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Dermatology aesthetics cosmetics

Monique Vanaman Wilson, Sabrina Guillen Fabi, Ryan Greene
Importance: The pivotal approval trial for a smooth, highly cohesive, viscous, 20-mg/mL hyaluronic acid filler demonstrated sustained aesthetic improvement, with a mean injection volume of 6.65 mL. In daily practice, however, it is not often practical or necessary to use large injection volumes to achieve the desired cosmetic outcome. Objective: To assess the efficacy, longevity, and patient satisfaction associated with correction of age-related midface volume loss using the low volumes of hyaluronic acid filler more commonly used in day-to-day practice...
October 20, 2016: JAMA Facial Plastic Surgery
Mary P Lupo
*Proceedings from a recent cosmetic dermatology conference, Cosmetic Bootcamp, Aspen, CO.
September 1, 2016: Journal of Drugs in Dermatology: JDD
E Victor Ross, Travis W Blalock, Douglas Winstanley, Joel L Cohen, James J Childs
UNLABELLED: A melanin meter has been created to assess real time skin pigmentation to optimize settings for visible light aesthetic applications. METHODS: A handheld meter was applied to non sun-damaged skin on the back of volunteers to measure skin pigmentation prior to treatment with IPL light sources over a range of pulse widths and ascending fluences. Curves for maximum epidermal tolerances as a function of pigmentation were determined. These curves were then tabulated for each pulse width in device software to provide guidance in the selection of fluences...
April 2016: Journal of Drugs in Dermatology: JDD
Joshua T Waltzman, Kashyap Komarraju Tadisina, Susan Orra, Huseyin Elbey
BACKGROUND: Competition among our sister cosmetic specialties continues to increase. Once a field dominated by plastic surgeons, there is a clear trend toward increased competition from core and non-core disciplines. While these marketplace trends are obvious, how such competition has affected academia or peer reviewed publications is less clear. OBJECTIVES: We analyzed the most cited peer reviewed facial aesthetic literature over the past five decades to see if marketplace trends are echoed in a similar manner across the academic disciplines of plastic surgery, otolaryngology, dermatology, and ophthalmology...
July 2016: Aesthetic Surgery Journal
Anne F Klassen, Stefan J Cano, Jonathan A Schwitzer, Stephen B Baker, Alastair Carruthers, Jean Carruthers, Anne Chapas, Andrea L Pusic
IMPORTANCE: Patient-reported outcomes data are needed to determine the efficacy of cosmetic procedures. OBJECTIVE: To describe the development and psychometric evaluation of 8 appearance scales and 2 adverse effect checklists for use in minimally invasive cosmetic procedures. DESIGN, SETTING, AND PARTICIPANTS: We performed a psychometric study to select the most clinically sensitive items for inclusion in item-reduced scales and to examine reliability and validity with patients...
April 2016: JAMA Dermatology
P Boggio, B Miglino, R Tiberio, E Colombo
BACKGROUND: A cutaneous lesion of the face not infrequently may be located on the border between two aesthetic subunits. In such case the simple surgical excision of the lesion or the A-T flaps may not be aesthetically satisfactory. OBJECTIVE: We describe 3 cases in which we successfully used a tricorn plastic technique to repair surgical defects located on the border between two aesthetic subunits and Langer lines. METHOD: Three surgeries were performed under local anesthesia...
December 23, 2015: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
Kit Frederiksen, Richard H Guy, Karsten Petersson
INTRODUCTION: Dosing regimens requiring multiple daily applications frequently result in poor patient compliance, especially in the treatment of chronic skin diseases. Consequently, development of sustained delivery systems for topical drugs permitting less frequent dosing is of continuing interest for dermatological therapy. AREAS COVERED: This potential of polymeric film-forming systems (FFS), created in situ on the skin, as sustained delivery platforms for topical drug delivery is reviewed...
