidermis and new collagen production (A)</p> Signup and view all the answers

What is a common side effect experienced during the first few weeks of using topical retinoids?

<p>Erythema, scaling, and itching. (C)</p> Signup and view all the answers

What is a common outcome for most superficial peels?

<p>Reduction in very fine wrinkles and minimal roughness (D)</p> Signup and view all the answers

What is the duration of effect for Botox following treatment?

<p>3-6 months. (A)</p> Signup and view all the answers

What is the main purpose of applying a broad-spectrum sunscreen when using retinoids?

<p>To protect against new photoaging. (B)</p> Signup and view all the answers

Which type of wrinkles are Botox injections ineffective against?

<p>Static wrinkles. (A)</p> Signup and view all the answers

What is the price range for a typical monthly supply of topical generic retinoid?

<p>$30-75. (D)</p> Signup and view all the answers

What does the acronym 'laser' stand for?

<p>Light Amplification by Stimulated Emission of Radiation (C)</p> Signup and view all the answers

What is the primary factor that determines the effect a laser will have on the body?

<p>The wavelength of the light (B)</p> Signup and view all the answers

Which of the following substances is NOT a primary target for laser light absorption?

<p>Carbon dioxide (D)</p> Signup and view all the answers

What is a characteristic of vascular lasers?

<p>They specifically target blood vessels and can penetrate up to 1 cm of tissue. (C)</p> Signup and view all the answers

How long can bruising from vascular laser treatment take to resolve?

<p>1-2 weeks (D)</p> Signup and view all the answers

What happens to the blood in superficial blood vessels when treated with vascular lasers?

<p>The blood is heated, leading to vessel damage. (A)</p> Signup and view all the answers

What commonly used laser is developed for clinical use specifically targeting blood vessels?

<p>Pulsed-dye laser (B)</p> Signup and view all the answers

What effect does the process of laser treatment generally have on surrounding tissue?

<p>Bruising may occur, which can take time to heal. (D)</p> Signup and view all the answers

What is the primary function of pigment lasers?

<p>To heat and destroy pigment particles (B)</p> Signup and view all the answers

Which skin type is most suitable for treatment with pigment lasers?

<p>Very pale complexions (A)</p> Signup and view all the answers

Which tattoo colors are among the easiest to remove with laser treatment?

<p>Blue and black (A)</p> Signup and view all the answers

What is a common side effect of using pigment lasers?

<p>Blistering (D)</p> Signup and view all the answers

What kind of laser is primarily used for tissue destruction in dermatology?

<p>CO2 laser (B)</p> Signup and view all the answers

What is the typical recovery time required after CO2 laser resurfacing?

<p>4-6 weeks (A)</p> Signup and view all the answers

Which statement is true about laser treatment for hair removal?

<p>It works best on dark hair in lightly pigmented skin. (C)</p> Signup and view all the answers

What is sclerotherapy primarily used to treat?

<p>Spider veins (D)</p> Signup and view all the answers

What is a primary purpose of liposuction?

<p>To remove stubborn fat after diet and exercise (C)</p> Signup and view all the answers

What are the potential risks associated with removing more than 10 lbs of fat during liposuction?

<p>Significant cardiovascular stress and complications (C)</p> Signup and view all the answers

What anesthesia method is commonly used in the safest liposuction technique?

<p>Tumescent anesthesia (D)</p> Signup and view all the answers

Which of the following describes the main focus of a facelift?

<p>To treat static wrinkles and lax skin (C)</p> Signup and view all the answers

What is a common post-operative complication associated with a facelift?

<p>Visible scars and numbness (A)</p> Signup and view all the answers

What influences the extent of a facelift?

<p>The amount of skin removed and suspension achieved (A)</p> Signup and view all the answers

What is a typical recovery period for liposuction?

<p>Up to 6 weeks (C)</p> Signup and view all the answers

What is the role of compression garments after liposuction?

