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11 Epidermis Dermis Subcutaneous Hypodermis

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16 March 16, 2013

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21 Telangiectasia's (spider veins) may develop anywhere within the body but can be easily seen in the skin, mucous membranes, and whites of the eyes. Usually, they do not cause symptoms.

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23 80 million Americans suffer from spider veins. This is most common in women between the ages of 30 and 70. We don't know the exact cause for spider veins but heredity and hormonal changes seem to be the major contributing factors. Spider veins usually do not pose much of a health hazard.

24 Spider veins are not a sign of disease or illness, they are similar to gray hair in that they are seen more with age. Causes can include: Fragile Skin High Blood Pressure Injury Recurring Problem

25 Fragile Skin - is unable to withstand exposure to harsh elements such as extremes of weather, rough daily treatment, or the use of strong or caustic cosmetic or washing routines. High Blood Pressure - the skin is generally very vascular, florid in color, with bulbous blood vessels protruding from the surface. The high color seen on mature women is high blood pressure, sometimes associated with being overweight.

26 Injury - Individuals with thicker, tougher skin seldom suffer from capillary damage, and, if they do, it is usually as a direct result of an injury to the area causing capillary dilation and rupture. Since these ruptured vessels arc not due to an overall weakness, treatment of them is successful and the results normally permanent.

27 Recurring Problem - Conditions can occur around the nostril area, brought about by blowing the nose hard when suffering from colds or allergies (for example, hay fever). Tweezing eyebrows and catching the skin in addition to the hair. The cause of the problem must be eliminated if at all possible to prevent the condition from recurring.

28 Recurring Problem - Conditions can occur around the nostril area, brought about by blowing the nose hard when suffering from colds or allergies (for example, hay fever). Tweezing eyebrows and catching the skin in addition to the hair. The cause of the problem must be eliminated if at all possible to prevent the condition from recurring.

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39 Could have been treated a bit more

40 Telangiectasia Thermo-coagulation of spider vein

41 Different options are available to remove a cherry hemangioma : Electro cautery (burn RF) Excision (cutting scalpel) Photomicrograph of a cherry hemangioma, demonstrating a benign proliferation of capillaries. Shave excision (shave scalpel) Pulsed dye laser (ablation) Cryotherapy (freezing)

42 Bright red or cherryred elevated papule vascular growths. Slowly increase in size and number over time. Microscopically, they contain a benign proliferation of capillaries.

43 A cherry hemangioma is a benign (non-cancerous) collection of blood vessels that grow right under the skin and make a red bump. They develop in older children and adults and do not usually go away by themselves. There is nothing dangerous about having them. Some people are bothered by having a red spot on their skin and want it removed for cosmetic reasons.

44 Background: They are the most common cutaneous vascular proliferations. They appear as tiny cherry red papules or macules. Pathophysiology: Limited to the skin. These benign lesions are formed by a proliferation of dilated venules. Race: Cherry hemangiomas are found in individuals of all races and ethnic backgrounds.

45 Frequency: Increases with age in both sexes and all races. Mortality/Morbidity: benign and usually do not undergo spontaneous involution. Sex: No distinction made on the basis of sex. Age: Cherry hemangiomas occur more frequently with increasing age.

46 Cherry Hemangiomas are normally found on the legs and face. Under magnification they often look like red or purple spider webs.

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48 How to treat cherry hemangiomas with the Thermo-Lo.

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51 Cherry Hemangiomas are the dilation of a small group of blood vessels located near the skin's surface. They are extremely small vessels that become larger when small venules inside or underneath the skin become enlarged or dilated. This normally happens when the pressure inside the veins increases so much that it exceeds the normal resistance to blood flow.

52 Age spots also called liver spots and solar lentigines are flat gray, brown or black spots. They vary in size and usually appear on the face, hands, shoulders and arms areas most exposed to the sun. True age spots are harmless and don't need treatment, but they can look like cancerous growths.

53 ABCDE: A. Asymmetry: does the mole have an irregular shape? B. Border: is the border of the mole ragged, blurred or uneven? C. Color: does the mole have more than one color (i.e. a darker spot in the middle of lighter pigment)? D. Diameter: is the mole bigger than 6mm? E. Evolution: has the mole changed in size, shape or color?

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56 Courtesy of Caddells Laser Clinic Bellevue WA

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58 1 treated area 2 good skin

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61 Sebaceous hyperplasia is a common, benign condition of sebaceous glands in adults of middle age or older. Lesions can be single or multiple and manifest as yellowish, soft, small papules on the face (particularly nose, cheeks, and forehead). Sebaceous hyperplasia occasionally also occurs on the chest, areola, mouth, scrotum, foreskin, shaft of penis, and vulva.

62 Irritation of the skin by rough sheets or clothing may cause mild reddening around the papule, but the center portion remains white. Irritated milia are sometimes incorrectly referred to as "baby acne" (although it is not actually a form of acne). As the surface of the white pearly papule wears away, the trapped dead skin is lost, and the papule disappears.

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65 Definition: Milia are superficial inclusion cysts in the skin or mucous membranes. Causes, incidence, and risk factors: Milia occur when dead, normally sloughed skin is trapped in small, very superficial, cystic structures in the skin or mucous membrane. Milia appears as pearly white bumps (papules), most commonly across the upper cheeks, nose, and chin.

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71 Skin Tags

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73 Acrochordons or Cutaneous tags are very common, generally benign skin growths that occur most often after midlife. They are tiny skin protrusions, and may have a small narrow stalk connecting the skin bump to the surface of the skin.

74 They are usually painless and do not grow or change, except for occasional irritation from rubbing by clothing or other friction. Their origin is unknown.

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79 Using both Thermo-Lo and Hydro-Lo

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82 Cholesterol deposits, also known as xanthomas, are little deposits of fats that sometimes appear on the body. They tend to be yellow, soft and slightly raised bumps. They tend to be yellow, soft and slightly raised bumps and can occur on any area of the body, but most often appear on the elbows, joints, tendons, knees, hands, feet or buttocks.

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91 Derma-Lo consist of 4-different modalities: 1. AC - Thermolysis (Thermo-Lo) 2. DC Electrolysis 3. Hydrophoresis (Hydro-Lo) 4. LED Low Emitting Diodes

92 AC - Thermolysis: AC - Thermolysis is the Thermo-Lo Using heat to coagulate small capillaries, sun/age spot, milia, sebaceous hyperplasia, cherry hemangioma and skin tags Radio Frequency split into 2 different Voltages LO and HI

93 small capillaries, sun/age spot, milia, cherry hemangioma, sebaceous hyperplasia skin tags Foot switch AIR desensitizer Continuous AIR desensitizer

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96 DC - Electrolysis: DC Electrolysis / Electrology Using lye to eat away hair germ cells and move heat to treated areas. DC moves and generates the heat when treating larger capillaries and permanent hair removal.

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98 Proper insertion for permanent hair removal

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102 1-treatment for 5-minutes

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