Important principles and contraindications for laser plastic surgery

(1) Important principles of laser plastic surgery and cosmetic treatment

Laser plastic surgery and cosmetic treatment is affected by many factors such as time, region, equipment, etc., and is closely related to the formation of theory, practical experience, thinking methods, etc., so some differences in treatment opinions are inevitable , but the general treatment principles are basically the same.
1. The principle of "individualization of laser treatment standards" In the various treatment processes of various lasers used for skin plastic surgery, although there are various treatment principles for reference, special attention should be paid to the specific circumstances of each individual, that is to say Emphasize both large and small standards. The large standard is a universal standard, a safety standard that can be used as a measurement for the group, and has statistical significance; the small standard is a special standard, an efficacy standard that can be used as a reference for the treatment of a specific individual (different individuals The different treatment parameters can differ several times) and is the real standard of treatment. Therefore, it is specially proposed here that "individualization of laser treatment standards" is an important principle in laser plastic surgery and cosmetic treatment, and it is a process of continuous clinical summary. Only in this way can individual standards for "laser treatment" be established.
2. "Laser biological indicators" should be used as an important standard for laser treatment. In the clinical application of laser, different types, different wavelengths of laser, different diseases, different individuals, even different parts of the same individual with the same disease or the same Different parameters and configurations of laser treatment are used at different treatment stages of the site. Therefore, in actual clinical treatment, laser biological indicators should be used as the main treatment standard, while physical indicators only have the value of recording, reference and comparison. Therefore, how to establish laser biological standards is a constant need in laser skin plastic surgery and beauty treatment. Another important principle of summary.

(2) Contraindications of laser plastic surgery and cosmetic treatments.

Although laser and photon treatments are safe and reliable, risks may occur under certain special circumstances. If the situation is understood clearly before treatment, it may be avoided. The following summarizes the relative contraindications of most laser treatments. Physicians are reminded to pay special attention to the risks of treating the following patients, carefully evaluate and measure the risks and efficacy of treatment, and choose a reasonable method for treatment.
(1) Patients who refuse to sign informed consent or patients who are under 18 years old and whose family members object to their treatment.
(2) Patients who have too high expectations for treatment and are overly picky.
(3) Patients who refuse to undergo preoperative photography.
(4) Patients with epilepsy marks, abnormal pigmentation, or special mental constitution.
(5) Pregnant or lactating women.
(6) Patients with severe systemic diseases or immune diseases.
(7) Patients with photosensitive skin diseases, systemic lupus erythematosus, porphyria, or those taking retinoic acid, sulfonamides, etc.
Sex drug users.
(8) People with coagulation dysfunction or taking anticoagulant drugs
(9) People with active vitiligo, psoriasis, pemphigus and other diseases.
(10) Patients with active infection or skin tumors in or around the surgical area.
(11) Patients with a history of sun exposure or artificial tanning within 1 month before treatment.
(12) Patients with skin type V or above.
(13) Patients with a history of malignant melanoma who require mole removal treatment.