Dermatography (Medical Tattooing) for Scars and Skin Grafts in Head and Neck Patients to Improve Appearance and Quality of Life

Drost, B. H. I. M.; Langenberg, R; Manusama, Olivia; Janssens, Artiena Soe; Sikorska, Karolina; Zuur, Charlotte L.; Klop, W. Martin C.; Lohuis, Peter J. F. M.

doi:10.1001/jamafacial.2016.1084

Cited by 13 publications

(7 citation statements)

References 31 publications

(131 reference statements)

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“… 7-9 The Drost et al article is recommended for those with interest in viewing photographic examples of what is possible with this intervention for patients with head and neck cancer. 8 The treatment of hypopigmented scars through medical tattooing received high ratings of patient and physician satisfaction. Recent studies have integrated other professionals into the provision of medical tattoos.…”

Section: Resultsmentioning

confidence: 99%

Applications of Medical Tattooing: A Systematic Review of Patient Satisfaction Outcomes and Emerging Trends

Becker

Cassisi

2021

Aesthetic Surgery Journal Open Forum

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Background Medical tattooing is often applied in the context of plastic, aesthetic, and reconstructive surgery to help achieve the best cosmetic outcome. Objectives This article reviews various conditions that medical tattooing have been empirically studied in terms of patient satisfaction outcomes; makes practice recommendations; and suggests future directions for research. Methods This review was performed following the PRISMA guidelines. Studies were included if the tattooing application was associated with a medical condition and if outcome data was provided using at least a case series methodology. Where no cohort or clinical series exist, case examples are used from the literature and the author’s practice to illustrate emerging medical tattooing applications that need further evaluation. Results Eighteen studies met the inclusion criteria and were applied to the following conditions: baldness, vitiligo, scars from incisions, lacerations or burns, and nipple areola complex reconstruction following breast surgery. Conclusions The application of medical tattooing has shown high levels of patient satisfaction across various conditions. The practice recommendation grade is “B” or recommend since the level of evidence for these interventions ranged from III to IV according to the ASPS guidelines. This means clinicians can consider this treatment alternative, but they should be alert to new information and be sensitive to patient preferences. Recommendations are made for reporting future research including clearly describing procedural details, identifying the professional performing the procedure, increased use of standardized outcome measures, and that satisfaction ratings be assessed by someone independent of the health service provider. Further research using RCT methodology with waitlist controls is needed.

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Section: Resultsmentioning

confidence: 99%

Applications of Medical Tattooing: A Systematic Review of Patient Satisfaction Outcomes and Emerging Trends

Becker

Cassisi

2021

Aesthetic Surgery Journal Open Forum

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“… 138 Specialized medical tattooing, known as dermatography, smoothens scars and improves aesthetics. 139 Treatment of top surgery scars with a novel topical spironolactone gel resulted in significantly higher patient satisfaction compared with silicone gel alone. Because testosterone could exacerbate scar tissue and keloid development, topical spironolactone could reduce scarring while avoiding undesired anti-androgenic systemic effects of oral spironolactone.…”

Section: Dermatological Considerations For Gender-affirming Surgerymentioning

confidence: 99%

Managing Dermatologic Effects of Gender-Affirming Therapy in Transgender Adolescents

Huang¹,

Gold²,

Radi³

et al. 2022

AHMT

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Transgender adolescents seek gender-affirming medical care to address gender identity and incongruence. Improved understanding of the dermatologic impact of gender-affirming medical care such as pubertal suppression, hormone therapy, and surgeries can enhance patient outcome. Pubertal suppression treats dysphoria associated with development of secondary sex characteristics, including androgen-driven acne. Gender-affirming hormone therapy influences acne and hair development in transgender adolescents. Dermatologists can help manage skin effects associated with chest binding and gender-affirming hormone therapy and surgery. Provision of patient-centered gender-affirming care in dermatologic and multidisciplinary settings is essential to improve skin and overall outcomes of gender-affirming therapy.

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“…It has been shown that providing effective treatment for skin conditions improves QoL. 15,35,42,58,[68][69][70][71][72] During chemotherapy and radiotherapy treatments, detecting and treating any skin toxicities early is essential. 73 Alongside treatments, focusing on techniques that patients already know including clothing choices, cleaning and emollients can help improve QoL.…”

Section: Evidence To Support a Holistic Treatment Approach Treatment Of The Conditionmentioning

confidence: 99%

The Impact of Acne, Atopic Dermatitis, Skin Toxicities and Scars on Quality of Life and the Importance of a Holistic Treatment Approach

Dréno¹,

Amici²,

Demessant³

et al. 2021

CCID

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Skin conditions such as acne, atopic dermatitis, skin toxicity from oncology treatment, and scars are among the most common health conditions and negatively impact quality of life (QoL). Yet the physician perception of this impact often varies greatly from the patient perception. This is important because patient illness perception is closely linked with seeking help and treatment adherence behaviors. The objective of this review is to better understand the impact of these four highly prevalent skin conditions on QoL including their health-related economic factors to improve treatment outcomes. The literature search included literature published on QoL with acne, atopic dermatitis, scars (from any cause) and skin toxicities on PubMed between 2015 and 2020. We found that patients with skin conditions have a much higher frequency of altered QoL and psychological distress than those without. Also, skin conditions negatively impact self-image and can cause feelings of isolation, loneliness, lower self-esteem, and lower body satisfaction. Additionally, physical discomfort adds to the psychological distress. These physical and psychological impacts are an enormous financial burden on patients, their families and society. We found evidence that holistic treatment including treating the skin condition itself, providing wider peer and psychological support as well as shared decision-making, therapeutic patient education and dermatologist involvement improves outcomes. Holistic history-taking, checklists, or the use of more formal QoL scoring tools can be incorporated into routine consultations to better assess patient well-being and provide clinicians with important information for adapting treatment to individual patient requirements. In conclusion, this review highlights the overall impact of skin conditions (including psychological and QoL impacts) and the importance of providing holistic care to optimize treatment outcomes. A comprehensive QoL screening tool would be useful to help provide patient-centered treatment.

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Dermatography (Medical Tattooing) for Scars and Skin Grafts in Head and Neck Patients to Improve Appearance and Quality of Life

Cited by 13 publications

References 31 publications

Applications of Medical Tattooing: A Systematic Review of Patient Satisfaction Outcomes and Emerging Trends

Applications of Medical Tattooing: A Systematic Review of Patient Satisfaction Outcomes and Emerging Trends

Managing Dermatologic Effects of Gender-Affirming Therapy in Transgender Adolescents

The Impact of Acne, Atopic Dermatitis, Skin Toxicities and Scars on Quality of Life and the Importance of a Holistic Treatment Approach

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