Chemical Peel in Denver Colorado
Chemical Peel
It's a procedure in which a controlled chemical burn is applied to the skin using chemical solution in order to remove outer layers of the skin. It can remove delicate wrinkles, pigmentation marks and other skin defects. Peeling also has some medical advantages like removal of pre cancerous conditions and acne scars.
The solutions being used are phenol, trichloroacetic acid (TCA) and alphahydroxil acids (AHA).
AHA is used for delicate peeling, it gives you smooth and shine skin, and it also treats delicate wrinkles, acne scars and pigmentation. Several treatments usually required on weekly bases. The solution can also be incorporated into cr?mes or facial wash and can be used on daily bases.
TCA is used for intermediate peeling. It removes wrinkles and superficial skin defects and pigmentation. Usually more then one treatment required and it has longer healing times then AHA. It can be used in whole body parts.
Phenol is the most powerful solution, which is used for deep peeling. It removes deep wrinkles, pre malignant conditions and skin defects due to sun exposure; it also causes brighter skin color. It can be used only in the face area.
It is recommended to use several creams before the peeling to get better results. Retin-A thinners the upper layers of the skin and hydroquinone which bleaches the skin.
The peeling is done by the following techniques: AHA - after the cleaning of the skin the doctor spreads the solution on the skin. It takes 10 minutes, afterwards the doctor gives you instructions how to use this cream for several weeks at home.. During those weeks you'll be invited for check up to follow the progress of peeling.
TCA - usually takes 45 minutes. You may feel a burning sensation which disappears after a few minutes. Second treatments usually done with an interval of a couple of month.
Peeling with phenol lasts 1-2 hours. One treatment usually sufficient. You'll need to cover the face with a bandage or Vaseline cream.
After the treatment with AHA you can immediately return to daily activities, but you must wear sunscreen. TCA causes redness and swelling which disappears during the week, you can return to work after 7-10 days. After the use of phenol skin regeneration usually takes 7-10 days. At first you'll have a very reddish skin that will gradually change to pink color. It is very important to avoid direct sun exposure and use sunscreen to avoid burns and pigmentation.
More Denver info...
Denver By bus
Greyhound, 1055 19th Street. The bus station is located in downtown a few blocks away from Coors Field and other central attractions. It is serviced by Greyhound and Skyride buses. The station also has storage lockers, which can be rented hourly.
Denver By car
U.S. Highway 40 connects Denver to Salt Lake City, to the west.
Interstate 25 connects Denver to Colorado Springs in the south and Cheyenne Wyoming in the North.
U.S. Highway 36 connects to the North western suburbs and eventually to Boulder.
If you choose to rent a car and are heading for the southern suburbs, Hwy E470 is a toll road that will cost you $5 each way, and connects to the Northwest Parkway (also a toll road) and C-470 to form a 3/4 loop around the Denver Metro Area.
I-25 (north and south), I-70 (east and west), and I-76 (northeast) are the major interstates leading in and out of the city. I-225 and I-270 cross the Denver area.
Plastic Surgery News...
- According to research published in Arthritis and Research Therapy (free full text available at the above link), prolonged use of disease-modifying antirheumatic drugs (DMARDs) and biological therapies may reduce the risk of cardiovascular (CV) disease in patients with rheumatoid arthritis (RA).
The authors used data collected as part of QUEST-RA (The Questionnaires in Standard Monitoring of Patients with Rheumatoid Arthritis Program) to look at the prevalence of CV disease amongst non-selected RA outpatients and the relationship between this, clinical features of RA and the use of DMARDs. By October 2006, the QUEST-RA project had enrolled 4,363 patients; the majority were female (78%) and Caucasian (90%).
The prevalence for lifetime CV events in the entire sample was 3.2% for myocardial infarction, 1.9% for stroke, and 9.3% for any CV event (although there was considerable variation between different countries). A third (33%) of patients had hypertension; other traditional risk factors included hyperlipidaemia (14%), diabetes (8%), history of smoking (43%) and obesity (18%). After adjusting for traditional risk factors and countries, the authors found that prolonged exposure to methotrexate (HR 0.85; 95% CI 0.81 to 0.89), leflunomide (HR 0.59; 95% CI 0.43 to 0.79), sulfasalazine (HR 0.92; 95% CI 0.87 to 0.98), glucocorticoids (HR 0.95; 95% CI 0.92 to 0.98), and biologic agents (HR 0.42; 95% CI 0.21 to 0.81; P <0.05) was associated with a reduction in the risk of CV morbidity.
The authors discuss their findings and the limitations to their study; please see the link above for further details.
- This review looks at the diagnosis and the management of polymyalgia rheumatica under the following headings:
• Who is at risk of polymyalgia rheumatica?
• What is the pathogenesis of polymyalgia rheumatica?
• What are the clinical features of polymyalgia rheumatica?
• How is polymyalgia rheumatica diagnosed?
• What is the histopathology of polymyalgia rheumatica?
• How is polymyalgia rheumatica treated?
• What are the response criteria?
• Conclusion
The main summary points (taken directly from the article) are given below:
- Polymyalgia rheumatica occurs in patients who on average are over 70 years of age
- Cardinal symptoms are shoulder and hip girdle pain with pronounced stiffness lasting at least one hour
- Clinicians must be alert to mimics, including infection, malignancy, metabolic bone disease, and elderly onset rheumatoid arthritis
- Erythrocyte sedimentation rate or C reactive protein, or both, is usually raised at disease onset
- Giant cell arteritis is present in about 30% of patients
- Polymyalgia rheumatica is treated with glucocorticosteroids, starting at 15 mg prednisone a day