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FACE
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BREAST
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LIPOSUCTION
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ABDOMEN
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LIMBS
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- One of the most serious complications after any kind of skin resurfacing is the development of herpes infections of the skin. These are more common in patients who have a history of herpes but can occur in any patient.
Herpes infections usually develop a few days to a week after skin resurfacing. They are often mild but can be severe with an extensive rash and blistering. The diagnosis is often obvious but may be confirmed with special tests including cultures and smears.
Most doctors recommend treatment with antiviral medication for a few days before and after resurfacing. The most commonly used medicine is acyclovir. It is used in most patients having resurfacing not just those who have a history of herpes infections.
If the infection is mild it is treated as an outpatient with antiviral creams and an increase in the dose of acyclovir. If severe, admission to the hospital may be needed and intravenous antiviral medication is prescribed. Most people respond to treatment within a day or two but serious herpes infection can increase the risk of scarring.
If the infection involves the eye it is usually necessary to see an eye doctor.
Antibiotics are not effective in treating herpes infections but may be needed for a secondary bacterial infection.
Prevention of facial herpetic infections after chemical peel and dermabrasion: new treatment strategies in the prophylaxis of patients undergoing procedures of the perioral area.
Perkins SW, Sklarew EC.
Indiana University Medical Center, Indianapolis, USA
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