"Ahardwarerejuvenation"- today this phrase is on everyone’s lips. Using hardware influences indermatologyAlsoeliminatecutaneousmanifestationsseriousdiseases. We have a whole army of beauty at our service! Does it serve us faithfully? "K&Z"talkedWithexpertprofessorIgor Pinson.
During the interview, Igor Yakovlevich Pinson shows slides on a computer monitor, leafs through books on medicine, and gives a tour of the offices: "We have all the hardware methods that are used in dermatology. Excimer laser, excimer light, all types of phototherapy, different types of blue light, all kinds of laser and non-laser energy sources, radio wave sources. ". . . Our interlocutor is a storehouse of scientific knowledge (his doctoral dissertation is devoted to the correction of the immunopathological mechanisms of psoriasis using an excimer laser), ownerrich practical experience and a professional, endlessly passionate about his work: "Just as there is no second Taganka Theater or Lenkom, so a cosmetology clinic can be one of a kind! "
Along with the management of 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 magazine). Together with a number of companies, it participates in the research and development of new methods: "Most recently, we tested the method of using cold plasma as an alternative to laser exposure. "
The clinic fully specializes in dermatology. Surely you take on difficult cases?
I. P. :We take on the most difficult, complex cases. This is not only psoriasis, vitiligo, acne, rosacea. We treat patients with Devergie's disease (pityriasis versicolor pilaris), pemphigus, which many clinics are afraid to even touch.
We always conduct a thorough examination of the skin, if necessary, using ultrasound and 3D diagnostic methods. We tell each patient in detail about his disease, keep a detailed medical history with a description of local status, and issue a comprehensive advisory opinion.
Unfortunately, people do not always receive adequate treatment for their disease. For example, for psoriasis, you may be prescribed hormonal drugs of the fourth class - very strong, without having yet used the drugs of the third class. . .
Do you have more patients with dermatological diseases? What about solving purely aesthetic problems - eliminating wrinkles, evening out skin tone, rejuvenation?
I. P. :Regarding 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 to simply rejuvenate ourselves, and do not perceive it as a complex of serious, well-thought-out effects - hence many problems! It is no coincidence that another of our specializations is the correction of complications after hardware procedures. And there are a lot of complications - burns, scars, depigmentation, hypopigmentation, hyperpigmentation. . .
For example, a patient came to us after the simplest procedure - hair removal. With an incredible burn at the tattoo site. It’s just that the doctor who performed the procedure did not know that this type of laser treatment cannot "touch" the artificial pigment.
I would like the professional level of some doctors not to be limited to information received from sales managers of cosmetology equipment who have commercial goals.
Shouldn't a specialist have a certificate of professional use of a specific device? Distributors say just the opposite. . .
I. P. :When you buy a new car, do you take driving lessons again in order to drive a car of this particular brand? . . Of course not! You already know what a car is, you are an experienced user.
The same thing in cosmetology: there is the concept of CO2-laser, erbium laser - these lasers are the same everywhere. The doctor must know a priori what they are.
Of course, each device has its own specifics, which you need to get information about when making a purchase. But a special certificate for each device. . . Only a doctor with knowledge can decide which manufacturers’ equipment is acceptable for him. If there is no medical literacy, no certificate will help.
If it were up to me, I would sharply reduce the number of institutions that train doctors. I would do it the way it was in the Soviet Union, when there was a limited number of educational units - with an academic approach, qualified staff and an adequate material and technical base. Nowadays only the lazy don’t teach cosmetology.
In our country, almost all the literature on hardware methods is published by companies that distribute equipment. For the most part, it does not contain educational information, but a presentation of the capabilities of a particular device. Therefore, we have to approach books critically.
I would like to believe that doctors still have the opportunity for qualitative and, so to speak, objective improvement. Otherwise it becomes uneasy. . .
I. P. :Currently we are at the First Moscow State Medical University named after. Sechenov organized a training center, within the framework of which, without any connection to manufacturers of hardware equipment (the training center should be exclusively educational and not pursue any marketing interests! ) We give dermatologists and cosmetologists the knowledge they need so much.
We recently had a great event: we invited Professor Aryeh Orenstein, director of the Institute of New Medical Technologies, chairman of the Israeli Society of Plastic Aesthetic Surgeons (read the interview with Dr. Orenstein in the September issue of K&Z. - Ed. ) - this is an undisputed professional authority, the person who was the first in the world to use laser for cosmetology needs. The whole day was devoted to one topic (and not just one device! ) - correction of vascular formations. The professor gave master classes.
I think it is still important to emphasize that, despite the existing difficulties, we have many excellent dermatologists and cosmetologists.
I. P. :Undoubtedly! Don't exaggerate too much. We really have enough competent, experienced specialists. There are problems, we have pointed them out, 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 a 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 the education of doctors. How do you feel about the fact that even in professional publications today they write: in the foreseeable 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. . .
I. P. :This is fundamentally wrong. Many doctors place completely unjustified hopes on protocols (instructions, prescriptions based on a statistical summary by the manufacturer of medical experience, a large number of clinical cases. - Ed. ) for carrying out procedures.
It’s like a surgeon asking 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 tissue - biophysics, a cosmetologist must know it.
In accordance with existing knowledge, he will use one or another hardware method or combination thereof.
Hardware cosmetology is such a vast layer of knowledge. Maybe it makes sense to have cosmetologists with a narrow specialization?
I. P. :I do not think so. There is a separate specialty - "cosmetology", and a cosmetologist must be able to do everything that is within its scope of competence. He can't be a left big toe specialist!
The doctor must have clinical thinking and understand how different methods interact. For example, to correct involutive changes (aging - editor's note) of the skin, some devices are not enough; other procedures are also needed: biorevitalization, contour plastic surgery. . .
I will continue the topic of medical competence. Recently, on the pages of our publication, one of the prominent specialists said that the hands and head of a doctor are primary. And the novelty of the equipment used can be put in second place. Do you agree with this?
I. P. :No, I don't agree. The hands and head of a doctor are necessary, but they are not enough. A smarter doctor using an old device will not remove a tattoo efficiently. Our direction is developing very quickly. 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 not the most relevant equipment.
Everything is in the hands of new technologies! A doctor who keeps a close 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 a 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 give our readers who are thinking about hardware procedures recommendations on choosing a clinic.
I. P. :Of course, I 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 between. "
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 that is 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 to do.
Pay attention to who runs the institution: the wife of a wealthy person who wants to become the owner of a beautiful business, or a high professional.
Today, the patient must take his choice very responsibly and be critical in order to avoid disappointments and troubles!
On a note
- Laser is an acronym: Light Amplification 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, warm, hot ablation (ablation is evaporation of the surface layer of skin with laser radiation. - Ed. ) or no ablation at all, " says I. Ya. Pinson. To eliminate fine wrinkles, one laser procedure is needed, and to smooth out deep skin creases, another. The decision on this or that effect is made after a thorough diagnosis.
- Is it better to leave keloid (bulging) scars untouched?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 competence and experience of the doctor, as well as on the equipment used.
- Can laser rejuvenation deplete skin resources, causing premature aging?"This is complete nonsense! "- says I. Y. Pinson. — Unless you are constantly being given laser procedures, with or without reason. Plus, "drain" is not a medical term. Laser (like any other) procedure must be used strictly according to indications and have a pathogenetically justified effect. "