Trattamento dell’acne da moderata a grave e cicatrici con un laser da 1064nm, 650 microsecondi e isotretinoina

Michael H. Dott. Gold, MD, Dott. Natalia E. Manturova, MD PhD, Dott. Larisa S. Kruglova, MD PhD, Dott. Evgeniya V. Ikonnikova MD

Normalmente le procedure laser per il trattamento dell’Acne vulgaris devono essere posposte di almeno 6-8 mesi dopo la fine di una terapia sistemica con isotretinoina. Ciò si basa su dati che suggeriscono che la dermoabrasione o la terapia laser durante il trattamento con isotretinoina possono indurre la formazione di cheloidi o ritardare la riparazione dei tegumenti cutanei (ovvero dei tessuti cicatriziali cutanei).17 La validità di questa pratica è stata di recente messa in discussione.812 Nelle loro raccomandazioni per il consenso, Spring e colleghi10 hanno fornito prove insufficienti del fatto che i medici debbano ritardare la dermoabrasione manuale, la chirurgia cutanea, il peeling chimico, la depilazione laser e le procedure laser frazionali ablative e non ablative nei pazienti sottoposti a una terapia con isotretinoina o che l’abbiano recentemente terminata. Comunque, gli autori non raccomandavano né la dermoabrasione meccanica né la terapia laser pienamente ablativa durante il trattamento con isotretinoina per via sistemica.

Due mesi più tardi, l’American Society of Dermatologic Surgery ha dato il proprio consenso relativamente alla sicurezza dei laser, della dermoabrasione, del peeling chimico, dei dispositivi high-tech e della chirurgia cutanea durante e dopo l’uso della isotretinoina.11 La task force ha concluso che mancavano prove del fatto che i medici debbano ritardare le procedure con peeling chimico e i laser non ablativi (ovvero laser e luci per la depilazione, laser vascolari, dispositivi frazionali nei pazienti In cura con isotretinoina o recentemente esposti ad essa e che la dermoabrasione focale e superficiale può a sua volta essere sicura, se svolta da un professionista correttamente formato. Mysore e colleaghi,12 dopo la revisione degli studi pubblicati, hanno comunicato che le prove che sia bene evitare una serie di procedure (resurfacing frazionale con CO2 , laser Nd:YAG frazionali, laser frazionali agli infrarossi, depilazione laser microdermoabrasione con l’uso di cristalli di alluminio, micro-needling [with and without radio- frequency]e interventi chirurgici a freddo) in pazienti sottoposti a terapia con isotretinoina, erano scarse o limitate. Gli autori hanno suggerito che, invece di evitare queste procedure, i medici eseguano una procedura di prova per stabilirne la sicurezza in determinati pazienti che assumono isotretinoina.

Il presente studio esplora l’efficacia e la sicurezza dell’uso di un laser Nd:YAG da 106nm 650 microsecondi (LightPod Neo Elite, Aerolase Corp., Tarrytown, NY) combinato con un basso dosaggio di isotretinoina per il trattamento dell’acne e delle relative cicatrici.

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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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