Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
Such a device is not advocated, since the patient is liable to jump as
the current is made suddenly, because of the sharp stinging pain felt
at the point when the needle has entered the tissue or hair follicle,
often resulting in the breaking of the needle and possible injury to the
patient.
Other operators employ a small magnifying glass which may be attached to
the holder, as in Fig. 516, and by a sliding arrangement be moved up or
down the handle to adjust the lens to the proper focus. This arrangement
is indeed novel and may be of service in removing fine superfluous hairs,
but the author has never resorted to the method.
[Illustration: FIG. 516.—NEEDLE HOLDER WITH MAGNIFYING GLASS.]
The proper kind of needle to be used for electrolysis varies with the
device of the operator. The ordinary cambric needle usually advocated
is too stiff and thick. Jeweler’s broaches are better, but are very
brittle and easily broken. The ideal needle should be very thin and
made of platinum or irido-platinum. The author prefers the sharp to the
bulbous-pointed. For the removal of other blemishes than hair from the
face the sharp needle only can be used.
REMOVAL OF SUPERFLUOUS HAIR
The moistened sponge electrode connected to the (+) positive pole of the
circuit is placed into the hand of the patient, who lies in a chair with
her head on a level with the physician’s chin when operating. The light
should be southern, or such that the shafts of the hairs show plainly.
The operator turns on the current, holding the needle holder in the right
hand which is connected by a flexible cord to the (-) negative pole.
The rheostat handle is brought back so that just the least current is
flowing. The needle is now thrust down into the follicle containing the
hair. This must be done very gently so as to feel when the papilla has
been reached by the needle. The depth to which the needle goes varies
very much according to the size and place of the hair. It may be less
than one eighth and more than one fourth inch.
The patient holding the sponge will at once feel a stinging sensation
when the needle enters the skin, which is later not as objectionable. The
current is now increased by advancing the handle of the rheostat until
about eight milliampères are shown by the index on the dial.
Within a few seconds a white froth will issue from the follicle,
showing that decomposition of tissue is taking place. The operator must
familiarize himself with the time and amount of current required to
destroy superfluous hairs. Coarse hairs may require as much as fourteen
milliampères, but it is advisable to use a moderate amount of current and
to leave the needle a little longer in the follicle to avoid scarring of
the skin.
The papilla having presumably been destroyed, the patient loosens her
grip on the sponge and the needle is withdrawn.
Public-domain text, read in full here on John Shaqi.
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