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Terapia combinata con un laser Nd:YAG da 1064nm a 650 microsecondi per il trattamento del melasma nella pelle di colore

Dott. Cheryl Burgess, MD Centro di Dermatologia e Chirurgia dermatologica di Washington, DC

Il melasma è largamente conosciuto come un difetto di pigmentazione con effetto profondo sulla qualità della vita di coloro che ne soffrono(1). Gli studi indicano che i pazienti che soffrono di problemi di pigmentazione si sentono poco attraenti e sempre sotto i riflettori, questo influenza negativamente le loro attività quotidiane e sentono il bisogno di fare di tutto per nascondere la loro condizione agli altri(1). Mentre il melasma colpisce persone di ogni tipo di pelle, è predominante nelle donne di pelle più scura (Fitzpatrick III-VI)(2), il che può aggiungere ulteriori difficoltà ad un problema cronico già difficile da trattare(3).

Il melasma sta diventando sempre più comune. Alcuni centri dermatologici lo citano come il problema più comune oltre all’acne(4). Tuttavia una grande percentuale di popolazione non cerca un trattamento, per lo più a causa del fatto che non conosce le opzioni di trattamento disponibili(5). Per coloro che invece cercano un trattamento, il modo abituale di affrontare il melasma in modo collettivo e familiare (in ambiente medico) è l’idrochinone, oppure si usano altri composti topici, peeling chimici, microdermoabrasione o laser (3).

Partendo da queste opzioni di trattamento tradizionali, Aerolase, con la perizia clinica della dermatologa Dott. Cheryl Burgess, MD di Washington DC, ha sviluppato un protocollo in due fasi detto “one-two punch” per affrontare in modo efficace il melasma in tutti i tipi di pelle con una sola seduta di trattamento. Innanzitutto la tecnologia laser Nd:YAG da 1064nm a 650 microsecondi di Aerolase offre una soluzione per affrontare i componenti più profondi, vascolari e della melanina del derma del melasma(6) , aiutando anche a disgregare il pigmento epidermico. L’energia laser viene puntata sull’intera area del viso a fluenze fino a 28J/cm2. Poi, secondo il tipo di pelle e il problema del paziente, si applica un peeling chimico da leggero a medio o un composto di idrochinone per affrontare la pigmentazione epidermica rimanente.

“Abbiamo avuto grande successo nel rimuovere la pigmentazione del derma con Neo, grazie alla sua profondità di penetrazione e velocità di pulsazione,” afferma la dott. Burgess. “Poi (normalmente) applichiamo un peeling chimico o l’idrochinone per generare una nuova epidermide e rimuovere i problemi di pigmentazione superficiale e, se occorre una combinazione, possiamo usare un composto di idrochinone,” continua.

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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