, Clinical Diagnosis of Suspicious Pigmented Lesions, Next TGP

These may or may not have been noticed by the client themselves. Whilst it is not desirable to disturb the client by suggesting that there is anything amiss, it is our duty to suggest to the client that they allow their GP to cast an eye over the lesion “just in case”.

The Plastic Surgery Working Group Panel have issued guidelines for the monitoring of suspicious pigmented lesions and it would be wise for us all to be aware of them:

Clinical Diagnosis

Suspicious pigmented lesions are best examined in a good light, with or without magnification, and should be assessed using the 7 point check list or ABCDE systems given below. The presence of any major feature in the 7 point check list, or any of the features in the ABCDE system, is an indication for referral. The presence of minor features should increase suspicion. It is accepted that some melanomas will have no major features.

The checklist lesion system

Major Features, Minor Features

Change in size of lesion, Inflammation

Irregular Pigmentation Itch/altered sensation

Irregular border Lesion larger than others

Oozing/crusting of lesion

The ABCDE checklist lesion system

A. Geometrical ASYMMETRY in two halves

B. Irregular BORDER

C. At least two different COLOURS in lesion

D. Maximum DIAMETER>6mm

E. ELEVATION of lesion

Please note that it is always unwise to inadvertently treat pigmented lesions during the course of other treatments such as tattoo removal and depilation. If moles or lesions are present, please document these and be sure to cover them with white pencil prior to beginning laser clinic australia treatment.

Guidance on Laser-IPL Safety Eyewear

You may consider that protective eyewear is all that is required to protect against laser/IPL risks. In fact, safety eyewear is the last line of defence against laser/IPL hazards: Safety glasses only protects the wearer (and only then if they are the correct glasses, the glasses are undamaged and are actually worn!).

It is important that the correct glasses are worn for the individual application, especially where a number of systems and a number of sets of glasses are in place – it is easy to confuse protective glasses – especially if you do not understand the code printed on the glasses.

Markings contain a great deal of information and define the protective value of the glasses for the particular situation. The measure is broken down into 7 elements being:

Output type

Wavelength

Protection

Factory code

EC standard

EC certification

Increased Robustness

Output type can be broken down as follows:

Symbol

Beam Type

This specification appears to deliver adequate protection, however, the glasses are clearly designed to provide long pulsed (I) protection rather than QS (R) protection. Given that (R) peak power might be 1000 times more energetic than (I) peak power, protection is inadequate.