Justo Miguel Alcolea López- MD
- Medical director at Independent Researcher
Justo Miguel Alcolea López
- MD
- Medical director at Independent Researcher
About
65
Publications
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316
Citations
Introduction
Professor of Master's Degree in Aesthetic Medicine and Welfare. University of Barcelona (UB) & Master in Laser and Phototherapy in Dermatoesthetic Pathology (UB)
Editor-coordinator of Journal of the Spanish Society of Aesthetic Medicine (SEME).
Scientific Advisor of SEME.
Dermatological ultrasound diagnosis
Reviewer for Laser in Medical Science and Journal of Cosmetic and Laser Therapy.
Co-Director and Professor of Phlebology Course at SEME
Clínica Alcolea. Hospitalet de Llobregat (Barcelona)
Skills and Expertise
Current institution
Independent Researcher
Current position
- Medical director
Additional affiliations
January 2005 - June 2015
Instituto Médico Vilafortuny
Position
- Head of Department
Description
- Ultrasound, diagnosis varicose veins and treatments with microfoam and lasers
Publications
Publications (65)
La prevalencia del acné en la mujer adulta no ha hecho más que aumentar en la última década. Son numerosos los estudios que correlacionan hábitos nutricionales erróneos con este tipo de acné, además de las posibles alteraciones clínicas que no siempre pueden observarse en las pruebas de laboratorio. Sin embargo, a menudo se diagnostica incorrectame...
Introducción. El uso de ácido hialurónico (AH) en tratamientos médico-estéticos faciales sigue aumentando sin cesar. Aunque el AH se considera un relleno dérmico seguro, en la literatura ya se han descrito casos de reacciones adversas (RA), incluyendo las de hipersensibilidad (RH), tras su inyección. El objetivo de esta revisión sistemática es anal...
Introducción. El melasma se presenta en forma de pigmentación difusa de color marrón en la frente, pómulos, mejillas y labio superior. Es más frecuente en mujeres adultas, asociado a la toma de anticonceptivos o al embarazo, y empeora con el sol. El daño actínico que sufren los melanocitos es similar que se produce en el fotoenvejecimiento. El trat...
Los láseres fraccionales ablativos, de dióxido de carbono (CO₂) y erbio: itrio-aluminio-granate (Er:YAG), tienen su fundamento en su capacidad de dañar selectivamente la epidermis, la dermis o ambas de la piel envejecida en dependencia de la dosimetría programada. Tienen la particularidad de dejar indemnes pequeñas áreas de piel entre los impactos...
La medicina estética no puede quedar al margen del empleo de la inteligencia artificial en el desarrollo profesional. Los tratamientos personalizados y los diagnósticos precisos harán que los resultados y el seguimiento de los pacientes sean más eficaces. Como toda herramienta o procedimiento que se suma a la práctica médica debe considerarse con l...
La retractación en medicina es impactante, con un alcance superior a otros campos de la ciencia. La transparencia, la revisión por pares y la ética son pilares esenciales para preservar la confianza en la investigación médica y asegurar que los avances en ciencia y medicina estética sean sólidos, confiables y beneficiosos para la sociedad.
La toxina botulínica es el tratamiento más empleado en medicina estética; en consecuencia, las quejas de la menor duración del efecto de la toxina en los pacientes son causa de preocupación entre los médicos. Los responsables de la fabricación y distribución de las toxinas niegan que exista una causa dependiente del fabricante con relación al acort...
Introduction. Post-sclerotherapy hyperpigmentation (PSH) is the most frequent adverse effect of varicose vein sclerotherapy, being persistent in 10% of treated patients.
The primary objective is to retrospectively and comparatively analyze the incidence of HPE in patients treated with polidocanol microfoam (POLM) or microfoam plus Nd:YAG laser in...
Mesotherapy or intradermotherapy is a technique of injecting drugs into the skin at both the facial and body level. Consolidated for more than 60 years, and known worldwide, since Pistor's first communication in 1958. Its historical evolution has been characterized by the use of diverse drugs for the treatment of different pathologies, not only in...
