Valacyclovir Prophylaxis for Herpes Simplex Virus Infection or Infection Recurrence Following Laser Skin Resurfacing

Beeson, William H.; Rachel, John D.

doi:10.1097/00042728-200204000-00006

Cited by 17 publications

(32 citation statements)

References 15 publications

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“…The use of aggressive techniques, including use of high energy densities, multiple passes, and overlapping spots or scans can increase the risk of hypertrophic scarring and infections (Cases 13 and 16). The management of infection risk has been controversial, and various regimens of prophylaxis against viral, bacterial, fungal infections, and post-operative wound care have been recommended [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39]. Ideally, antimicrobial prophylaxis should be tailored to individual risks (Case 12) and the timely management can minimize adverse outcomes (Cases 12, 13, and 14).…”

Section: Discussionmentioning

confidence: 99%

Complications of laser dermatologic surgery

Willey

Anderson

Azpiazu³

et al. 2006

Lasers Surg Med

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Background and Objective: Innovations in lasers, light and radiofrequency devices have allowed for improved therapeutic efficacy and safety and the ability to treat patients with an ever-increasing number of medical and aesthetic indications. Safety remains a primary concern and the timely communication of complications and their management is vital to insure that treatments be as safe as possible. The purpose of this report on the Proceedings of the First International Laser Surgery Morbidity Meeting is to provide laser experts the opportunity to present and discuss complications that their patients have experienced and how they were successfully managed. Methods: Laser experts were invited to present complications of laser, light, and radiofrequency treatments that their patients have experienced and to discuss the potential mechanisms leading to the complications their management and final outcomes. Results: Nineteen unique cases are presented and the clinical management of each case discussed. Eighteen sets of pre-and post-operative photos are presented. Conclusion: This report shows that even experts, with extensive experience using light-based therapies, can and do have patients who develop complications. Sound clinical judgment, and knowing how to avoid complications and their timely post-operative management, is essential to insure optimal therapeutic outcome.

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Section: Discussionmentioning

confidence: 99%

Complications of laser dermatologic surgery

Willey

Anderson

Azpiazu³

et al. 2006

Lasers Surg Med

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“…If there is a history of HSV infection, prophylactic treatment with valacyclovir a day before treatment is recommended. 15 Although rare now, gold-salt intake is a contraindication because it can cause cutaneous hyperpigmentation (chrysiasis). 16 Active use of isotretinoin is also a contraindication due to impaired tissue healing and skin fragility.…”

Section: Pretreatment Considerationsmentioning

confidence: 99%

15 Laser Hair Removal

Truswell¹

2016

Lasers and Light, Peels and Abrasions

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Hair removal is one of the most common cosmetic procedures performed today. In 2009, industry revenue for hair removal, either personally or by a practitioner, totaled approximately $244 million. It has been practiced since prehistoric times with specific modifications due to local cultural, religious, as well as personal aesthetic preferences. Ancient Egyptian men shaved hair from their heads and faces to prevent grasping during battle; women in the Middle Ages plucked and shaved hair on their eyebrows and anterior hairline to conform to contemporary standards of beauty. 1 Contemporary demand ranges from cases of hirsutism and hypertrichosis to normally distributed body hair that is unwanted. Hirsutism is abnormal hair growth in women in androgen-dependent sites, whereas hypertrichosis is excess hair growth in a body site (anywhere on the body) independent of hormones.Depilation, the removal of the hair shaft, and epilation, the removal of the hair shaft and bulb, are the two primary methods of hair removal. Shaving is an example of depilation, whereas epilation includes methods such as waxing, electrolysis, and laser hair removal. Epilation hair removal provides results that usually last about 8 weeks; depilation results only last for approximately 2 weeks. 2 Shaving, an extremely cost-efficient and popular method for men's facial hair and women's legs and underarms, does not alter the hair cycle and is a temporary solution to hair growth. 3 Historically, shaving tools have ranged from sharpened animal teeth and flint to modern electric and nonelectric blades.Waxing, which has existed since ancient times, provides temporary hair removal and can treat large areas efficiently, albeit at a risk of skin irritation and pain. 4 Electrolysis results in potentially permanent hair removal by a probe passing an electrical current to destroy the hair follicle. It is however a slow and operator-dependent method with wide-ranging rates of complications such as scars and pigment changes. 5 Laser hair removal utilizes the existing melanin in hair follicles for specific targeting called selective photothermolysis. It is important to appreciate the evolution of hair removal because it guides providers about needs for future improvements as well as motivation for patient demands. 6 Hair Follicle Growth and AnatomyThe hair follicle is a hormonally active structure with specifically programmed growth. It can be divided into three anatomical portions from superficial to deep: infundibulum, isthmus, and inferior segment (▶ Fig. 15.1). The inferior segment is bordered inferiorly by the base of the follicle and extends superiorly to the erector pili muscle. The isthmus extends from the erector pili muscle to the sebaceous gland duct. The infundibulum extends superiorly to the follicular orifice. The dermal papilla supplies proliferating cells at the base of the follicle.Melanocytes, located near the infundibulum, provide the pigment that determines hair color.The hair follicle can be in any one of three different metabolic phases: ana...

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“…HSV has been reported with laser resurfacing, and if present it can result in delayed healing, secondary bacterial infection, and severe scarring [55,58,59]. The mechanism of reactivation is thought to occur due to epidermal trauma of the laser procedure.…”

Section: Preventionmentioning

confidence: 99%

Complications of Vascular Laser Treatment

Grunebaum¹,

Bartlett

2014

Laser Treatment of Vascular Lesions

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Although in knowledgeable hands treatment of vascular lesions is unlikely to result in permanent unwanted sequelae, complications do occur. Erythema and edema are common side effects and can be treated with supportive care. Pigmentary abnormalities and scarring are among the most feared risks. In addition, vesiculation, purpura, and infection are also potential side effects, and if severe may increase the possibility of untoward permanent consequences. Ocular damage is a rare but devastating complication of laser use. In all areas, attention to detail and prevention are the best means to avoid sequelae. This chapter aims to review these possible complications with pathophysiology and common treatment options for each area. © 2014 S. Karger AG, BaselLaser therapy in vascular lesions is based upon the laser's ability to supply a destructive dose of thermal energy to affected tissues. The capability to selectively target specific structures, termed 'selective photothermolysis', is possible based on adjustments in laser parameters of wavelength, pulse duration, fluence, irradiation, and spot size to match the therapeutic parameters required by the target tissue [1]. Unfortunately, this selectivity can be imperfect due to overlapping absorption spectra of targeted and untargeted tissues, as well as target tissue heat energy dissipation to surrounding untargeted tissues, resulting in collateral damage [1,2]. All lasers have some risk of complication, and the complication rate further varies based on the individual patient, lesions, and operator [3,4]. This chapter details complications that have been shown to arise with vascular laser surgery. The topics are organized by complication in order of frequency of occurrence, with pathophysiology and examples of complications, and recommendations for prevention and treatment should complications occur.

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Valacyclovir Prophylaxis for Herpes Simplex Virus Infection or Infection Recurrence Following Laser Skin Resurfacing

Cited by 17 publications

References 15 publications

Complications of laser dermatologic surgery

Complications of laser dermatologic surgery

15 Laser Hair Removal

Complications of Vascular Laser Treatment

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