<p>To support healing and reduce swelling (A)</p> Signup and view all the answers

Flashcards

What is cosmetic dermatology?

Procedures aiming to make a person look younger or change their appearance to a more aesthetically pleasing standard.

What is photoaging?

The process of skin aging due to prolonged exposure to UV radiation from the sun.

What are antioxidants in skincare?

Substances like Vitamin C and E that protect cells from damage caused by free radicals.

What are co-enzymes and precursors in skincare?

Ingredients that accelerate natural processes in the skin, such as collagen production.

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What are alpha-hydroxy acids (AHAs) in skincare?

Chemicals that exfoliate the skin's surface, leading to a smoother and brighter appearance.

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What is the most important preventative measure in cosmetic dermatology?

The most effective way to prevent photoaging and preserve youthful skin.

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What is recovery time in cosmetic procedures?

The amount of time it takes for visible signs of a cosmetic procedure to fade.

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How can regular skincare improve skin appearance?

Moisturizers and other skincare products can improve skin hydration and appearance.

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Skin Lightening Agents

Topical agents that improve skin pigmentation and reduce photoaging by preventing further UV damage. They are commonly used for chronic skin conditions.

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Retinoids for Skin Improvement

Topical agents, especially retinoids, are highly effective for improving skin texture, reducing wrinkles, and promoting collagen production. They help normalize skin cell growth and stimulate collagen synthesis.

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Botox: The Wrinkle Eraser

Botox is a neurotoxin that temporarily paralyzes muscles, diminishing dynamic wrinkles, those visible when making facial expressions. It is most effective for forehead and periorbital wrinkles.

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How Botox Works

Botox is a neurotoxin, a substance that blocks the release of a neurotransmitter called acetylcholine from motor nerves, causing muscle paralysis. This effect reduces wrinkles that occur during muscle contraction.

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Injectable Fillers: Filling the Gaps

Injectable fillers are substances injected into the skin to plump up and fill static wrinkles, those visible at rest. They are most effective for wrinkles in the glabellar area, nasolabial folds, and perioral area.

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How Fillers Work

Injectable fillers work by adding volume to the skin, filling in wrinkles and making them less noticeable. They are made of various materials, including hyaluronic acid, collagen, and fat.

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Retinoids: A Versatile Skin Treatment

Topical retinoids are a valuable treatment option for various skin concerns due to their ability to promote cell turnover and collagen production. They can help improve acne, reduce wrinkles, and lighten skin discoloration.

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Retinoids: Start Slow

While retinoids offer numerous benefits for skin health, it's crucial to use them prudently. Start slowly, apply a pea-sized amount to your face, and gradually increase frequency as your skin tolerates it. Consult a dermatologist to ensure proper usage for your skin type.

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Dermal Fillers

A cosmetic procedure that uses fillers like hyaluronic acid to plump up wrinkles and depressions in the skin, providing a smoother appearance.

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Recovery Time

The time it takes for the skin to heal and for any swelling or bruising to subside after a procedure.

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Chemical Peels

A cosmetic procedure that involves applying a chemical solution to the skin to remove the top layers, promoting the growth of new skin and reducing wrinkles, acne scars, and uneven pigmentation.

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Peel Depth

Classifies chemical peels based on the depth of skin removed, influencing the severity of the procedure and recovery time.

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Superficial Peel

A shallow chemical peel affecting only the outer layer of skin, used for treating mild skin problems like fine wrinkles and acne.

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Medium-Depth Peel

A medium-depth chemical peel, reaching deeper into the skin, effective for treating deeper wrinkles, roughness, and uneven pigmentation.

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Deep Peel

A deep chemical peel, targeting all layers of the epidermis and the superficial dermis, used for severe skin conditions like deep wrinkles and significant uneven pigmentation.

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Skin Regeneration

The process of creating new skin cells after a chemical peel, resulting in a smoother, more youthful appearance.

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How do lasers work?