Introduction: Bruxism (BRX) can be defined as clenching and/or grinding of the teeth in a particularly intense or involuntary way. It occurs interchangeably during sleep or while awake due to repeated contraction and/or hypertrophy of the masticatory muscles. Treatments are mainly intended to limit induced temporomandibular joint (TMJ) damage and a...
Introducción y objetivo
El bruxismo (BRX) se define como rechinar y/o apretar los dientes, involuntaria e intensamente, debido a hipertrofia y/o contracción reiterada de los músculos masticatorios, especialmentelos maseteros. Puede suceder durante el sueño o de día indistintamente.
Los tratamientos empleados tienen la finalidad de limitar el daño s...
Sclerotherapy continues to be the treatment of choice for varicose veins in the legs. However, isolated treatment using microfoam or lasers requires a high number of sessions to eliminate them. In 2013, we published results about the efficacy and safety 3 years after the combined treatment with microfoam injections and subsequent application of Nd:...
Introduction and Objective In recent years there has been a growing interest in the use of partially ablative laser technology in facial rejuvenation. Among the lasers developed for this purpose, the Erbium: YAG laser coupled to a modulated space ablation system (RecoSMA®, Linline, Minsk, Belarus) deserves attention because it changes the tradition...
Chronic lower extremity ulcers (CLEUs) have a high prevalence and are difficult to treat due to their various aetiologies. The aim of this study is to evaluate the results achieved in treating CLEUs using an Erbium: YAG (Er:YAG) laser with RecoSMA technology. This laser emits thousands of microbeams of energy causing superficial epidermal ablation...
The objective of this study was to determine the efficacy and safety of a novel method of facial rejuvenation using a 2940-nm erbium:YAG laser with Spatially Modulated Ablation™. A pilot study was performed in 16 women with moderate to severe signs of facial aging relative to chronological age, who underwent two treatment sessions with an Er:YAG la...
Background:
Photothermolysis of unwanted hair depends on the presence of melanin in the hair follicle as the chromophore, but is not effective in patients with non-pigmented, melanin-sparse hair shafts and follicles. This split-scalp, double-blind study was to monitor the efficacy of melanin bound in nanosomes to inject exogenous melanin into the...
Background:
Upper arm deformities secondary to weight loss or senile elastosis have led to an increased demand for aesthetic contouring procedures.
Objective:
To objectively assess whether, in Teimourian high-grade upper arm remodelling, laser-assisted lypolysis (LAL) alone could result in patient satisfaction.
Methods:
Between 2012 and 2013,...
Las úlceras crónicas de los miembros inferiores (UCMI) tienen una elevada prevalencia, etiología diversa y son de difícil curación. El objetivo del presente estudio es evaluar los resultados alcanzados en su curación mediante el empleo de un láser de Erbium:YAG con tecnología RecoSMA. Este láser y sistema de tecnología emite energía en forma de mil...
Correction of prominent ears is a common plastic surgical procedure. The laser-assisted cartilage reshaping (LACR) technique for protruding ears was developed at the French National Institute of Health and Medical Research in Lille, France, using both the 1064- and 1540-nm wavelengths, with a view to simplifying the surgical procedure. Herein we re...
Hyperhidrosis is a debilitating problem that is not only uncomfortable and inconvenient, but also embarrassing in work and social situations. In spite of the availability of several options for the treatment of axillary hyperhidrosis, recently, there has been an increasing interest in the use of laser therapy. This study aims to evaluate the effica...
Upper arm deformities secondary to weight loss or senile elastosis have led to an increased demand for aesthetic contouring procedures. We conducted this study to objectively assess if, in Teimourian low-grade upper arm remodelling, one session of laser-assisted lypolisis (LAL) could result in full patient satisfaction. Between 2011 and 2013, 45 pa...
Chronic lower extremity ulcers (CLEU) have a high prevalence, present various aetiologies and are difficult to heal. The aim of the present study is to evaluate the results achieved in healing CLEU using an Erbium: YAG with RecoSMA technology. This laser emits energy in thousands of microbeams causing superficial epidermal ablation by thermal effec...
El objetivo de nuestro estudio es valorar mediante ecografía y análisis estadístico la respuesta a la liposucción asistida por láser en abdomen y flancos. Para ello, se tuvo en cuenta la disminución del tejido adiposo, la retracción cutánea y el grado de satisfacción de las pacientes con los resultados. Realizamos un estudio retrospectivo sobre 340...
