Mysore Venkataram, Deepthi M, Chandrashekar B S, Shah Swapnil D, Gold Michael H, Shivani S R, Kanumuru Pooja, Anirudh P
Venkat Center for Skin, ENT & Plastic Surgery, Bangalore, Karnataka, India.
Consultant Dermatologist, Ashraya Skin & Neuro Clinic, Bangalore, Karnataka, India.
J Cosmet Dermatol. 2024 Dec;23(12):3809-3820. doi: 10.1111/jocd.16510. Epub 2024 Sep 4.
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.
To provide Standard operating protocols for the operator and staff to ensure, efficacy, safety, for the patient and for the devices.
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.
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.
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。
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。
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。
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。