Energy is added to a solid, liquid, or gas substance (a "medium"). This excites electrons, causing them to jump to a higher energy level. When they return to their original state, they emit light of a specific wavelength, creating a powerful source of light.

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What is a laser medium?

Each laser uses a specific substance, called the laser medium, e.g., a dye or a gas, which determines its wavelength and power output.

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How do laser wavelengths affect the body?

Different wavelengths of laser light interact differently with various substances in the body, like water, melanin, hemoglobin, and tattoo pigments.

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What are vascular lasers?

Lasers specifically absorbed by hemoglobin are called vascular lasers. They target blood vessels, causing heat damage and eventual destruction.

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What are vascular lasers used for?

Used for treating port-wine stains, telangiectasias, rosacea, and spider veins, vascular lasers heat blood in superficial blood vessels, leading to their destruction without causing ischemia (lack of blood flow).

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What is a pulsed-dye laser?

The pulsed-dye laser, named for its dye medium and pulsed output, is a commonly used vascular laser.

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What are the side effects of vascular laser treatments?

Vascular laser treatments can cause bruising that takes 1-2 weeks to heal and can be mildly to moderately painful.

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What are the key characteristics of medical lasers?

Lasers used in medicine are categorized by their wavelength, power output, and delivery mode (continuous or pulsed).

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Pigment lasers

Lasers that target and absorb specific pigments like melanin or tattoo ink, leading to their breakdown and removal.

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Melanin lasers

Lasers specifically designed to target and absorb melanin, the pigment responsible for skin and hair color.

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Laser hair removal

The process by which melanin lasers remove unwanted hair by selectively targeting and damaging the hair follicle.

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Tattoo removal lasers

Lasers that selectively target and absorb tattoo pigments, causing their breakdown and removal.

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Water-absorbing lasers (CO2 laser)

A type of laser that targets and absorbs water molecules, leading to the rapid heating and destruction of tissue.

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Sclerotherapy

A medical procedure that involves injecting a solution into varicose or spider veins to make them collapse and disappear.

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CO2 laser resurfacing

A cosmetic procedure that uses a CO2 laser to remove layers of skin, improving wrinkles, pigmentation, and texture.

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What is Liposuction?

A surgical procedure to remove excess fat from specific areas of the body.

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What is Tumescent anesthesia?

A type of local anesthesia used in liposuction where a large volume of diluted anesthetic is injected into the targeted fat areas.

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What's the safe limit for fat removal in liposuction?

The amount of fat that can be safely removed in liposuction.

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How does a facelift work?

The procedure involves making incisions near the ears, removing excess skin, and placing suspending sutures in the deeper fascia.

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What is fascia?

The deeper layer of tissue, located beneath the skin, that does not stretch unlike skin, providing support and structure.

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How is the intensity of a facelift determined?

The amount of skin removed and tension applied to the sutures during a facelift determines the intensity and effectiveness of the procedure.

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What are common minor complications of liposuction?

Common minor complications following liposuction include bruising, swelling, pain, and discomfort.

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What is a typical post-operative sign after a facelift?

Post-operative bruising is almost always expected after a facelift, representing the normal healing process.

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Study Notes

Cosmetic Dermatology

  • Cosmetic procedures aim to make a person look younger, or change the appearance of a feature considered normal by most people.
  • Facial procedures target wrinkles, roughness, and abnormal pigmentation.
  • Recovery time is the period until post-procedure healing is no longer visible.
  • Aging is primarily due to chronic UV light exposure (photodamage).

Wrinkle Creams

  • Antioxidants (vitamin C, E) prevent further damage and promote healing
  • Coenzymes and precursors (copper, co-enzyme Q, amino acids, peptides) stimulate natural beneficial substances
  • Data strongly supporting their use is weak.
  • Regular use improves appearance through hydration.
  • Alpha-hydroxy acids (AHAs) improve skin texture and appearance.
  • Sunscreens reduce photoaging and improve pigment distribution

Retinoids

  • Highly effective topical agents for improving skin texture, pigmentation, and wrinkles.
  • Increase dermal collagen production by stimulating fibroblasts and normalizing epidermal keratinocytes.
  • Side effects: erythema, scaling, itching (most prominent in first 6 weeks). Side effects resolve with continued use.
  • Improves fine lines, wrinkles, abnormal pigmentation, and roughness.

