Summary Of Present Technique

• Doppler evaluation

• Mark around areas of resection

2. Preresection

• Infuse first stage tumescence below levels of veins

• Patient in Trendelenberg

• Tumescence partially exsanguinates veins and fixes veins

3. Resection with Transillumination

• Slower resector speeds (300-500 rpm)

FIGURE 28.11 Post-op result.
FIGURE 28.12 Third-stage tumescence.

• Keep skin taut with free hand

• Targeted resection—no shearing, directed subcutaneous channels

4. Post-resection: Second Stage Tumescence

• Transillumination visualization

• Place illuminator/irrigator in channels of resected veins

• Irrigate residual blood

• Place further drainage sites—2-3 mm dermal punch or #11 blade

• Obtain clear effluent

5. Third Stage Tumescence with Transillumination

• #18-gauge spinal needle

• Place in subcuticular plane

• Obtain peau d'orange effect on skin

6. Post-Procedure

• Wrap with compressive dressing

• Ambulate immediately

• Unwrap two days post-op

• Compression stockings for two to three weeks

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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