Aspen, Colo. – At the summer Cosmetic Bootcamp (CBC), attendees learned about candidates and contraindications for feminine rejuvenation treatments.
Good candidates for feminine rejuvenation include women who have decreased vaginal estrogen, usually with a history of breast cancer, blood clots or other contraindications to estrogen therapy, said Houston-based cosmetic and Mohs surgeon Suneel Chilukuri, M.D. “They’re looking for something that’s a little more unique and not so invasive or medication-based.”
Contraindications include “any active pelvic disease – that’s why I want to make sure patients are seeing their gynecologist for an examination.” Other contraindications include a history of radiation treatment. “In terms of pelvic mesh, we’re definitely more cautious about it – if we’re doing a CO2 or erbium:YAG laser on a patient, we want to make sure there’s no contraindication – we find out how long ago the mesh was placed, and how deep.” If patients have a history of impaired wound healing, “We don’t want to use a CO2 or erbium:YAG laser – nothing ablative. We want to use radiofrequency treatment.”
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