Nonsurgical Does Not Mean Non-Medical

The increasing popularity of nonsurgical cosmetic procedures has led to a growing complacency about where procedures are being performed and by whom, according to the American Society for Aesthetic Plastic Surgery (ASAPS) . It is the ASAPS’ position that ancillary procedures, such as skin resurfacing or Botox® injections, while not surgical, are medical procedures and should only be done in appropriate facilities under the supervision of a qualified physician who has been trained in the particular procedure.

• Medical History : Before any medical procedure is undertaken, a medical history should be provided in order to determine appropriateness. This is especially important to avoid allergic reactions and to identify underlying medical conditions that might pose risks.
• Alternative Treatments : One purpose of pre-treatment consultation is the thorough evaluation of each patient and the exploration of alternatives, including no treatment.
• Informed Consent : A discussion of the benefits and risks of any medical procedure is required for full informed consent. Nonsurgical procedures do not always result in less "downtime." A plastic surgeon can explain the pros and cons of various treatments.
• Appropriate Setting : Medical procedures require sanitary surroundings and sterile instruments, as well as authentic equipment and medications. Parties and group events may compromise results.
• Emergency Plans : Nonsurgical procedures may occasionally result in unforeseen consequences. Plans should be in place to handle these.
• Follow-up Care : Follow-up care is an important part of the doctor-patient relationship and is necessary to assure optimum procedure results.

It is ASAPS' position that all medical procedures - surgical and nonsurgical - should be done under the care of properly credentialed and trained medical professionals.

The following is a representative list of ancillary (nonsurgical) medical procedures:
Chemical skin peels, including:

• Alpha Hydroxy Acid (AHA)
• Trichloroacetic Acid (TCA)
• Phenol

Injectable treatments, including:

• Botox®
• Collagen
• Fat
• Sclerotherapy (treatment of leg veins)

Laser hair removal

Laser treatment of leg veins

Skin resurfacing, including:

• Ablative Lasers (Carbon Dioxide, Erbium)
• Nonablative Lasers (N-Lite, Cool Touch and others)
• Intense Pulsed Light
• Dermabrasion

Microdermabrasion

Reprinted with permission from the American Society of Plastic Surgeons Web site.

at Dr. Angelchik's office click here