Rejuvenate Issue 4 Q And A

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Dr. Patrick J. Treacy

Dr Patrick Treacy Ailesbury Clinic Q+A column for Rejuvenate Cosmetic magazine in Ireland

Health & Medicine

Q

Q
I am confused with the vast
range of anti-ageing and

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Cities and suburbs *can* deliver transportation for goods and people *without* petroleum, with a minimal carbon footprint, while greatly alleviating deadly noise and air pollution, through the use of trolley-bus and trolley-truck technology paired with human power. Dedicating resources to direct electric transport increases and supports relocalization and positive densification, boosts public health and creates a healthier, happier and much more sustainable urban whole.

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A 53-year-old Irish female presented with an intractable trigeminal neuralgia pain in the region of her left maxillary nerve (V2) who did not respond to pharmacotherapy including pregabalin 300mgs bd and gabapentin 300mgs bd. She had been admitted to hospital for one month for intravenous oxycodone hydrochloride. She had also more than fifty nerve blocks in the previous years and had undergone stereotactic gamma knife radiosurgery which had work for five months but later resulted in uncontrollable dysesthesia pain in the region of her left maxillary nerve. She defined this as a continual unpleasant sensation of something 'crawling' under her skin in her left periorbital. There was a sensation of intense pain in her left external nasal area and that of electric shock, burning, and pins and needles and left mental area.

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Dr Patrick Treacy shares some of his most challenging cases. This month he talks about treating Cutaneous Malignant Melanoma. Melanoma, also known as malignant melanoma, is a type of cancer that develops from the pigment-containing cells known as melanocytes. They typically occur in the skin but may rarely occur in the mouth, intestines, or eye. In women they most commonly occur on the legs, while in men they are most common on the back. Sometimes they develop from a mole with concerning changes including an increase in size, irregular edges, change in color, itchiness, or skin breakdown

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Dr Patrick Treacy shares some of his most challenging cases. This month he talks about treating cutaneous warts. Warts appear in various forms on different sites of the body and include common warts (verruca vulgaris), plane or flat warts, myrmecia, plantar warts, coalesced mosaic warts, filiform warts, periungual warts, anogenital warts (venereal or condyloma acuminata), oral warts and respiratory papillomas.

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This paper looks at the possibility of combining five established therapies in an attempt to address common concerns related to facial ageing. The therapies included microneedling, low dose Ultralase laser, (PRP) plasma rich protein growth factors, Omnilux 633 light and neurotoxins. The technique is called the DUBLiN face-lift as an acronym of the procedures involved. D Dermaroller U Ultralase Laser B Blood growth factors Li Light (near red 633) N Neurotoxin. The author compared this method to fractionalised laser skin resurfacing (FLSR) in terms of reduction of photoageing and overall aesthetic effect. Neurotoxin was used in both studies.

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At present, there’s a paucity of literature regarding both the prevention and management of serious events, despite the fact that these complications are the very things that patients and physicians both continually fear. Many physicians, (including myself), feel that corporate prefer not to address these issues and they are driven underground. Over the years, many of my colleagues have referred me their more serious problems and I consequently have developed a certain experience in this area. This insight into complications of dermal filler use will serve to highlight both of these problems and try to help one manage these complications if they should ever happen to you.

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A 23-year-old Siberian female patient presented with a changing lesion on her abdomen. The patient stated the lesion was present for about two years and it started off from within a freckle, which started to grow larger and somewhat darken in appearance. It had the clinical appearance of a melanoma and the dermoscopy three-point checklist (designed to allow non-experts not to miss detection of melanomas) was used to determine whether this had a high likelihood of malignancy. It included: Asymmetry: asymmetry of colour and structure in one or two perpendicular axes Atypical network: pigment network with irregular holes and thick lines Blue-white structures: there was some evidence of blue- white veil and regression structures

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