Background:
Since the first studies by Apfelberg in 1994 and the mathematical model of Mordon introduced in 2004, laser-assisted lipolysis (LAL) has been on the rise. In a previous study, we presented our results in patients treated with LAL for Rohrich type I to III aging neck. The average cervicomental angle decreased from 152.6 ± 5.9 to 123.6 ±...
Ultrasound and statistical analysis of results of laser-assisted liposuction of the abdomen and flanks have been evaluated. Decrease in fat tissue, skin retraction and patient satisfaction with results have all been taken into consideration. This retrospective study corresponds to 340 surgeries, done on multiparous patients over 40 years age, with...
El objetivo del presente estudio es determinar la eficacia clínica de la fibrina autóloga en heridas traumáticas con exposición de tejido noble, en el pie diabético y en úlceras por insuficiencia venosa crónica. El concepto es regenerar el tejido afectado e inducir de manera asistida la formación de tejido de granulación suficientemente compacto pa...
Background:
Since the first studies by Apfelberg in 1994 and the mathematical model by Mordon in 2004, laser lipolysis (LAL) has been on the rise. Laser lipolysis has the advantages of reduced operator fatigue, excellent patient tolerance, quick recovery time, as well as the additional benefit of dermal tightening. This article reports our experie...
Our aim is to determine the clinical efficacy of autologous fibrin in traumas with deeply exposed open wounds; in diabetic foot, and ulcers due to chronic venous insufficiency. The goal was to regenerate the affected tissue and assist in inducing the formation of sufficiently compact granulation tissue, in order to enable auto-skin grafts or facili...
Las onicomicosis son las afecciones ungueales más frecuentes, afectando hasta un 11% de la población europea. Los tratamientos han evolucionado a lo largo de los años con la incorporación de nuevos antifúngicos, tanto locales como sistémicos. En los últimos años, los láseres y otras fuentes de luz están demostrando su efectividad en la eliminación...
El objetivo del presente trabajo es determinar la eficacia clínica del plasma rico en plaquetas (PRP) en las quemaduras de segundo grado. Estudiamos el tiempo requerido en la reepitelización del tejido dañado, la estancia hospitalaria asociada a la curación de las lesiones y la satisfacción del paciente. Realizamos un estudio prospectivo, observaci...
The aim of this study is to determine the clinical efficacy of platelet rich plasma (PRP) for second degree burns. The time required for tissue reepithelization of lesions, down time associated with wound healing and patient satisfaction, are studied. We conduct a prospective, observational and long term study on 115 patients with second degree bur...
La aplicación del láser endoluminal es una alternativa válida para la eliminación de la vena safena interna dinámicamente insuficiente. El tratamiento se realiza bajo anestesia local y/o por enfriamiento con aire frío externo, y supone un bajo trauma quirúrgico con pocas complicaciones. Presentamos el tratamiento de 120 extremidades afectadas por i...
Valoramos por ecografía y estadísticamente la eficacia de la liposucción láser-asistida en casos de ginecomastia, teniendo en cuenta la respuesta de retracción de la piel, la rapidez de la recuperación del paciente, y el grado de satisfacción que originan los resultados. Presentamos un estudio prospectivo de 28 pacientes con ginecomastia de diferen...
Introducción. El tratamiento de las varices mediante esclerosis química empleando microespuma posee notables ventajas. Sin embargo, la combinación de microespuma y la acción del láser de Nd:YAG de 1064 nm en la misma sesión, obtiene resultados más rápidos, funcional y estéticamente, con menores concentraciones de esclerosante, y empleando fluencias...
Background:
Eyelid ptosis or blepharoptosis is defined as an abnormal drooping of the upper eyelid when looking straight ahead. Laser-assisted blepharoplasty (LAB), first introduced by Baker in 1984, presents the following advantages: improved intraoperative haemostasis, decreased operating time and improved appearance in the immediate postoperati...
To evaluate efficacy of laser lipolysis in the treatment of gynecomastia to correct breast volume, flaccidity and excess skin without its excision.
