Facial plastic surgeons seeking information about establishing and maintaining a first-rate skin care program and practice in their office will learn practice management tips and business advice. This content begins with presenting steps in patient evaluation and continues through development of a care plan. Discussion includes approach to skin care products, sunscreen, and related preventive and restorative methods. Detailed discussion is included of developing a personalized skin care plan. The content concludes with essential business tips and marketing advice for the facial plastic surgeon to include skin care in the surgical practice, including the way in which these are handled in the author’s practice.
Facial plastic surgery practices should provide excellent skin care programs for their patients. Patients, whether they are preoperative, postoperative, or potential surgical candidates, require skin rejuvenation and restoration as well as preventative maintenance. It is vital for the practitioner to be knowledgeable regarding not only effective skin care products, but also basic dermatologic recognition, diagnosis, and treatment.
Patient evaluation
As surgeons, patient skin health is of paramount importance preoperatively and postoperatively. The facial plastic surgeon must have a thorough understanding of how to diagnose, evaluate, and treat skin issues.
In evaluating a new patient’s skin, the surgeon should obtain a complete skin history and perform an appropriate skin physical examination. Questions to be included in obtaining the history are listed in Box 1 .
What bothers you most about your skin?
Have you had problems with acne at any time?
Have you had any hormonal problems?
Are you currently on birth control pills?
Are you prone to skin allergies or contact dermatitis?
Do you have problems with seborrheic dermatitis?
Do you regularly use sunscreen with a sun protection factor (SPF) of 30?
Have you in the past or do you currently use retinoids?
Have you had any skin cancers involving the face, head, or neck?
Have you ever used bleaching agents on your skin?
Do you have a T zone or any other problems with excessive oil or dryness?
Have you had any laser resurfacing, IPL, or chemical peeling?
Do you have a problem with enlarged pores?
Have you in the past or are you currently taking isotretinoin (Accutane)?
Have you had pigmentation problems in the past?
Have you ever had radiation treatments to your face, head, or neck?
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