"Ahardwarerejuvenation"- today this phrase is on everyone's lips. Using hardware influences indermatologyAlsoeliminatecutaneousdemonstrationsseriousillnesses. We have a whole army of beauty at our service! Does he serve us faithfully? "K&Z"spokeWithexpertProfessorIgor Pinson.
During the interview, Igor Yakovlevich Pinson shows slides on a computer monitor, flips through medical books and tours the offices: "We have all the hardware methods used in dermatology. Excimer laser, excimer light, all kinds of phototherapy , different types of blue light, all types of laser and non-laser energy sources, radio wave sources. ". . . Our interlocutor is a repository of scientific knowledge (his doctoral thesis is dedicated to the correction of the immunopathological mechanisms of psoriasis using excimer laser), an owner rich in practical and professional experience, infinitely passionate about his work: "Just as there is no according to theater Taganka or Lenkom, so a cosmetology clinic can be one of the Type! "
Along with running a high-tech clinic, Igor Yakovlevich is engaged in training doctors and is the editor-in-chief of the authoritative medical publication "Laser Dermatology and Cosmetology" (our version of a foreign journal). Together with some companies he participates in the research and development of new methods: "More recently we have tested the method of using cold plasma as an alternative to laser exposure".
The clinic is fully specialized in dermatology. Surely you deal with difficult cases?
IP:We deal with the most difficult and complex cases. It's not just about psoriasis, vitiligo, acne, rosacea. We treat patients with Devergi's disease (pityriasis versicolor pilaris), pemphigus, which many clinics are afraid to even touch.
We always carry out a thorough examination of the skin, if necessary, using ultrasound and 3D diagnostic methods. We tell each patient in detail about his or her illness, keep a detailed medical history with a description of the local situation and provide a comprehensive advisory opinion.
Unfortunately, people do not always receive adequate treatment for their disease. For example, for psoriasis you may be prescribed fourth class hormonal drugs - very strong, without having used third class drugs yet. . .
Do you have more patients with dermatological diseases? How about solving purely aesthetic problems: eliminating wrinkles, evening out skin tone, rejuvenating?
IP:As for the ratio of the number of patients, I would say 50: 50. As for cosmetology, the fact of the matter is that we often treat it as a way simply to rejuvenate ourselves and do not perceive it as a complex of serious and well-thought-out effects - hence a lot of problems! It is no coincidence that another of our specializations is the correction of complications after hardware interventions. And there are many complications: burns, scars, depigmentation, hypopigmentation, hyperpigmentation. . .
For example, a patient came to us after the simplest procedure - hair removal. With an incredible burn in the tattoo area. It's just that the doctor who performed the procedure did not know that this type of laser treatment cannot "touch" artificial pigment.
I would like the professional level of some doctors not to be limited to the information received from managers of sales of cosmetology equipment who have commercial goals.
Shouldn't a specialist have a certificate of professional use of a specific device? Distributors say exactly the opposite. . .
IP:When you buy a new car, do you take driving lessons again so you can drive a car of that particular brand? . . . Of course not! You already know what a car is, you are an experienced user.
The same thing in cosmetology: the concept of CO exists2-lasers, erbium lasers: these lasers are the same everywhere. The doctor must know in advance what they are.
Of course, each device has its own specifications, which you need to get information about when making a purchase. But for each device there is a special certificate. . . Only an experienced doctor can decide which manufacturer's equipment is suitable for him. If there is no medical literacy, no certificate will help.
If it were up to me, I would drastically reduce the number of institutions that train doctors. I would do it like in the Soviet Union, when there was a limited number of educational units - with an academic approach, qualified personnel and an adequate material and technical base. Nowadays only lazy people do not teach cosmetology.
In our country almost all literature on hardware methods is published by companies that distribute equipment. In most cases it does not contain educational information, but a presentation of the capabilities of a particular device. Therefore, we must approach books critically.
I would like to believe that doctors still have the opportunity for qualitative and, so to speak, objective improvement. Otherwise he becomes restless. . .
IP:We are currently at the First Moscow State Medical University from which it takes its name. Sechenov organized a training center, within the framework of which, without any connection with manufacturers of hardware equipment (the training center should be exclusively educational and not pursue marketing interests! ) We give dermatologists and cosmetologists the knowledge they have much needed.
We recently had a great event: we invited Professor Aryeh Orenstein, director of the Institute of New Medical Technologies, president of the Israeli Society of Aesthetic Plastic Surgeons (read the interview with Doctor Orenstein in the September issue of K&Z. - ed. ). - this is an undisputed professional authority, the person who first in the world used the laser for cosmetological needs. The whole day was dedicated to one topic (and not just one device! ): the correction of vascular formations. The professor held master classes.
