Dermatology Times Reports "The Importance of Patient Prepping"

October 1, 2013

The Dermatology Times
By: Heather Onorati
October 1, 2013

"Disinfection is an important part of any procedure involving piercing the skin. Here, our expert panel discusses approaches to sterilization and cleansing, as well as the odds of serious infections.

How do you approach prepping a patient prior to an injection procedure?

Amy Taub, M.D., dermatologist, Chicago: I clean the skin area to be treated with Hibiclens (antiseptic, MöInlycke Health Care) and then follow that with alcohol.

Michael Persky, M.D., plastic surgeon, Encino Calif.: It depends what I’m doing. I think with Sculptra (Aesthetic, injectable poly-L-lactic acid, Valeant) or Radiesse (calcium hydroxylapatite, Merz Aesthetics), if we’re doing a lot of injections on the face, we do Hibiclens and I think probably everybody should be cleaning with that. We don’t have time usually for a little poke of Botox (onabotulinumtoxinA, Allergan) here or there (and studies have shown that the infection rate with filler injections is the same with or without cleansing the skin), or a little filler here or there, and we’ll just use alcohol to disinfect the skin.

Rebecca Fitzgerald, M.D., dermatologist, Los Angeles: I think that’s a great question and it’s a very, very, important one. And if you look at the line sepsis literature in hospitals, they’ve studied what you can clean the face with to really reduce the incidence of infections.  And it’s 2 percent chlorhexidine and 70 percent alcohol. And we use sterile water — we just pour it in a cup to clean faces because there are biofilms of Mycobacterium in tap water. And if you’re doing a ton of injections, the odds are that something’s not going to happen to you — it’s not very common, but you can reduce that even further by using sterile water.

Welf Prager, M.D., dermatologist, Hamburg, Germany: The disinfection is a very important part of the procedure. I always do it myself. The other point I want to mention is that when you’re using a blunt cannula don’t even think about touching the cannulas or anything you put into the patient’s face. When I want to reuse it or put it aside, I have a sterile gauze and I put then the syringe with the cannula on the sterile gauze." Read More.