Common Dermatologic Procedures

    September 2015 in “ Medical Clinics of North America ”
    Shixin Yang, Jeremy T. Kampp
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    TLDR The document explains how to do skin procedures, care after surgery, and when to use certain treatments.
    The document from 2015 provides a comprehensive guide to common dermatologic procedures, including skin biopsies, postoperative care, and various surgical and cosmetic treatments. It details the importance of preoperative evaluation, the use of local anesthesia like lidocaine with epinephrine, and the techniques for performing shave and punch biopsies. Shave biopsies are used for superficial lesions, while punch biopsies are for deeper analysis. Excisional biopsy is recommended for pigmented lesions suspicious for melanoma. The document also covers suture selection, wound care, and when antibiotic prophylaxis is necessary. It discusses the use of curettage, cryosurgery for benign and premalignant lesions, and intralesional corticosteroid injections, noting triamcinolone acetonide as a common steroid. Advanced procedures like Mohs surgery, which has a high cure rate for BCC and SCC, esthetic procedures, botulinum toxin for facial wrinkles, soft tissue fillers, lasers, and chemical peels are also mentioned. The document emphasizes proper technique and postoperative care but does not provide specific study numbers or outcomes.
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