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Biomedical subjects

G D Monheit

Publications and source records attributed to G D Monheit.

At least 19 recordsLinked to original sources

Consultation for photoaging skin.

Chemical peeling remains a valuable tool for the cosmetic surgeon to treat photoaging skin. Choices available include superficial, medium, and deep chemical peeling agents along with preparatory cosmoceutical agents to prep the skin and maintain rejuvenation. This article will prepare the cosmetic surgeon to include the latest agents in his practice and correctly choose which treatment is best for patients with individual problems of photoaging of the face and body, acne scars, and pigmentary problems. These modalities will be compared with other treatment modalities, such as laser and dermabrasion.

Chemexfoliation↗

Medium-depth chemical peels.

The combination medium-depth chemical peel (Jessner's solution +35% TCA) has been accepted as a safe, reliable, and effective method for the treatment of moderate photoaging skin. This article discusses the procedure in detail, including postoperative considerations.

Chemexfoliation↗

The "modified" winch stitch.

BACKGROUND: The methods described to achieve intraoperative tissue expansion have drawbacks. OBJECTIVE: To report an intraoperative tissue expansion technique using standard suture material and hemostats to create a "modified" winch stitch. METHODS: A continuous running suture is placed with both ends left free. A "fixed" hemostat is placed above the skin at one end. After pulling at the other end with a second hemostat, a third hemostat is placed proximal to this hemostat just above the skin, which is left in place to produce stretching. The second and third hemostats are then used in an alternating pulling and holding fashion. RESULTS: This method produces significant tissue expansion. If the desired degree of approximation is achieved, the ends of the suture can be tied together, as in the previously described winch stitch. CONCLUSION: The modified winch stitch is a simple and inexpensive means to facilitate closure of wounds under a significant amount of tension.

Humans↗

Chemical peels.

For many decades, chemical peeling has played an important role in facial rejuvenation. These procedures are safe and effective in the management of photoaging, scarring, pigmentary dyschromias, and in the destruction of superficial skin lesions. Chemical peels are classified into superficial, medium, and deep according to their level of injury to the skin. It is the responsibility of the surgeon to assist the patient in choosing the resurfacing procedure that will most effectively satisfy his or her goals while maintaining a high margin of safety. With the current availability of various microdermabrasion and laser systems for facial rejuvenation, chemical peeling continues to be an integral part of a facial rejuvenation program because of its popularity with patients and minimal costs to the physician.

Chemexfoliation↗

Combination medium-depth peeling: the Jessner's + TCA peel.

The Jessner's + TCA peel is an enhanced medium-depth peel that is a combination of two acidic compounds. It has been found to be effective as a peeling procedure for moderately photoaging skin, actinic keratoses, and superficial acne scars.

Administration, Topical↗

The Jessner's-trichloroacetic acid peel. An enhanced medium-depth chemical peel.

The Jessner's-trichloroacetic acid (TCA) peel is a procedure developed by Monheit to produce a safe, effective medium-depth chemical peel for the treatment of photoaged skin, actinic keratoses, and superficial acne scars. The technique of pretreatment degreasing and combination chemicals allow a deeper penetration for the 35% TCA, increasing its efficacy while preserving its safety. Technique and methods are reviewed.

Acne Vulgaris↗

The Jessner's + TCA peel: a medium-depth chemical peel.

The Jessner's + TCA peel, a method of chemexfoliation, is a combination of two acidic compounds. It has been found to be an effective peeling procedure that produces a medium-depth peel for photoaging skin, actinic keratoses, and rhytides.

Administration, Topical↗

Mohs micrographic surgery for periorbital skin cancer.

The authors have illustrated the use of the Mohs technique on periorbital skin cancer. The indications for the technique are documented for eyelid and canthal neoplasia, and the case histories illustrate the potential danger of skin cancer in this area. It is the well balanced team of micrographic surgeons and reconstructive surgeons that will give the patient the best result.

Adult↗

Nail surgery.

Competence in nail surgery requires a full understanding of the anatomy and structural relationship of the parts of the nail unit. A further facility to delineate the nail components allows the dermatosurgeon to approach the nail unit surgically and to correct any of its parts. This review has been an attempt to introduce the principles of nail surgery and analyze in depth four office nail surgical techniques. The techniques of nail plate avulsion, nail bed and matrix biopsy, matricectomy, and lateral wall excision are the most commonly used surgical modalities of the nail. These four techniques will give the dermatosurgeon the tools to treat most surgical nail problems.

Bandages↗