Glossary of Terms – Dermatologist

Dermatologist – Glossary of Terms

Dermatologist

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Botulinum Toxin Type A Injections – Outpatient Surgery
Description: Injection of botulinum toxin type A (Botox) into facial muscles inhibits muscle action, thereby decreasing forehead furrowing, frown lines, and wrinkles around the eyes; can also treat excessive perspiration in the underarms, palms, and soles of the feet.
Average Cost: $400 – $1,000
Length of Surgery: Minutes
Anesthesia: None required
Recovery Time: Immediate
Treatment Frequency: Every 4-6 months
Risks: Bruising, numbness, and burning during injections.  Eyelid droop is possible, but rare and temporary.
Duration of Results: Temporary
Essential Questions: 1. What brand of botulinum do you recommend and why?  Is it a botulinum type A?  Is it FDA-approved or am I part of an FDA clinical trial?
2. How long have you been using this brand?  What is your experience with this brand of botulinum?
3. Where will you inject me and what do you expect the injections to achieve?
4. What results do your patients experience and how long do they last?
5. Will you inject me yourself, or will a member of your staff?  What are his or her qualifcations?

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Skin Resurfacing: Non-Ablative – Outpatient Surgery
Description: Removal of the superficial upper layers of the skin without causing wounding.  Microdermabrasion uses vacuum suction and fine abrasive crystals to polish the skin.  Dermaplaning involves careful scraping with a fine scalpel.  Chemical peel solutions include glycolics, low-concentration TCA, retinoic acid or amino acid combinations.
Average Cost: $150 – $300 per treatment
Length of Surgery: 30 minutes
Anesthesia: None.  You may request a topical numbing cream prior to treatment if you are exceptionally sensitive to pain.
Recovery Time: None, although skin may be slightly pink or red for a few hours after treatment.
Treatment Frequency: May be repeated weekly, monthly, or asyour doctor advises to maximize results.
Risks: Irritation, irregular pigmentation, persistent redness, possible wounds and scarring if performed incorrectly.
Duration of Results: Temporary, but results continue to improve with repeated treatment.  Sun protection is essential to maintain results.

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Skin Resurfacing: Ablative – Outpatient Surgery
Description: Removal of the upper layers of the skin to smooth scars, fine lines and wrinkles, or to treat irregular pigmentation.  Lasers commonly used include carbon dioxide (CO2) or erbium.  Chemical peel agents include TCA, croton oil, and Jessner’s solution.  Dermabrasion involves a controlled mechanical scraping of the skin.
Average Cost: $2,500 – $5,000
Length of Surgery: 30-90 Minutes
Anesthesia: Local with sedation.
Recovery Time: Return to work within 2-4 weeks.
Treatment Frequency: May be repeated if necessary.
Risks: Burns, scarring, pigmentation changes, persistent redness, activation of herpes virus infections (cold sores).
Duration of Results: Long-lasting, but aging will affect results.  Sun protection is essential to maintain results.
Essential Questions: 1. What is your experience with laser and other skin resurfacing techniques?  What type of laser will you use?
2. How many treatments will I require to achieve my desired results?
3. Is it safe for my skin tone?  Will this change the color of my skin?
4. What type of recovery will I require?  Will I need special skin care during this time?
5. Will you treat me yourself, or will a member of your staff?  What are his or her qualifications?

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Fat Injections – Outpatient Surgery
Description: The body’s own fat is used as a soft-tissue filler and taken from one area and injected into another to recontour the face, diminish wrinkles, and fill in depressed areas.  It can also be used to rejuvenate the hands, reshape the buttocks or refine the appearance of the breasts after lumpectomy.
Average Cost: $1,000 – $3,500 depending on number of treatment areas.
Length of Surgery: 1/2 – 1 hour
Anesthesia: Local with sedation.
Recovery Time: 3-14 days, depeding on amount of fat injected.
Treatment Frequency: May require up to 3 sessions at 3-month intervals
Risks: Infection, lumpiness
Duration of Results: Temporary or long-lasting, depending on individual and treatment area.
Essential Questions: 1. From where will you take the fat that is to be transferred?  Where will the fat be reinjected?
2. Will fat injections alone achieve mky goals?  Are there alternatives you recommend?
3. How many treatments will I require to achieve my desired results?
4. What type of recovery will I require?
5. What type of anesthesia will be used and who will administer it?

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Fractional Skin Resurfacing – Outpatient Surgery
Description: A procedure using a laser of microscopic thermal light to restructure layers of skin, improving or erasing fine lines, uneven pigmentation , and scars.
Average Cost: $1,200 – $5,000
Length of Surgery: 1 Hour
Anesthesia: Local
Recovery Time: Return to work the next day.
Treatment Frequency: 3-5 treatments in 2-week cycles
Risks: Burns, scarring, uneven pigmentation, persistent redness, activation of herpes virus infections (cold sores) around the mouth.
Duration of Results: Results and duration of improvement vary.  Aging and sun exposure will affect results.
Essential Questions: 1. What is your experience with skin resurfacing techniques and with fractional resurfacing specifically?
2. How many treatments will I require to achieve my results?
3. What type of recovery will I require?
4. Will I require special skin care during my recovery?
5. Will you treat me yourself, or will a member of your staff?  What are his or her qualifications?