2016: Expert Opinion on Drug Delivery
Nark-Kyoung Rho, Yao-Yuan Chang, Yates Yen-Yu Chao, Nobutaka Furuyama, Peter Y C Huang, Martina Kerscher, Hee-Jin Kim, Je-Young Park, Hsien Li Peter Peng, Paisal Rummaneethorn, Berthold Rzany, Hema Sundaram, Chin Ho Wong, Yuli Yang, Adri Dwi Prasetyo
BACKGROUND: Although the use of filling agents for soft-tissue augmentation has increased worldwide, most consensus statements do not distinguish between ethnic populations. There are, however, significant differences between Caucasian and Asian faces, reflecting not only cultural disparities, but also distinctive treatment goals. Unlike aesthetic patients in the West, who usually seek to improve the signs of aging, Asian patients are younger and request a broader range of indications...
November 2015: Plastic and Reconstructive Surgery
Joshua A Farhadian, Bradley S Bloom, Jeremy A Brauer
Aesthetics continues to be a rapidly growing field within dermatology. In 2014, Americans spent 5 billion dollars on an estimated 9 million minimally invasive cosmetic procedures. Between 1997 and 2014, the number of aesthetic procedures performed on men increased by 273%. The approach to male aesthetics differs from that of females. Men have a squarer face, a more angled and larger jaw, and equally balanced upper and lower facial proportions. Facial muscle mass, subcutaneous tissue, and blood vessel density are also increased in men relative to women...
September 2015: Journal of Drugs in Dermatology: JDD
Evan A Rieder, Euphemia W Mu, Jeremy A Brauer
Though still accounting for a small fraction of all cosmetic procedures in the United States, men are an emerging and rapidly expanding demographic in the field of aesthetic medicine. In this article we highlight the trends contributing to the rise of male aesthetic procedures in dermatology, touching on social influences, psychological motivations, and treatment outcomes.
September 2015: Journal of Drugs in Dermatology: JDD
Catharina Fluehler, Claudia Colli, Alessandro Gatti, Giusto Trevisan
No abstract text is available yet for this article.
2015: Acta Dermatovenerologica Croatica: ADC
Haidong Li, Song Tao, Zhao Zhenmin
BACKGROUND: In cosmetic surgery, the authors have successfully used forehead expansion for reconstruction of the upper eyelid, and have found it to be indispensable for reconstruction of the upper eyelid. In such an operation, preserving the eyebrow is often a problem, and they suggest an approach in 2 stages, which allows us to both save the eyebrow and use the expander flap at the same time. In the last 6 years, they have performed 5 forehead expansions for total upper eyelid skin reconstruction, achieving very good aesthetic outcomes...
September 2015: Journal of Craniofacial Surgery
Michael S Leo, Alur S Kumar, Raj Kirit, Rajyalaxmi Konathan, Raja K Sivamani
Platelet-rich plasma (PRP) is a highly concentrated autologous solution of plasma prepared from a patient's own blood. PRP contains platelets that are purported to release numerous growth factors that may be valuable in numerous dermatologic applications. Here, we review systematically the clinical cosmetic applications of PRP including: androgenetic alopecia, scar revision, acne scars, skin rejuvenation, dermal augmentation, and striae distensae to understand the potential and best practices for PRP use. A systematic search was conducted on three databases: Pubmed, Embase, and Web of Science...
December 2015: Journal of Cosmetic Dermatology
Molly B Austin, Divya Srivastava, Ira H Bernstein, Jeffrey S Dover
BACKGROUND: How delegation of procedures varies among cosmetic specialties in the United States is not well described. OBJECTIVE: To better describe current practices in delegation of procedures to nonphysicians among physicians of different cosmetic specialties in the United States. METHODS: An Internet-based survey was administered to physician members of the American Society for Dermatologic Surgery (ASDS), the American Society for Aesthetic Plastic Surgery (ASAPS), and the American Society for Laser Medicine and Surgery (ASLMS)...
