Timedsurgery

06. Removal of a Dermal-Epidermal Patch on the Face by Timedsurgical Mixed Peeling

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06. Removal of a dermal-epidermal patch on the face by means of timedsurgical mixed peeling

Dermal-epidermal patches on the face can easily be removed by means of timedsurgical mixed peeling. This consists of pulsed timedsurgical de-epithelialisation of the skin and the subsequent application of a saturated solution of resorcin in water for 20 seconds. Treatment is carried out under local anaesthesia. De-epithelialisation is performed with the edge of the angle of the EM10 Yellow electromaniple at a power of 2 Watts in the pulsed coagulation function specifically designed for de-epithelialisation (Direct Pulsed, 4/9 hundredths of a second, Coag, 2 Watts, EM 10 Yellow (bent at an angle). As the electrode skims the surface of the patch in small movements, the epidermis detaches from the dermis. Timedsurgical de-epithelialisation is carried out on the entire visible surface of the patch, extending to about 1 mm beyond it. Electrical conductivity can be improved by moistening the skin with physiological solution.

05. Re-pigmentation of Stable Vitiligo of the Face by Timedsurgical De-Epithelialisation and Autologous Grafts of Cultivated Epidermis

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05. Re-pigmentation of stable vitiligo of the face by means of timedsurgical de-epithelialisation and autologous grafts of cultivated epidermis

Areas of stable vitiligo and piebaldism can easily be repigmented by means of timedsurgical de-epithelialisation followed by the grafting of autologous keratinocytes and melanocytes cultivated from a 1 cm² fragment of skin taken from a normopigmented area about 20 days earlier. Once local anaesthesia with mepivacaine has been carried out, de-epithelialisation is started. De-epithelialisation is carried out at 1 or 2 Watts by means of the pulsed current specifically designed for de-epithelialisation of the skin. The edge of the corner of an EM 10 Yellow electromaniple® is used for de-epithelialisation. Pulsed timedsurgical de-epithelialisation enables the achromic epidermis to be detached from the dermis, while maintaining the integrity of the papillae and the papillary-capillary plexus.

04. Timedsurgical Resurfacing of a Blue Nevus

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04. Timedsurgical resurfacing of a blue naevus

Medium and large sized facial keratoses are ablated with a rapid timed-surgical dissection. Once the local anaesthetic has been given the programme is timed. The tip of the electro-manipulator passes over and back across the keratosis detaching it from the underlying tissue.The electrodes must be tangential to the skin surface. The sharp edged area of the electrode is circumscribed to the last millimetres of the tip. The central part of these large keratoses is normally more compact and requires more electrodes passed over it. Later vaporizations are optional and are always carried out using the resurfacing function as this does not burn the tissue. Micro-vaporizations of resurfacing are carried out for haematostatic purposes or to vaporize irregular areas. The operator must keep in mind that simply exposing the keratosis to air contributes to its complete removal, so therefore it is important that no aggressive surgery is carried out on the residual tissue. Collagenase medication is applied. Results are permanent and long lasting.

03. Ablation of Medium and Large Sized Facial Keratosis with Rapid Pulsed Timedsurgical Undermining

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03. Ablation of medium and large sized facial keratosis with rapid pulsed timedsurgical undermining

Medium and large sized facial keratoses are ablated with a rapid timed-surgical dissection. Once the local anaesthetic has been given the Timed apparatus is programmed: Direct pulsed 0.3/5.3 hundreds of seconds, Coag, 27 or 38 Watts, EM 10 White. The tip of the electro-manipulator passes over and back across the keratosis detaching it from the underlying tissue.The electrodes must be tangential to the skin surface. The sharp edged area of the electrode is circumscribed to the last millimetres of the tip. The central part of these large keratoses is normally more compact and requires more electrodes passed over it. Later vaporizations are optional and are always carried out using the resurfacing function as this does not burn the tissue. Micro-vaporizations of resurfacing are carried out for haematostatic purposes or to vaporize irregular areas. The operator must keep in mind that simply exposing the keratosis to air contributes to its complete removal, so therefore it is important that no aggressive surgery is carried out on the residual tissue. Collagenase medication is applied. Results are permanent and long lasting.

02. Electroshaving of a Verrucous Epidermal Nevus on the Face

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02. Electroshaving of a verrucous epidermal nevus on the face

All small benign facial lesions, like this verrucous nevus, can be ablated by means of timedsurgical electroshaving carried out through slow pulsed timedsurgical cutting. The patient may also undergo a mini-facelift without blunt dissection, in which an elastic Elasticum® thread and a two-tipped Jano Needle® are used.

01. Permanent Removal of Wrinkles around the Upper Lip with Timed-Surgical Mixed Peeling

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01. Permanent removal of wrinkles around the upper lip with timed-surgical mixed peeling

Timedsurgical mixed peeling is the chosen technique for the permanent removal of deep wrinkles of the lip. Just one treatment is needed to obtain excellent results which last for years. Following a local anaesthetic, the skin of the lip is de-epithelialized using a specific Timed-surgical programme, which was created for repigmentation of the stable vitiligo, powered at 2 or 3 watts. This timedsurgical de-epithelialization allows for the removal of the epidermis while keeping the integrity of the dermal papilla and the papillary and capillary plexus. The tip of the EM 10 Yellow electro-manipulation is appropriately bent.

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06. Removal of a dermal-epidermal patch on the face by means of timedsurgical mixed peeling

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06. Eliminazione di una macchia dermo-epidermica del volto con il peeling timedchirurgico misto

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05. Re-pigmentation of stable vitiligo of the face by means of timedsurgical de-epithelialisation and autologous grafts of cultivated epidermis

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05. Ripigmentazione della vitiligine stabile del volto con la disepitelizzazione timedchirurgica e innesti autologhi di epidermide coltivata

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04. Timedsurgical resurfacing of a blue naevus

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04. Resurfacing timedchirurgico di un nevo blu

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03. Ablation of medium and large sized facial keratosis with rapid pulsed timedsurgical undermining

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03. Asportazione delle cheratosi medie e grandi del volto con lo scollamento timedchirurgico pulsato rapido

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02. Electroshaving of a verrucous epidermal nevus on the face

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02. Electroshaving di un neo verrucoso del volto

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01. Permanent removal of wrinkles around the upper lip with timed-surgical mixed peeling

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01. Eliminazione permanente delle rughe del labbro superiore con il peeling timedchirurgico misto