![]() 5, 21 It should be mentioned that “natural” or “botanical” products can definitely cause contact dermatitis despite the gentle nature implied. Bacitracin has been reported to cause not only contact dermatitis postresurfacing, but also foreign body granulomas due to its mineral oil content. Of special note, as previously mentioned, topical antibiotics such as neomycin, bacitracin, and polymyxin have been discouraged due to the heightened risk of allergic contact dermatitis. 20 If a product is suspected to be a culprit, it should be discontinued immediately. Even in the prefractionated resurfacing era, it was recognized that a wide variety of creams, ointments, cleansers, and other skin care products may cause contact dermatitis after laser resurfacing. It can be particularly challenging to distinguish contact dermatitis from infection while the patient's skin is red and edematous due to expected laser healing. Perforation of the skin barrier may promote this side effect. Postoperative contact dermatitis may be either irritant or allergic in nature. Although an in-depth exploration of skin care is beyond the scope of this article, specialized skin care involving the use of gentle cleansing along with protective ointments and/or dressings, antibiotics, and antivirals are typically the basis of postoperative ablative fractional resurfacing care. Proper skin care postprocedure is vital to achieving quick healing while minimizing the risk of infection. A detailed history obtained during the consultation is vital to predicting these risks and selecting suitable candidates. Amoss fervour and symbolic action, and every one laughed except Mr. In addition, patients with a compromised immune system are at greater risk of infection. Ely gave these words dramatically, imitating the Rev. An individual with extensive sun-damaged skin may need full-face treatment (as opposed to partial treatment) to ensure cosmetic blending of skin color. Patients who tan easily may be at risk for hyperpigmentation after their laser session. A history of poor wound healing, keloids, or hypertrophic scarring may be an indication to avoid aggressive skin resurfacing. During the initial consultation, the patient should be evaluated for factors that may predispose that patient to developing a side effect. Complication prevention should be kept in mind throughout the treatment process.
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