Tratamiento de las telangiectasias de las piernas con un láser Nd:YAG pulsado de 650 microsegundos de 1064 nm

James Newman, MD, Natalia Geraskova, MD, Centro de Cirugía Plástica Facial, San Mateo, CA; Clínica de cosmética láser “Loreksiniya”, Dubna, Rusia  Antecedentes y objetivos:
Los láseres Nd:Yag con anchos de pulso de 20 a 30 milisegundos se utilizan tradicionalmente para tratar las venas cosméticas de las piernas, con efectos secundarios bien documentados de hematomas y malestar, especialmente en áreas grandes tratadas. Este estudio se llevó a cabo para evaluar la seguridad y la eficacia clínica de un nuevo láser Nd:Yag de pulsos cortos y 650 microsegundos de 1064 nm para el tratamiento de las telangiectasias de las extremidades inferiores. Diseño y métodos del estudio: Se seleccionaron mujeres adultas con tipos de piel I-III en la escala de Fitzpatrick con telangiectasias en las piernas de 0.2 a 3 mm de diámetro que cubrían al menos 20 cm2 para realizar sesiones individuales de tratamiento con láser a intervalos de 4 semanas hasta que se observó una eliminación clínica satisfactoria. Los parámetros del tratamiento con láser variaron según el tamaño, la cantidad y la densidad de los vasos de la siguiente manera:
Vasos con menos de 1 mm de diámetro – Tamaño de punto de 2 mm, Fluencia 127 J/cm2, ancho de pulso de 650 microsegundos
Vasos con diámetro de 1 a 3 mm – Tamaño de punto de 2 a 3 mm, Fluencia 159-223 J/cm2, ancho de pulso de 650 microsegundos. Se utilizó una compresa de hielo para el preenfriamiento durante 20 a 30 segundos antes del láser.
Los vasos se trataron en toda su longitud y se observaron para determinar su eliminación. Se monitorearon los eventos adversos de malestar, ampollas, costras, cicatrices y duración del eritema durante las primeras 4 semanas después del tratamiento. Se tomaron fotos antes e inmediatamente después del tratamiento y a las 4 y 12 semanas después del tratamiento. El seguimiento continuó durante 12 meses para evaluar la recurrencia. Resultados: Se trataron 22 mujeres en las extremidades inferiores. El 72 % de los sujetos mostró una mejora considerable a las 4 semanas después del primer tratamiento. El 96 % de los pacientes mostró una mejora considerable 3 meses después del tercer tratamiento. En todos los sujetos apareció un eritema leve inmediatamente después del tratamiento y duró de 3 a 24 horas. Los vasos pequeños desaparecían con frecuencia durante el tratamiento, mientras que los vasos más grandes de más de 1 mm cambiaban de color oscureciéndose. 5 pacientes exhibieron costras de color marrón claro a lo largo del vaso coagulado que no dejaron marcas permanentes en la cita de seguimiento de 3 meses. No se observaron quemaduras, cicatrices o hiperpigmentación en ninguno de los pacientes. El dolor se calificó como leve durante las sesiones de tratamiento. Conclusión: Las telangiectasias de las extremidades inferiores que oscilan entre 0.1 y 3 mm se pueden tratar de forma segura y eficaz en los tipos de piel I-III con un nuevo láser Nd:Yag pulsado de 650 microsegundos con una incomodidad mínima. Según lo publicado en la reunión anual de la Sociedad Americana de Medicina y Cirugía Láser (ASLMS) de 2016

Table of Contents

Hyperpigmentation

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Vascular Lesions

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Rosacea / Redness

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Hair Removal

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PFB

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Scars

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Autoimmune Disorders

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Skin Rejuvenation

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Acne

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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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