Should medication be continued while the crust is forming?
The patient can help the crust to form by applying a mildly antiseptic powder (resurfacing) and drying the area with a paper handkerchief during the first few hours (resorcin mixed peeling).

What sort of medication should be used to help the crust to form?
If the crust tends not to form in some areas, the patient can apply a dilute solution of 50% iodo-polyvinylpyrrolidone.

How long after the crust drops off should medication with zinc oxide cream be started?
Whatever sort of cream is used, it should be applied one or two days after the crust drops off, in order to allow proper keratinisation of the epidermis.

How long after the procedure of de-epithelialisation plus saturated resorcin solution does the crust form?
After a few hours.

How long does redness of the skin persist after the crust has dropped off?
After the mixed peeling procedure, redness persists for between one-and-a-half and three-and-a-half months, depending on the sensitivity of the patient's skin and the application times of the resorcin solution; in the case of dermal-epidermal hyperpigmentation, the solution is applied for 10- 20 seconds, while in the case of deep lip wrinkles, application may last up to two minutes. By contrast, healing times are very short in the case of Timedsurgical resurfacing. Unlike laser therapy, this procedure does not damage the deep tissues, even though its therapeutic action is efficacious and diffuse.

In procedures used for the permanent elimination of lip wrinkles, is anti-herpes prevention necessary, as in laser resurfacing?
No. Therapy for the prevention of herpes is undertaken only if the patient suffers from chronic herpes.

What is the difference between the crust that forms after de-epithelialisation and the crust that forms after resurfacing?
After simple de-epithelialisation, the tissues produce more exudate, and therefore have to be dried with a cellulose compress more often during the first few hours.

When telangiectasias of the nose are reluctant to disappear, what should we do?
We should carry out regenerative phlebotherapy and pulsed or timed Timedsurgical micro-coagulations at the same time.

Do antibiotics need to be taken when tattoos are removed and when lip wrinkles are treated?
Antibiotics are very rarely needed when these two procedures are performed.

What medication is used after epilation?
The area is disinfected with an alcohol solution. Subsequently, an alcoholic solution of cortisone is applied.

What treatment is recommended for xanthelasmas?
Timedsurgical resurfacing at 50 Watts is able to eliminate small, extensive or recurrent xanthelasmas and yields excellent aesthetic results. The patient has to be re-examined after a month, so that further treatment can be carried out, if necessary.

Can syringomas of the eyelid be coagulated?
Unless they are very small, syringomas of the eyelid have to be excised by means of slow pulsed Timedsurgical cutting, as they occupy the entire thickness of the skin. The wounds resulting from slight tissue loss may be sutured or left to heal spontaneously.

After resurfacing or mixed peeling, how long can the slight unevenness between the treated area and the healthy tissue be expected to last? How can the levelling process be accelerated?
This unevenness normally lasts no longer than a few months, since "nature abhors a vacuum". To accelerate the levelling process, hyaluronic acid may be injected, or the edges of the area may be smoothed by means of Timedsurgical resurfacing.

What exactly is electroshaving?
Electroshaving is an interesting technique used in the excision of benign neoformations, and exploits the regenerative capacity of the tissues. Neoformations on the edge of the eyelid are normally excised by means of this technique. Electroshaving is extremely useful in removing neoformations from the back, where surgical excision followed by suturing leaves a scar resembling a stab wound. When used on the face, electroshaving yields high-quality aesthetic results, leaving marks that are nearly always less visible than those left by surgical excision followed by suturing. Because the slow pulsed Timedsurgical cutting or timed Timedsurgical cutting used in this procedure do not heat the residual tissues, healing is very rapid. Haemostasis is carried out by means of the resurfacing function, and is therefore very delicate. In practice, there is no scorching of the tissues, and the excised neoformation is amenable to pathological examination. The patient should be re-examined after a month so that the scar can be treated, if necessary.

When performing electroshaving, how do we know that we are in the dermal plane?
The adipose tissue must not be visible.

Where can I get resorcin?
Korpo s.r.l. in Genoa can supply fresh resorcin if your usual pharmacy does not have any.

How do I know that I have made a saturated solution of resorcin?
Place a small amount of resorcin powder in a mixing bowl and dissolve it with a few drops of physiological solution or twice-distilled water. After a few minutes, when most of the resorcin has been dissolved and a little of the powder remains on the bottom, the solution is saturated.

In blepharoplasty, why use timedsurgery rather than a surgical scalpel?
Rapid pulsed Timedsurgical cutting is comparable to cutting with a diamond scalpel, and allows very rapid healing. It is, however, different from the diamond scalpel, in that it is able to cut by exerting a pressure of only about 5 grams (traditional scalpels exert about 1.5 Kg). This means less damage to the tissues. In upper blepharoplasty, skin incision is performed at 27 Watts, and that of the subcutaneous tissues at 50 Watts. The operator can decide whether to cut below, inside or above the line of the predetermined design. Adjustments of ½ mm can easily be made, if necessary, without having to grasp (and therefore deform) the margin to be reduced. Another important advantage is that the 0.08 mm diameter electromaniple (EM 10 White) offers extremely good visibility of the field and promotes haemostasis as it cuts. Rapid pulsed Timedsurgical cutting at 50 Watts is extremely useful in transconjunctival blepharoplasty, as it ensures visibility, haemostasis and operating safety.

How does the electromaniple cut?
Timed, slow-pulsed and rapid-pulsed Timedsurgical cutting exploits the elastic properties of the tip of the electromaniple. The cutting effect is produced only by the last few millimetres of the tip. For further information, consult the Timedsurgery treatise.

Why does the cutting action occur only over the last few millimetres of the tip of the EM 10 electromaniple?
EM 10 electromaniples are conical and have a triangular point, where energy is concentrated.

How long after upper blepharoplasty performed by means of timedsurgery should the stitches be removed?
They can be removed after three days.

Why does Timedsurgical removal of dermal-epidermal patches yield permanent results?
Dermal-epidermal patches are eliminated by means of Timedsurgical mixed peeling, which consists of de-epithelialisation of the pigmented area at 1 Watt (it is advisable to keep one millimetre outside of the area) followed by application of a saturated resorcin solution for 10-20 seconds. Like most phenolic compounds, resorcin exerts a specific toxic effect on melanocytes, which are therefore reduced in number.

Why should patches on the hands be treated twice?
Patches on the hands may be epidermal or dermal-epidermal. The more superficial treatment, however, is always recommended – Timedsurgical resurfacing in the coagulation function with micro-electrodes at 27 or 38 Watts. The coagulated epidermis is not removed, and protects the treated area. After six months, a further treatment session may be deemed necessary in order to perfect the result. As Timedsurgical resurfacing does not heat the tissues in depth, the formation of achromic patches on the skin is avoided.