July 2015: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
A A Chokoeva, G Tchernev, E Trayanova, J W Patterson, T Lotti, U Wollina
Congenital melanocytic nevi are relatively rare lesions (1-6%). Their size and location can cause cosmetic and functional disorders of varying degrees of severity, but in addition they can also undergo transformation to malignant melanoma. Different types of treatments have been described as being effective for these lesions, the choice of the most appropriate method depending on the size and the location of the nevi as well as the patient’s age. While locally destructive methods for superficial treatment could successfully reduce the pigmentation, recurrences are not rare and incomplete elimination of the melanocytic nevus would not exclude the possible development of subsequent malignancy...
January 2015: Journal of Biological Regulators and Homeostatic Agents
Anthony M Rossi
Cosmetic dermatology is continuing to see a dramatic increase in both procedures performed and technological advancements. Men's aesthetic dermatology is burgeoning with more men seeking cosmetic consultations and intervention. Whether it is targeted cosmeceuticals for men or male-specific procedures, dermatologists must be aware of this evolving demographic and understand the biological, anatomical, and psychological aspects that separate this cohort from their female counterparts. Cosmetic dermatology has moved beyond just applying the same techniques used for females onto males...
December 2014: Seminars in Cutaneous Medicine and Surgery
Muhsin A Al-Dhalimi, Mohammad J Kadhum
BACKGROUND: Undesirable hair growth presents a significant problem for many patients. Photoepilation has become a very popular procedure in esthetic and cosmetic practice. Among the systems used are the long-pulsed alexandrite laser (755 nm) (ALX) and intense pulsed light (IPL). OBJECTIVE: To compare the safety and efficacy of long-pulsed ALX and IPL for hair removal. PATIENTS AND METHODS: This comparative study was carried out in the outpatient Department of Dermatology and Venereology, Al-Sadir Teaching Hospital, Al Najaf City during the period from June 2009 to July 2010...
2015: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
Ethan Handler, Javad Tavassoli, Hardeep Dhaliwal, Matthew Murray, Jacob Haiavy
PURPOSE: We sought, first, to evaluate the operative experience of surgeons who have completed postresidency fellowships offered by the American Academy of Cosmetic Surgery (AACS), and second, to compare this cosmetic surgery training to other surgical residency and fellowship programs in the United States. Finally, we suggest how new and existing oral and maxillofacial surgeons can use these programs. MATERIALS AND METHODS: We reviewed the completed case logs from AACS-accredited fellowships...
April 2015: Journal of Oral and Maxillofacial Surgery
June Kim, Harjot Singh Maan, Alicia J Cool, Allison M Hanlon, David J Leffell
BACKGROUND: Cyanoacrylate topical adhesives and fast absorbing gut sutures are increasingly utilized by dermatologic surgeons as they provide satisfactory surgical outcomes while eliminating an additional patient visit for suture removal. To date, no head-to-head studies have compared the wound healing characteristics of these epidermal closure techniques in the repair of facial wounds after Mohs micrographic surgery. OBJECTIVE: To compare the cosmetic outcome of epidermal closure by cyanoacrylate topical adhesive with fast absorbing gut suture in linear repairs of the face following Mohs micrographic surgery...
February 2015: Journal of Clinical and Aesthetic Dermatology
Trinh Cao Minh, Do Xuan Hai, Pham Thi Ngoc
Intense pulsed light (IPL) has been used extensively in aesthetic and cosmetic dermatology. To test whether IPL could change the tissue vascularity and improve wound healing, mice were separated into 4 groups. Mice in Group I were not treated with IPL, whereas, dorsal skins of mice in Groups II, III, and IV were treated with 35 J/cm(2), 25 J/cm(2), and 15 J/cm(2) IPL, respectively. After 2 weeks, dorsal island skin flaps were raised, based on the left deep circumflex iliac vessels as pedicles; then, survival rate was assessed...
2015: Plastic Surgery International
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