I think it is still important to highlight that despite the existing difficulties, we have many excellent dermatologists and cosmetologists.
IP:Undoubtedly! Don't overdo it too much. We really have enough competent and experienced specialists. There are problems, we have reported them, but they are not unique.
By the way, the situation in the West is no better. If, say, in our country only a doctor, a specialist with higher medical education has the right to perform laser hair removal, then it can be performed there by a person who has attended short-term training courses.
Now we are talking about the importance of training doctors. What do you think about the fact that even in professional publications today it is written: in the near future, devices will reach such a level of perfection that it will become possible to carry out procedures practically without the participation of a specialist. . .
IP:This is fundamentally wrong. Many doctors place completely unjustified hopes in protocols (instructions, prescriptions based on a statistical summary of the manufacturer's medical experience, a large number of clinical cases. - ed. ) for carrying out procedures.
It's as if a surgeon asked for a protocol for a scalpel (when everything depends on his hands, knowledge of anatomy, etc. )! So, there is a physics of the process of interaction between a laser beam and a fabric - biophysics, a cosmetologist must know this.
Based on existing knowledge, one or the other hardware method or a combination thereof will be used.
Hardware cosmetology is such a vast layer of knowledge. Maybe it makes sense to have cosmetologists with a narrow specialization?
IP:I do not think so. There is a separate specialty - "cosmetology", and a cosmetologist must be able to do everything that falls within his competence. He can't be a left big toe specialist!
The doctor must have clinical thinking and understand how the different methods interact. For example, to correct involutional alterations (ageing, ed. ) of the skin, some devices are not sufficient; other interventions are also necessary: biorevitalization, contour plastic surgery. . .
I will continue the topic of medical expertise. Recently, on the pages of our publication, one of the leading specialists stated that the doctor's hands and head are primary. And the novelty of the equipment used can be overshadowed. Do you agree with this?
IP:No, I do not agree. The hands and head of the doctor are necessary, but they are not enough. A smarter doctor using an older device will not remove a tattoo efficiently. Our direction is developing very rapidly. The technical specifications of the equipment change every two years.
Of course, a bad specialist, even having a super advanced device at his disposal, will not do anything good for the patient. But there can be no compromise between a highly qualified doctor and the absence of the most appropriate equipment.
Everything is in the hands of new technologies! A doctor who keeps an eye on innovation will rise to the occasion.
Here in our clinic you see two versions of the same device with a difference of only one year. Why? Because we value our customers very much, and with all our desire and talent, we cannot squeeze out of the device of the previous version a function that it simply does not have.
Igor Yakovlevich and the last question. Please provide our readers who are thinking about hardware procedures with advice on choosing a clinic.
IP:Of course, he will say: "Go to a well-equipped specialized clinic, and not to a small cosmetology with two devices, where they do a little of everything and perform hardware procedures in the middle. "
A common cause of complications lies precisely in the insufficient equipment of a medical institution: when doctors try to solve certain problems using a device not intended for this purpose.
Get as much information as possible about the specialists working in the clinic - thanks to the Internet, this is easy.
Pay attention to who runs the institute: the wife of a wealthy person who wants to become the owner of a nice business, or a high professional.
Today the patient must make his choice with a lot of responsibility and be critical to avoid disappointments and problems!
In a note
- Laser is an acronym: Amplification of light by stimulated emission of radiation - amplification of light using induced (stimulated) radiation. The history of the laser dates back to 1916, when Albert Einstein developed his theory of how radiation interacts with matter.
- There are different types of laser treatments. "So we can talk about cold, hot, hot ablation (ablation is the evaporation of the surface layer of the skin with laser radiation. - Ed. ) or no ablation, " says I. Ya. Pinson. To eliminate fine wrinkles one laser procedure is needed, and to smooth out deep skin folds another. The decision on this or that effect is made after a thorough diagnosis.
- Is it better to leave keloid (swollen) scars intact?Many clinics will answer this question in the affirmative. However, keloids (for example, a scar resulting from an unsuccessful piercing) are removed - and successfully! Everything, as always, depends on the skill and experience of the doctor, as well as on the equipment used.
- Can laser rejuvenation deplete the skin's resources, causing premature aging?"This is complete nonsense! "- says I. Y. Pinson. — Unless you constantly have laser procedures done, with or without reason. Also, "drain" is not a medical term. The laser procedure (like any other) must be used strictly according to indications and have a pathogenetically justified effect. "