J Drugs Dermatol. 2021 Nov 1;20(11):ss3s-s10s. doi: 10.36849/jdd.1121.
Nonenergy and injectable treatments are frequently used for facial rejuvenation. Many publications have addressed methods to reduce adverse events related to the procedure; however, no algorithm exists on temporol before, during, and after measures for nonenergy and injectable treatments.
A panel of dermatologists and plastic surgeons convened a virtual meeting to develop an algorithm for measures before, during, and after nonenergy and injectable treatments based on the best available evidence and the panelists' experience and opinion. For the project, a Delphi method was applied, which was adapted from face-to-face meetings to a virtual meeting to discuss the outcome of literature searches to reach a consensus on the algorithm.
The four sections of the algorithm address measures for optimizing outcome before, during, and after the procedure. Prevention includes avoiding excessive sun exposure and the use of a broad-spectrum sunscreen with an SPF 30 or higher. Before nonenergy-based and injectable treatments, the avoidance of alcohol, retinol peels, and agents such as acetylsalicylic acid and non-steroidal anti-inflammatory drugs, amongst other agents, is advised. Isopropyl alcohol, chlorhexidine, or hypochlorous acid (HOCl) prepare the skin before nonenergy and injectable treatments. The advisors recognize HOCL as particularly useful as it is active against bacterial, viral, fungal microorganisms and biofilm. The literature is inconsistent about the use of topical agents and skincare before and after the procedure.
The algorithm aims to support an optimal treatment outcome for their patients, providing physicians with guidance on measures before, during, and after nonenergy and injectable treatments. J Drugs Dermatol. 2021;20:11(Suppl):s3-10.
非能量和注射治疗常用于面部年轻化。许多出版物已经解决了与该程序相关的不良事件的方法；然而，在非能量和注射治疗之前、期间和之后，还没有关于颞部的算法。
一组皮肤科医生和整形外科医生召开了一次虚拟会议，根据最佳现有证据以及小组成员的经验和意见，制定了一个用于非能量和注射治疗之前、期间和之后的措施的算法。该项目应用了德尔菲法，该方法从面对面会议改编为虚拟会议，以讨论文献检索的结果，就算法达成共识。
该算法的四个部分分别针对在手术前后优化结果的措施。预防措施包括避免过度暴露于阳光下和使用 SPF 30 或更高的广谱防晒霜。在进行非能量治疗和注射治疗之前，建议避免使用酒精、视黄醇去皮剂以及乙酰水杨酸和非甾体抗炎药等药物。异丙醇、洗必泰或次氯酸（HOCl）在进行非能量和注射治疗之前对皮肤进行预处理。顾问们认为 HOCl 特别有用，因为它对细菌、病毒、真菌微生物和生物膜具有活性。关于在治疗前后使用局部药物和皮肤护理的文献不一致。
该算法旨在为患者提供最佳的治疗效果，为医生提供非能量和注射治疗前后的措施指导。J 皮肤病学杂志。2021;20:11（增刊）：s3-10。
