key: cord-0928986-wc3n5z6p authors: Abtahi‐Naeini, Bahareh; Saffaei, Ali title: COVID‐19 and elective cosmetic procedures: Asymptomatic transmission in epidemic area and subsequent burdens date: 2020-06-20 journal: J Cosmet Dermatol DOI: 10.1111/jocd.13535 sha: c7f73e506ce031564dd39401b7695e98c40c38bb doc_id: 928986 cord_uid: wc3n5z6p nan Transmission before symptoms develop is infrequent, although it cannot be excluded. Furthermore, individuals who remain asymptomatic could carry the virus. Hence, isolation is the best way to fight this epidemic. The transmission occurs through respiratory droplets from coughing and sneezing. Aerosol transmission is also possible in case of elevated aerosol concentrations in closed spaces. In general, the transmission is primarily limited to family members, healthcare professionals, and other close contacts. 1 In these situations, especially in hot point area, it seems that elective cosmetic procedures need extreme caution or even canceling plan with below concepts. It is notable that some cosmetic procedures have a high priority (for example skin biopsy) and others have a low priority. These procedures can categorized as a low risk procedures (for example filler injection) or high risk procedures (for example Laser therapy and those need sedation). These strategies can reduce the economic burden due to COVID-19. If the cosmetic procedures are mandatory, management of aerosols to be strictly done during operation and the protection of operating room personnel should be strengthened. coronavirus, cosmetic procedures, COVID-19, transmission The authors declare that there is no conflict of interest. Bahareh Abtahi-Naeini MD 1 Ali Saffaei PharmD 2 Presumed asymptomatic carrier transmission of COVID-19 Transmission of 2019-nCoV infection from an asymptomatic contact in Germany A familial cluster of infection associated with the 2019 novel coronavirus indicating potential LETTER TO THE EDITOR person-to-person transmission during the incubation period Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia COVID-19) and dermatologists: potential biological hazards of laser surgery in epidemic area First case of COVID-19 complicated with fulminant myocarditis: a case report and insights