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Tratamiento de la pseudofoliculitis de la barba con un láser compacto Nd:YAG de 1064 nm utilizando tecnología de 650 microsegundos

Michael H. Gold, MD, Dermatología, Nashville, TN La pseudofoliculitis de la barba (PFB) es una reacción inflamatoria de cuerpo extraño causada por vellos encarnados. El PFB ocurre con mayor frecuencia en las áreas de la barba del 45 % al 83 % de los hombres afroamericanos que se afeitan.1 Cuando se afeita el cabello rizado y grueso, las puntas se vuelven puntiagudas. Estas puntas afiladas, ya sea por penetración extrafolicular o transfolicular, crecen en la piel y dan lugar a la formación de pústulas y pápulas dolorosas y pruriginosas.1, 2 En la penetración extrafolicular, la punta afilada del vello se curva hacia atrás hacia la piel y perfora la epidermis cerca del folículo piloso, 3 luego continúa hacia abajo hasta la dermis. Las reacciones inflamatorias ocurren tanto en la epidermis como en la dermis. La penetración transfolicular ocurre cuando el afeitado se realiza a contrapelo y la punta puntiaguda del vello crece hacia abajo y perfora la pared folicular, lo que resulta en pápulas inflamatorias.4 Hay una variedad de terapias disponibles para el tratamiento de la PFB. La depilación quirúrgica se asocia con una alta morbilidad,5 los agentes tópicos (corticosteroides, retinoides y antibióticos) rara vez eliminan todas las pápulas y pústulas,6 los depilatorios químicos pueden irritar la piel,6 y la electrólisis requiere trabajo intensivo.5 Los alfahidroxiácidos y exfoliaciones químicas han sido útiles en algunos pacientes.1 También se han utilizado láseres para tratar la PFB, incluyendo el de alejandrita de pulso largo,7 Nd:YAG de conmutación Q,8 de rubí9 y de diodo de 800 nm5,10,11. Los procedimientos tradicionales con láser, aunque efectivos, están limitados por la incomodidad del paciente y los tiempos de curación prolongados, ambos debido al daño cutáneo inducido por el calor. Este informe presenta dos de los cuatro estudios de caso que describen el uso de un nuevo láser compacto Nd:YAG de 1064 nm que utiliza tecnología de micropulso para el tratamiento de la PFB.

Table of Contents

Hyperpigmentation

Photos Courtesy of Cheryl Burgess, MD.

Photos Courtesy of Jennifer Parker-Porter, MD.

Learn more about treating hyperpigmentation today.

Vascular Lesions

Photos Courtesy of Dr. Guilia Kasimova.

Photos Courtesy of Michael Gold, MD.

Learn more about treating vascular lesions today.

Rosacea / Redness

Photos Courtesy of Yelena Kipervas, DO.

Photos Courtesy of Dr. Nabil Fakih.

Learn more about treating rosacea and redness today.

Hair Removal

Photos Courtesy of Dr. Andrew Nnadi.

Photos Courtesy of Steik Spa.

Learn more about treating hair removal today.

PFB

Photos Courtesy of Dr. Michelle Henry.

Photos Courtesy of Wendy Roberts, MD.

Learn more about treating PFB today.

Scars

Photos Courtesy of Dr. William Watfa.

Photos Courtesy of Bradley Bloom, MD.

Learn more about treating scars today.

Autoimmune Disorders

Photos Courtesy of Dr. Passeron.

Photos Courtesy of Dr. Sakhiya.

Learn more about treating autoimmune disorders today.

Skin Rejuvenation

Photos Courtesy of Catie Cutler, LE.

Photos Courtesy of Chesahna Kindred, MD.

Learn more about skin rejuvenation today.

Acne

Photos Courtesy of Michael Gold, MD.

Photos Courtesy of Michael Gold, MD.

Learn more about treating acne today.

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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