Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
The mass is punctured in stellate fashion to assure an even necrosis, as
shown in Fig. 518.
[Illustration: FIG. 518.—ELECTROLYSIS METHOD FOR DESTROYING GROWTHS.]
The mass will appear much softer after this treatment, is in some cases,
as with flat moles, quite friable, but this disappears in a few hours and
the mass begins to shrivel and dry up, forming a scab, which is between
brown and almost black in color. This scab falls off in several days,
according to its size, leaving a pink eschar, which gradually turns white
and shows very little, if the growth has not been too large and the
electrolysis carefully done. If little tumefactions, or tips of tissue,
still appear, they are removed as soon after the scab falls off as deemed
advisable by the same method. Warts show more or less recurrence.
TELANGIECTASIS
In this condition there appear in the skin one or many dilated
capillaries. It is quite common about the sides and lobule of the nose
and just inferior to the malar prominence of the cheeks. To destroy these
the fine platinum needle is thrust through the skin and directly through
the canal of the vessel. The same disposition of the electrode is used as
heretofore described.
Immediately the current is made, a series of bubbles of hydrogen will run
through the vessel which presently becomes pale and empty, as a result of
the electro-chemical action.
The needle should be allowed to remain in the vessel from five to ten
seconds, according to the size of the latter.
The object is to set up sufficient irritation in and of the walls of
the vessel so as to occlude it when cicatrization has been established.
Some edema follows such a treatment, subsiding in a day or more. Several
vessels may be treated in the same sitting, and at either side of the
face. The operator should guard against too strong a current, to avoid
scarring of the skin. The final result in this treatment shows fine
punctate scars, as after the removal of coarse hairs, and sometimes pale
linear scars, but these are observable only on close inspection.
REMOVAL OF NÆVI
Birthmarks, port-wine marks, and other pigmentary conditions may be
entirely or partly removed from the skin of the face, according to the
size of the area treated and the nature of the case. For this purpose the
single needle attached to the negative pole is hardly sufficient, unless
the spot is exceedingly small, therefore a bunch needle electrode is
used. This electrode has a number of fine steel needles set into it, as
shown in Fig. 519.
[Illustration: FIG. 519.—MULTIPLE NEEDLE ELECTRODE.]
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