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Injectable Fillers – Outpatient Surgery
Description: Soft-tissue filler is injected to enhance soft-tissue volume, recontour the face, diminish wrinkles, fill in depressed areas as well as cellulite dimples.  These can be temporary collagen- or hyalronic-acid-based injections, or longer-lasting injectables with microscopic particles that stimulate collagen deeper in the skin.
Average Cost: $500 – $2,000, depending on treatment area.
Length of Surgery: 15 minutes to 1 hour
Anesthesia: Local
Recovery Time: 0-10 days, depending on filler and area treated.
Treatment Frequency: May require only 1 treatment; semipermanent or permanent fillers may require more than 1 treatment to achieve desired results. Results will diminish if treatment is not repeated once the filler begins to reabsorb.
Risks: Temproary bruising, swelling, possible infection.  Semipermanent and permanent fillers may migrate or cause lumpiness and granulomas.
Duration of Results: Temporary fillers last from 3-6 months or more; semipermanent fillers last 2 years or more.  Permanent fillers are permanent and can only be corrected through surgical removal.
Inside Tip: Some injectables like Sculptra contain lidocaine (to numb the area), which allows for them to be used without a topical anesthesia.

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Laser Hair Removal – Outpatient Surgery
Description: A nonsurgical method of permanently reducing unwanted facial or body hair by using low-energy lasers on the skin.
Average Cost: $200 -$500 per treatment cycle, dependingon size of area treated.
Length of Surgery: Several minutes to several hours, depending on size of area treated.
Anesthesia: None required
Recovery Time: None
Treatment Frequency: Several sessions may be needed because not all hair follicles will be disabled in each treatment.
Risks: Redness, swelling, skin sensitivity, scarring.
Duration of Results: Partially permanent, although follow-up treatments may be necessary.
Essential Questions: 1. What type of light or energy source do you use for hair removal?  Is the equipment up to date?
2. Is it safe for my skin type?
3. How many treatments will I require to achieve my goals?
4. Will I require special skin care following my treatment?
5. Will you treat me yourself, or will a member of your staff?  What are his or her qualifications?

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Non-Ablative Lasers – Outpatient Surgery
Description: A light-based treatment that penetrates the skin without visible wounding to the skin surface to treat sun damage, age spots, and irregular pigmentation, spider veins, redness such as rosacea, acne, and unwanted hair.
Average Cost: $200 – $500 per treatment cyce, depending on size of area treated.
Length of Surgery: Several minutes to several hours, depending on size of area treated.
Anesthesia: None required
Recovery Time: None
Treatment Frequency: Several sessions may be needed to achieve desired results.
Risks: Redness, swelling, skin sensitivity.
Duration of Results: Varies by procedure.  Follow-up treatments may be necessary to maintain results.
Essential Questions: Keep in mind that directly after any light-based treatment you may notice some redness, which should subside in a few hours.  To prevent new spots and redness from forming or reappearing, use sunscreen daily and limit your amount of sun exposure.

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Skin-Tightening Engery-Based Procedures – Outpatient Surgery
Description: A procedure using a light or radio-frequency-based energy to impart thermal energy to tighten the skin and stimulate collagen production.  Titan is appropriate for the face, neck and body; radio-frequency is approparite fof the face, neck and body.
Average Cost: $800 – $2,000
Length of Surgery: 30-90 minutes.
Anesthesia: None or local, oral sedation may be recommended.
Recovery Time: Return to work immediately
Treatment Frequency: May be repeated if necessary
Risks: Burns, scarring, uneven pigmentation, persistent redness.
Duration of Results: The technology is too new to provide a reasonable estimate.

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Plasma Resurfacing – Outpatient Surgery
Description: An energy-based treatment that uses nitrogen plasma energy to restructure collagen and resurface the skin on the face and body to improve skin tone, texture, and discoloration.
Average Cost: $2,400 – $3,500
Length of Surgery: 30 minutes
Anesthesia: Topical; an oral sedative may be given to reduce anxiety; some physicians use nerve blocks.
Recovery Time: Expect skin flaking, redness, and swelling for 3-5 days.
Treatment Frequency: A single high-energy treatment or a series of low-energy treatments.
Duration of Results: Like any resurfacing treatment, the duration of results varies based on how quickly environmental factors and aging produce new surface irregularities.  The extent of improvement is also unpredictable.

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Spider Vein Treatment – Outpatient Surgery
Description: Injection of benign spider and varicose veins, usually in the legs, using a sclerosing solution, which makes veins less visible.
Average Cost: $350 per session, depending on the size of the area treated.
Length of Surgery: 15-45 minutes per treatment
Anesthesia: None
Recovery Time: Return to work immediately or next day.  Moderate exercise in 24 hours.  May need to wear support hose or a compression wrap for 2 days to 2 weeks.
Treatment Frequency: 3-4 monthly treatments, depending on the size of area.
Risks: Blood clots at injection site, pigmentation changes.
Duration of Results: Long-lasting, however, sclerotherapy does not prevent new veins from appearing.
Essential Questions: While sclerotherapy is commonly used to address spider and varicose veins in the legs, it can also be used to minimize the appearance of pronounced veins on the hands.

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