We are all well aware of the risk of complications after injection procedures.
Skin disinfection is an important step in preventing the occurrence of such a complication as infection.
The skin microbiome (the bacterial flora of the skin) plays a role in both skin health and skin disease development.
When the skin's normal environment and defense mechanisms are altered or disrupted, it allows both commensal and pathogenic bacteria to grow and multiply.
Thus, injectable procedures such as botulinum toxin and/or dermal fillers require proper antimicrobial skin preparation, read more on estet-
- Why is skin disinfection before aesthetic procedures so important
- Skin preparation for injection procedurem Why is skin disinfection before aesthetic procedures so important
The injection of foreign materials such as dermal fillers is the placement of an implant that will remain in place for some time. As such, they are associated with a risk of infection.
The risk of side effects and infection has been reported to be associated with bacteria such as
Staphylococcus epidermidisand Propionibacterium acne and is increased with high density gel administration.
Studies show thatbacteria transfer increases when
:
large needle diameter;- increase injection depth from 1 to 3 mm;
- using linear and microbolus techniques.
- In order to improve the effectiveness of skin preparation, a longer disinfection time, several skin treatment steps and the choice of the correct injection technique
Telegram! Skin preparation for injection procedures
before skin disinfection should not be overlooked. Firstly, the patient must have
haircollected and hands washed and treated with alcohol in case they accidentally touch the skin. Before the procedure,
all cosmeticsare removed, as substances in any product can interfere with the activity of antiseptics. There are various
types of antisepticsthat can be used for injection procedures.
- Isopropyl alcohol 70%
- Alcohol is a fast-acting, broad-spectrum antimicrobial antiseptic.
It causes protein and DNA damage in Gram-positive and Gram-negative bacteria, including multidrug-resistant bacteria, including methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE), Mycobacterium tuberculosis and fungi.
Alcohol-based solutions, including chlorhexidine and alcohol or povidone-iodine and alcohol, have greater antimicrobial activity than alcohol alone.
- Povidone-Iodine
- Povidone-iodine has a broad spectrum of antimicrobial activity, with proven efficacy and activity against resistant microorganisms (e.g. methicillin-resistant Staphylococcus aureus).
It takes three to five minutes for optimal effect.
The combination of ethyl or isopropyl alcohol and povidone iodine has been reported to be fast-acting, broad-spectrum and more stable than either drug used alone.
Painless Beauty: Modern Anesthesia Methods for Aesthetic Procedures
- Chlorhexidine
- Products based on chlorhexidine bigluconate (0.5-1%) have a broad spectrum of activity, excellent efficacy and long-lasting effect (48 hours).
The combination of the quick and immediate action of alcohol and the constant activity of chlorhexidine or iodine is optimal for skin disinfection.
- Sodium hypochlorite
- Sodium hypochlorite is an effective antiseptic.
His introduction to hand hygiene in the 19th century by the Hungarian physician Dr. Ignace Semmelweis led to a dramatic reduction in morbidity and mortality.
Sodium hypochlorite is used effectively and safely in large industrial settings and in the home.
It is a strong bactericidal (gram-positive and gram-negative bacteria), sporicidal and fungicidal antiseptic.
- Hypochlorous acid
- Hypochlorous acid is non-cytotoxic, has a broad spectrum of action (bactericidal, fungicidal, virucidal, sporicidal preparation), has a neutral pH, and also has anti-biofilm activity.
must be:
quick acting;- broad spectrum;
- For more invasive procedures, inhibit the growth of microorganisms during and for some time after the procedure.