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Pain in naive and non-naive subjects undergoing nonablative skin tightening dermatologic procedures: a nested randomized control trial.

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Citation: Dermatologic Surgery. 40(4):398-404, 2014 Apr.PMID: 24479703Institution: MedStar Washington Hospital CenterDepartment: DermatologyForm of publication: Journal ArticleMedline article type(s): Comparative Study | Journal Article | Randomized Controlled TrialSubject headings: *Cosmetic Techniques/ae [Adverse Effects] | *Pain/et [Etiology] | Abdomen | Cross-Sectional Studies | Face | Female | Humans | Intraoperative Complications | Lasers, Dye/ae [Adverse Effects] | Pain Measurement | Phototherapy/ae [Adverse Effects] | Radio Waves/ae [Adverse Effects] | Retreatment/ae [Adverse Effects] | Ultrasonic Therapy/ae [Adverse Effects]Local holdings: Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006ISSN:

1076-0512

Name of journal: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]Abstract: BACKGROUND: Pain is expected during noninvasive skin tightening and can be anxiety provoking, especially for those who have not had prior treatments.CONCLUSIONS: There was no significant difference in pain between naive and non-naive subjects undergoing cutaneous energy treatments. Individual devices may elicit more pain at specific anatomic locations. 2014 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.METHODS AND MATERIALS: The non-naive group at least three nonablative laser procedures or one nonablative skin tightening procedure, and the naive group no previous treatments. Four sites at each of two anatomic locations (periorbital and midface or cheek) were treated in each subject with needle prick, pulsed dye laser, radiofrequency, and ultrasound with the order of the interventions randomized. All interventions except ultrasound were also applied to three abdominal sites. The difference in mean pain scores between naive and nonnaive subjects were averaged over the anatomic sites.OBJECTIVE: To compare pain reported by patients naive to nonablative skin tightening energy devices with those who were not naive.RESULTS: Ten naive and 10 non-naive subjects completed study procedures. Mean pain scores ranged from 1.3 to 4.9. The mean for all naive conditions was 2.3 + 1.0, vs 2.2 + 1.4 for non-naive conditions. There was no overall difference according to group, device, or anatomic area.All authors: Alam M, Disphanurat W, Ibrahim O, Kakar R, Kwasny M, Pace N, Shah S, West DPDigital Object Identifier:

http://dx.doi.org/10.1111/dsu.12440

Date added to catalog: 2014-08-21

Holdings ( 1 )
Title notes ( 7 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article		Available		24479703

Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006

BACKGROUND: Pain is expected during noninvasive skin tightening and can be anxiety provoking, especially for those who have not had prior treatments.

CONCLUSIONS: There was no significant difference in pain between naive and non-naive subjects undergoing cutaneous energy treatments. Individual devices may elicit more pain at specific anatomic locations. 2014 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.

METHODS AND MATERIALS: The non-naive group at least three nonablative laser procedures or one nonablative skin tightening procedure, and the naive group no previous treatments. Four sites at each of two anatomic locations (periorbital and midface or cheek) were treated in each subject with needle prick, pulsed dye laser, radiofrequency, and ultrasound with the order of the interventions randomized. All interventions except ultrasound were also applied to three abdominal sites. The difference in mean pain scores between naive and nonnaive subjects were averaged over the anatomic sites.

OBJECTIVE: To compare pain reported by patients naive to nonablative skin tightening energy devices with those who were not naive.

RESULTS: Ten naive and 10 non-naive subjects completed study procedures. Mean pain scores ranged from 1.3 to 4.9. The mean for all naive conditions was 2.3 + 1.0, vs 2.2 + 1.4 for non-naive conditions. There was no overall difference according to group, device, or anatomic area.

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