Prospectively, 32 patients with gynecomastia under tumescent anaesthesia and sedation underwent laser lipolysis with 980nm diode laser, 15W continuous emission and 8 to 12 kJ energy per breast. External...
The aim of this prospective study is to assess the efficacy of a high density hyaluronic acid (HA) subcutaneous injection, Macrolane® 20, in hand rejuvenation in the short, medium and long term, regarding treatment benefit, patient satisfaction and possible complications. This study was performed between May 2010 and December 2011. Twenty nine pati...
Background
Often ignored, hands are one of the most telltale signs of aging. This prospective study was initiated to evaluate the effect of subcutaneous hyaluronic acid (HA) injections in aging hands, with special attention to complications and long-term outcomes.
Methods
Between January 2010 and December 2010, a total of 38 patients with skin phot...
Objective:
To determine the clinical efficacy of methyl-aminolevulinate (MAL)-Photodynamic Therapy (PDT) in the treatment of actinic keratosis (AK), basal cell carcinoma (BCC), acne vulgaris (AV) and photoaging (PA), in the short and medium term.
Subjects and methods:
Four separate prospective studies were designed on patients with AK (n=25), BC...
Treatment of micro-veins of less than 1.5 mm with laser and with chemical sclerosis is technically challenging because of their difficulty to remedy. Laser treatment is even more difficult when dark phototypes are involved.Three groups of 30 patients each, skin type IV, and vessels measuring less than 1.5 mm in diameter, were enrolled for two treat...
The aim of this paper it to help to identify injected fillers by interpreting the different ultrasound patterns that we have systemized depending on the areas and cutaneous planes where they are located. Most of the patients don't know the filler has been injected. For doctors it's important to know the origin and characteristics of the product bec...
It is mandatory for doctors who use dermal fillers to dominate the injection technique and to know the product characteristics as well as the possible side effects that can derive from the procedure. Indications on fillers given in this paper, based on the authors´ experience, do not prevent the use of other aesthetic treatments; moreover, a solid...
Para el tratamiento de patologías faciales vasculares se pueden usar fuentes de luz. El grado de eficacia clínica depende de la adecuada selección de los parámetros, en función del calibre de los vasos y de su profundidad, del componente hipertrófico de los mismos y del fototipo del paciente. Los hemangiomas planos (HP) pueden tratarse con un láser...
Se han comparado la evolución de los signos y el estado de la piel en una muestra de 10 pacientes tras la aplicación de 2 cremas, después de 2 sesiones de resurfacing fraccional no ablativo. En la primera sesión se empleó Daeses® en 5 pacientes e IPLase Mask® en los otros 5. En la segunda sesión se invirtió la recomendación de las cremas. Inmediata...
Treatment with fillers for aesthetic purposes or to replace subcutaneous fat loss produced by muscle atrophy is one of the aesthetic procedures more frequently carried out in Spain. Knowledge of the properties of the products, the injection technique, correct location of the area and awareness of the potential side effects and risks involved are im...
The application of the Botulinum toxin (BT) in the low third of the face needs anatomical precise knowledge and rigorous training due to the complex muscular interaction with the manifestations of the expression and of the mime, principally of the nose and of the mouth. To know his indications in this part of the face can be a good therapeutic comp...
The application of the Botulinum toxin (BT) in the low third of the face needs anatomical precise knowledge and rigorous training due to the complex muscular interaction with the manifestations of the expression and of the mime, principally of the nose and of the mouth. To know his indications in this part of the face can be a good therapeutic comp...
En la actualidad, la toxina botulínica (TB) es parte importante en los tratamientos médico-estéticos de la cara. Este trabajo hace una aproximación didáctica, con fines prácticos formativos, sobre el manejo de la TB para el rejuvenecimiento facial en el ejercicio de la Cirugía Plástica y Estética. Entender la anatomía del envejecimiento es clave pa...
Currently, botulinum toxin (BT) plays an important role in aesthetic-medical treatments of the face. This paper provides a didactical approach for practical training purposes, concerning the use of BT for facial rejuvenation when practising Plastic and Aesthetic Surgery. It is essential to understand the anatomy of ageing in order to integrate TB i...
