A cosmetologist goes through several stages of his development. Graduating from residency as a dermatologist, the specialist is full of knowledge about skin diseases, which in only 15% of cases are truly skin diseases. These include mycoses, bacterial and viral infections.
All other changes are the response of the skin to somatic pathology. Dermatovenereologist, cosmetologist, international coach in contouring Yuliya Dyachenko spoke about what should be the tactics of a doctor of aesthetic medicine when detecting diseases of internal organs in her interview for estet-portal.com.
The role of somatic pathology in the practice of a dermatologist
Yu.D.: When a healthy person comes to the beautician's office – working with him is reduced to a purely technical implementation of certain manipulations.
At the same time, the doctor must not forget that there is a living person in front of him, who may have both indications and contraindications for certain procedures.
Thus, the best solution for a specialist in aesthetic medicine is to draw up an algorithm for assessing the patient's condition, as well as have an indicative list of questions to ask them at the appointment.
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How does the presence of somatic pathology affect the tactics of aesthetic correction
Yu.D.: A lot depends on the presence of somatic pathology, for example, in patients with hypothyroidism, whose main complaint is dry skin, drugs degrade more slowly, making the effect of therapy more stable. A radically opposite situation with hyperfunction of the thyroid gland – significantly accelerates the excretion of the drug.
Often, people come with pigmentation, which is directly related to problems with the gallbladder. Even if a cholecystectomy has already been performed, the clinical picture may be an echo of a disease of the hepatobiliary system in the past.
And there are a lot of such nuances, as a result of which we are constantly moving from the field of pure cosmetology to general medicine.
Intestinal health is the key to beauty and youth
How do you manage the physical condition of your patients
Yu.D.: I ask my patients to do a little screening every 3 months. Those who are responsible for their health, most often older patients, are happy to take all the necessary tests.
For many patients, an examination by a dermatologist is an opportunity to control their condition, as well as an excellent prevention of diseases.
In case of any imbalance, I do not take on other people's duties, which is also very important, but refer the person to the appropriate specialist – endocrinologist, gynecologist, otolaryngologist, etc.
Our main task – catch the first signs of a change in the patient's condition, and prevent the development of pathology.
Read also: Ekaterina Bezvershenko: Acne and hormonal imbalance – what relationship
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