PMID- 32738101 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 1473-2165 (Electronic) IS - 1473-2130 (Linking) VI - 19 IP - 9 DP - 2020 Sep TI - Physician survey on pre-/postprocedure measures for injectable treatments. PG - 2246-2251 LID - 10.1111/jocd.13625 [doi] AB - INTRODUCTION: Every year in the United States, over 1 billion dollars are spent on aesthetic injectables, such as soft tissue fillers and neurotoxins. In 2018, the total amount of injectable treatments performed surpassed 2 671 130 procedures. While often mild and transient, adverse events (AEs) can occur following these procedures. AEs may include common side effects such as bruising, or rare, but serious AEs such as infections. While previous investigators have evaluated methods of reducing risks of AEs due to the treatment procedure itself, few investigations have evaluated measures employed before and/or after treatment (ie, peri-procedure). METHODS: An electronic survey was sent to aesthetic clinicians with experience performing injectable treatments. The survey collected information regarding general information (eg, demographics and specialty), type of injectable devices used, current peri-procedures, and an exploration of future options for peri-procedural measures. RESULTS: Most aesthetic clinicians did not use prophylactic topical or systemic antimicrobials, nor prophylactic topical antiviral therapy. However, approximately 65% of clinicians reported using prophylactic systemic antivirals for patients with a history of herpes simplex virus. A variety of products were used to prepare the skin prior to injectable procedures. Postprocedure, multiple over-the-counter wound repair products were recommended by >70% of injectors. However, there was a large variety of products recommended with no majority consensus. CONCLUSIONS: Currently, there are no peri-procedural standards of practice when performing aesthetic injectable treatments. Efforts are underway for the development of best-practice algorithms. CI - (c) 2020 Wiley Periodicals LLC. FAU - Gold, Michael H AU - Gold MH AUID- ORCID: 0000-0002-5183-5433 AD - Gold Skin Care Center and Tennessee Clinical Research Center, Nashville, TN, USA. AD - University School of Medicine and Nursing, Nashville, TN, USA. FAU - Andriessen, Anneke AU - Andriessen A AUID- ORCID: 0000-0001-5930-4162 AD - Radboud UMC Nijmegen, Andriessen Consultants, Malden, The Netherlands. FAU - Hu, Shasa AU - Hu S AUID- ORCID: 0000-0003-3479-733X AD - Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. AD - Department of Dermatology and Cutaneous Surgery, Sylvester Comprehensive Cancer Center, Miami, FL, USA. FAU - Vega, Janelle H AU - Vega JH AUID- ORCID: 0000-0001-6552-5666 AD - Mayoral Dermatology, Miami, FL, USA. FAU - Goldberg, David J AU - Goldberg DJ AUID- ORCID: 0000-0002-8950-439X AD - Skin Laser & Surgery Specialists of NY and NJ, Hackensack, NJ, USA. AD - Icahn School of Medicine at Mount Sinai, New York, NY, USA. FAU - Grover, Komel V AU - Grover KV AUID- ORCID: 0000-0002-3458-3027 AD - Strategic Development, Swiss American CDMO, Dallas, TX, USA. FAU - Lorenc, Z Paul AU - Lorenc ZP AUID- ORCID: 0000-0002-5119-8825 AD - Lorenc Aesthetic Plastic Surgery Center, New York, NY, USA. AD - Department of Plastic Surgery, Lenox Hill Hospital, New York, NY, USA. FAU - Mandy, Stephen H AU - Mandy SH AUID- ORCID: 0000-0003-4539-2725 AD - Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. LA - eng GR - Swiss American, LLC./ PT - Journal Article DEP - 20200801 PL - England TA - J Cosmet Dermatol JT - Journal of cosmetic dermatology JID - 101130964 SB - IM MH - *Cosmetic Techniques/adverse effects MH - Esthetics MH - Humans MH - Injections/adverse effects MH - *Physicians MH - Rejuvenation OTO - NOTNLM OT - aesthetic injectables OT - injectables OT - peri-procedural standards OT - pre-postprocedure measures OT - survey EDAT- 2020/08/02 06:00 MHDA- 2021/05/15 06:00 CRDT- 2020/08/02 06:00 PHST- 2020/05/24 00:00 [received] PHST- 2020/07/07 00:00 [accepted] PHST- 2020/08/02 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2020/08/02 06:00 [entrez] AID - 10.1111/jocd.13625 [doi] PST - ppublish SO - J Cosmet Dermatol. 2020 Sep;19(9):2246-2251. doi: 10.1111/jocd.13625. Epub 2020 Aug 1.