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美容实践中使用基于能量的设备的标准操作规范。

Standard operating protocol for utilizing energy-based devices in aesthetic practice.

作者信息

Mysore Venkataram, Deepthi M, Chandrashekar B S, Shah Swapnil D, Gold Michael H, Shivani S R, Kanumuru Pooja, Anirudh P

机构信息

Venkat Center for Skin, ENT & Plastic Surgery, Bangalore, Karnataka, India.

Consultant Dermatologist, Ashraya Skin & Neuro Clinic, Bangalore, Karnataka, India.

出版信息

J Cosmet Dermatol. 2024 Dec;23(12):3809-3820. doi: 10.1111/jocd.16510. Epub 2024 Sep 4.

DOI:10.1111/jocd.16510
PMID:39233487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11626368/
Abstract

BACKGROUND

Lasers and other energy-based devices are increasingly becoming popular in aesthetic practice. Many centers employ doctors or technicians to perform these procedures where treating doctor and operating doctor may be different. Hence the need for standard operative protocols, to be followed while performing these procedures to avoid mistakes, complications and to get optimum results. In the current review article, group of doctors who have worked with these energy-based devices over many years worked together and suggested the protocols to be followed for the most commonly used energy-based procedures.

AIM

To provide Standard operating protocols for the operator and staff to ensure, efficacy, safety, for the patient and for the devices.

METHODS

The following protocols have been drafted based on the best practices followed by the authors in their clinics and reflect their consensus opinion. The objective is to provide operating protocols in a standard format, which can be of use by practicing dermatologists and their staff. The protocols include both general guidelines for the laser room and specific protocols for different machines. The draft follows the following schema: General instructions for all the energy-based devices. Specific protocols for different devices: Laser hair removal, fractional lasers, Q-switched lasers, fractional microneedling radiofrequency and cryolipolysis.

CONCLUSIONS

The protocols proposed help to maintain the uniformity and avoid complications. However, these instructions are generalized and not machine or lesion specific. There may be variations in the protocols depending on the treatment lesion and treating doctor as well as machine.

摘要

背景

激光及其他基于能量的设备在美容实践中越来越受欢迎。许多中心聘请医生或技术人员来执行这些操作,其中治疗医生和操作医生可能不同。因此,需要有标准的手术方案,在执行这些操作时遵循,以避免错误、并发症并获得最佳效果。在当前这篇综述文章中,一组多年来使用这些基于能量的设备的医生共同合作,提出了最常用的基于能量的操作应遵循的方案。

目的

为操作人员和工作人员提供标准操作方案,以确保患者和设备的疗效及安全。

方法

以下方案是根据作者在其诊所遵循的最佳实践起草的,反映了他们的共识意见。目的是以标准格式提供操作方案,供皮肤科执业医生及其工作人员使用。这些方案包括激光室的一般指南和不同机器的具体方案。该草案遵循以下模式:所有基于能量的设备的一般说明。不同设备的具体方案:激光脱毛、分次激光、Q开关激光、分次微针射频和冷冻溶脂。

结论

所提出的方案有助于保持一致性并避免并发症。然而,这些说明是一般性的,并非针对特定机器或病变。根据治疗病变、治疗医生以及机器的不同,方案可能会有所变化。

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Aesthetic Plast Surg. 2025 Jul 18. doi: 10.1007/s00266-025-05013-5.

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Laser Management and Safety in Dermatology.皮肤科中的激光管理与安全
Cureus. 2022 Jun 16;14(6):e25991. doi: 10.7759/cureus.25991. eCollection 2022 Jun.
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Cryolipolysis: Clinical Best Practices and Other Nonclinical Considerations.冷冻溶脂术:临床最佳实践及其他非临床考量
Aesthet Surg J Open Forum. 2020 Mar 17;2(2):ojaa010. doi: 10.1093/asjof/ojaa010. eCollection 2020 Jun.
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Radiofrequency Microneedling: A Comprehensive and Critical Review.射频微针:全面而批判性的评价。
Dermatol Surg. 2021 Jun 1;47(6):755-761. doi: 10.1097/DSS.0000000000002972.
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Safety Guidelines Concerning the Use of Protective Eyewear and Gauze During Laser Procedures.激光手术过程中使用防护眼镜和纱布的安全指南。
Aesthet Surg J. 2021 Sep 14;41(10):1179-1185. doi: 10.1093/asj/sjaa233.
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Laser Toning in Melasma.黄褐斑的激光调Q治疗
J Cutan Aesthet Surg. 2019 Apr-Jun;12(2):76-84. doi: 10.4103/JCAS.JCAS_179_18.
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Surgical Smoke in Dermatology: Its Hazards and Management.皮肤科手术烟雾:其危害与管理
J Cutan Aesthet Surg. 2019 Jan-Mar;12(1):1-7. doi: 10.4103/JCAS.JCAS_177_18.
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Complications of laser and light-based devices therapy in patients with skin of color.激光和光基设备治疗有色人种患者的并发症。
Indian J Dermatol Venereol Leprol. 2019 Jan-Feb;85(1):24-31. doi: 10.4103/ijdvl.IJDVL_88_17.
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Prophylaxis and Treatment of Herpetic Infections.疱疹感染的预防与治疗
J Clin Aesthet Dermatol. 2017 Jan;10(1):E5-E7. Epub 2017 Jan 1.
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Cooling Devices in Laser therapy.激光治疗中的冷却装置
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Clinical photography in dermatology using smartphones: An overview.皮肤科使用智能手机进行临床摄影:概述。
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