¿Los láseres funcionan para el acné?

Michael Gold, MD, Gold Skin Care, Nashville, TN; Publicado en Dermatología práctica vol. 13, núm. 4 de abril de 2016 Cerca de 50 millones de estadounidenses tienen acné, una afección que puede ocasionar importantes problemas físicos y psicológicos, según la Academia Estadounidense de Dermatología (AAD). Hay una multitud de opciones de tratamiento para el acné disponibles en la actualidad, que incluyen terapia tópica, antibióticos, isotretinoína, anticonceptivos orales o dispositivos láser y de luz. Las nuevas pautas de la AAD para el tratamiento del acné vulgar sugieren que la combinación de terapias brinda la mejor oportunidad de eliminación. Los láseres representan una opción extremadamente atractiva para los pacientes con acné que no han respondido a las terapias tradicionales y para aquellos que no pueden o no quieren tomar medicamentos orales, incluyendo antibióticos o isotretinoína. Al principio, se depositaron muchas esperanzas en la luz azul para el acné y si bien, esto puede ser efectivo, existen algunos inconvenientes inherentes. Para empezar, las terapias para el acné con luz azul son las más adecuadas para los casos de acné leve a moderado. Es probable que los pacientes que tienen acné severo no se beneficien con la luz azul. Esta modalidad generalmente solo es efectiva para matar los tipos más comunes de bacterias del acné, no algunos de los valores atípicos que sabemos que pueden causar o empeorar el acné. El calor intenso de la generación anterior de láseres causó dolor, quemaduras y otros efectos adversos. Otros dispositivos de luz, incluyendo la luz pulsada intensa (IPL) y los láseres de diodo, no poseen un poder de calentamiento tan profundo. En cambio, muchos aplican “mecanismos de succión” a la piel para acercar las glándulas sebáceas diana a la superficie de la piel. Esto puede hacer que el procedimiento sea menos higiénico y puede aumentar el riesgo de diseminación de la bacteria P. acnes a las zonas de piel no afectadas. Por estas razones, ha habido un gran entusiasmo por Neo de Aerolase para el tratamiento del acné vulgar. Este láser de 650 microsegundos trata de forma eficaz y segura a pacientes con acné tanto pediátricos como adultos, independientemente del tipo de piel. Penetra más profundamente que cualquier otra modalidad de láser/luz, permitiendo que la energía llegue a las glándulas sebáceas donde logrará la destrucción bacteriana. El Neo se dirige selectivamente al agua, la melanina y la hemoglobina, los tres componentes principales de la glándula sebácea. Es un láser de pulso corto y debido a esto, realmente se enfoca en los componentes vasculares del acné, coagulando los capilares sanguíneos para enfriar la inflamación y el enrojecimiento. También reduce el crecimiento del cabello para prevenir la formación de nuevos bloqueos en las glándulas sebáceas.

Table of Contents

Hyperpigmentation

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Photos Courtesy of Jennifer Parker-Porter, MD.

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Vascular Lesions

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Photos Courtesy of Michael Gold, MD.

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Rosacea / Redness

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Photos Courtesy of Dr. Nabil Fakih.

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Hair Removal

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PFB

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Photos Courtesy of Wendy Roberts, MD.

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Scars

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Photos Courtesy of Bradley Bloom, MD.

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Autoimmune Disorders

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Photos Courtesy of Dr. Sakhiya.

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Skin Rejuvenation

Photos Courtesy of Catie Cutler, LE.

Photos Courtesy of Chesahna Kindred, MD.

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Acne

Photos Courtesy of Michael Gold, MD.

Photos Courtesy of Michael Gold, MD.

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Staff Accountant / Junior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Staff Accountant / Junior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Staff Accountant / Junior Accountant

• Provide support to the Controller and the management team
• Maintain day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Support the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Uploading annual budget and tracking actual to budget variances
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Participation in quarterly inventory reconciliations
• Assist team with projects such as policy creation, system implementation, client support etc.

• Some experience with and strong understanding of the monthly close process and technical accounting
• Detailed oriented, with ability to see the big picture
• Self-starter who can work independently and employ time management skills to meet deadlines.
• Knowledge of MS Excel (V-lookup, formulas, pivot tables).
• Strong interpersonal and communication skills
• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP
• 1-3 years’ experience in an accounting function (including internship)
• General Ledger/Operational Accounting experience
• Knowledge of Quickbooks or other reporting software a plus (more the better)
• Industry experience a plus

Senior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Senior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Senior Accountant:

• Provide support to the Controller and the management team
• Own day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Assist in establishing and maintaining policies & procedures in accordance with GAAP and Aerolase policy
• Key contributor to the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Assist in the preparation of management reports – (cash management, various projections, month end reporting package)
• Involvement with the annual budget process
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Prepare and submit payroll
• Participation in quarterly inventory reconciliation to the perpetual
• Ad hoc projects

• Strong knowledge of the monthly close process and technical accounting

• Detailed oriented, with ability to see the big picture

• Experience in continuous improvement and accounting best practices

• Self-starter who can work independently and employ time management skills to meet deadlines.

• System savvy – ability to learn new financial software

• Intermediate knowledge of MS Excel (V-lookup, formulas, pivot tables).

• Global consolidations experience a plus

• Strong interpersonal and communication skills

• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP

• 3+ years’ experience working as a staff/senior accountant

• General Ledger/Operational Accounting experience a must

• Extensive knowledge of Quickbooks and other reporting software

• Prior involvement with system implementation

• Prior public accounting experience (any size firm) a plus

• Industry experience a plus

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