Cosmetics Flashcards
Chemical Peel
- Depths and dermis
- Formulations and depths
- Superficial = Papillary dermis
- Medium = upper reticular dermis
- Deep = middle reticular dermis
Superficial: <30% TCA, or Jessners, or glycolic acid
Medium: <30% TCA + Jessners, or 30-50% TCA alone, or plain phenol
Deep: Special phenols
Which chemical peel agent is toxic to heart, lung, liver, and kidneys?
Baker’s Phenol
Pre procedure agents. What is the goal?
- Glycolic acid?
- Tretinoin?
- Hydroquinone?
- Acyclovir?
- Glycolic acid = Keritinolysis, enhance penetration
- Tretinoin? = Increase collagen fibroblast for quicker healing
- Hydroquinone = Prevent hyperpigmentation, melanocytes
- Acyclovir = prevent herpetic infections
Management of hyperpigmentation following CO2 laser
- Topical retinoids for fibroblast collagen production
- Glycolic acid for keritinolysis
- Hydroquinone to inhibit melanocytes
- Camoflouge makeup
Which skin types most likely to have hyperpigmentation following CO2 laser?
Fitzpatrick III, IV
Which otoplasty technique has highest relapse?
Furnas technique
Post-auricular, remove vestigial muscle, suture cartilage to mastoid fascia
Perichondritis after otoplasty
- Bug
- Management
- Prevention
Perichondritis after otoplasty
- Bug = pseudomonas
- Management = Ciprofloxacin, debridement
- Prevention = Prevent hematoma
Incisions - Septoplasty/Rhinoplasty
Location of each incision:
- Transfixion
- Intercartilaginous
- Weir
- Transfixion: horizontal, placed at caudal end of septum, gives access to nasal septum
- Intercartilaginous: vertical, placed between upper and lower lateral cartilage
- Weir: Excision of mucosa at alar base for alar width narrowing
Muscles and Rhytids
- Horizontal Forehead
- Horizontal Glabella
- Vertical Glabella
- Horizontal Forehead = Frontalis m.
- Horizontal Glabella = Procerus
- Vertical Glabella = Corrugators