Botulinum Toxin (Botox)

  • Effective for dynamic wrinkles (expression lines).
  • Ineffective against static wrinkles (rest lines).
  • Involves multiple injections of small amounts of toxin into the skin.
  • Recovery time is less than 30 minutes; takes 1-2 weeks to show significant effect; lasts 3-6 months.
  • Works by blocking acetylcholine release from motor nerves.
  • Costs $400-$800

Injectable Fillers

  • Improve the appearance of static wrinkles in glabellar, nasolabial, and perioral areas.
  • Involves multiple injections of filler into the dermis.
  • Recovery time is frequently brief, but bruising and swelling are possible.
  • Effects are nearly immediate and vary in duration depending on the filler.
  • Hyaluronic acid is a frequent filler material.
  • Costs $500-$1000

Chemical Peels

  • Classified by depth: superficial, medium, and deep.
  • Superficial peels treat fine wrinkles, mild dyspigmentation, and minimal roughness.
  • Medium peels improve fine wrinkles, significant roughness, and significant dyspigmentation.
  • Deep peels treat significant wrinkles, severe roughness, and severe dyspigmentation.
  • All types use topical acids; superficial peels are minimally painful.
  • Medium peels require conscious sedation or sometimes full anesthesia.
  • Deep peels usually require conscious or full anesthesia.
  • Deep peels may cost several thousands of dollars.

Lasers

  • Light Amplification by Stimulated Emission of Radiation (LASER).
  • Effectiveness depends upon absorbed wavelength, which targets specific substance (water, melanin, hemoglobin, or tattoo pigment)
  • Vascular lasers target blood vessels, pigment lasers target melanin / tattoos.
  • Most tissue is water, so CO2 lasers target water-rich tissue, removing some layers, effectively addressing wrinkles and pigment.
  • Various lasers are available with different wavelengths that can address specific skin concerns.
  • Vascular lasers target blood vessels, pigment lasers target melanin, and other wavelengths target other components.

Sclerotherapy

  • Used to treat spider veins (small, blue-to-red blood vessels).
  • Injects hypertonic saline or chemical irritants into affected vessels.
  • Potential for ulcers or hyperpigmentation.
  • Limited effectiveness for major varicose veins.
  • Recovery time is 1-several days.

Scar Revision

  • Treatment may vary based on scar type, size, and cause.
  • Surgical intervention is sometimes needed.
  • Alternative treatments include intralesional steroid injections, pulsed-dye lasers, dermabrasion / using an abrasive or rotating brush.

Liposuction

  • Not effective for weight loss, beneficial in treating persistent fat deposits despite diet and exercise.
  • Uses "Tumescent" anesthesia which injects large volumes of very diluted local anesthetic.
  • Removes approximately 10 lbs of fat safely.
  • Recovery time is up to 6 weeks, and patients need compression clothing for at least several weeks; post-operative bruising and swelling is common.
  • Possible complications include cardiac stress; cost is several thousand dollars.

Facelift

  • Treats static wrinkles and sagging skin.
  • Involves incisions near the hairline, removing excess skin and suspending underlying tissue (fascia).
  • Amount of skin and fascia removed / repositioned determines procedure result.
  • Recovery time is typically up to 6 weeks; patient needs to wear compression garment for several weeks.
  • Cost is typically several thousand dollars.

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Test your knowledge on cosmetic procedures, skincare treatments, and the science behind skin aging. This quiz covers common misconceptions, the role of various ingredients, and the effects of different treatments on skin health. Perfect for anyone interested in the skincare industry or cosmetic procedures!

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