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Why dermatological and health conditions may cause concern

Updated: Apr 9, 2023

Various dermatological and health conditions may cause concern prior to anaesthetic treatment or on the back of an aesthetic assessment as identifying them may suggest other underlying conditions that need to be assessed, treated or ruled out prior to commencing with any treatment. For example, facial blemishes and moles that are observed during an initial assessment that are either new, misshapen or bleeding may need to be checked by a dermatologist to rule out any skin cancer such as a basal cell carcinoma. Other skin conditions such as acne might means certain treatments should be avoided, however acne scarring might be treated quite well with micro needling.


Another patient may come that has some blanching or infected tissue after receiving a treatment elsewhere and this may raise alarm or vascular compromise or infection that needs to be treated with hyaluronidase or antibiotics. This could be treated by a prescribing practitioner, or it may need to be referred to another more experienced anaesthetic practitioner or GP. Lastly a patient may present that has clearly had a lot of anaesthetic work already performed and is seeking more aesthetic procedures. They may have come to get another opinion as they have been refused further treatment elsewhere. For example, during an assessment and using a psychological screening tool such as The Appearance Anxiety Inventory (Mastro 2016) it may be inappropriate to treat them further and they may need to be referred to the GP or on to some kind of psychological counselling or cognitive behavioural therapy to deal with body dysmorphic disorder.


It is always important to have a consultation prior to any treatment to discuss treatment options and then have time to think if you wish to proceed.


References


Mastro, S., Zimmer-Gembeck, M. J., Webb, H. J., Farrell, L., and Waters, A. (2016). Young adolescents’ appearance anxiety and body dysmorphic symptoms: Social problems, self-perceptions and comorbidities. Journal of Obsessive-Compulsive and Related Disorders, 8, 50-55.




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