Update on Chemical Peels
Chemical peeling is a procedure used for cosmetic improvement of the skin or treatment of some medical skin disorders, by the application of chemical exfoliant. In spite of a long history of clinical use of chemical peels, understanding of the science behind the procedure is still evolving. In this article, we review new concepts, understandings, and publications in the field of chemical peels. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 23, 2023 Category: Dermatology Authors: Marina Landau, Fotini Bageorgeou Source Type: research
The Effects of Cosmetic Procedures on the Youth
Cosmetic procedures involve the maintenance, restoration, or enhancement of one's physical appearance through surgical or medical techniques. Restorative or reconstructive procedures, on the other hand, are essential procedures that restore normal function or appearance to abnormal structures caused by trauma or infection. Cosmetic procedures are generally elective and may either be surgical or nonsurgical. Nonsurgical or minimally invasive cosmetic procedures include laser hair or tattoo removal, chemical peeling, micro-dermabrasion, and soft tissue augmentation with injectables. These procedures are fast-growing with mor...
Source: Dermatologic Clinics - July 23, 2023 Category: Dermatology Authors: Leena Amiri, Syed Fahad Javaid, Alia Galadari, Hassan Galadari Source Type: research
Comparative Clinical and Histomorphologic Evaluation of the Effectiveness of Combined Use of Calcium Hydroxyapatite and Hyaluronic Acid Fillers for Aesthetic Indications
Hyaluronic acid and calcium hydroxylapatite (CaHA) have been used for in the field of soft tissue augmentation. Both materials have been used in combination to enhance tissue remodeling and provide a more rejuvenated look. Sequential injections of Belotero Volume (CPM-HA V) and CaHA had a relatively greater remodeling effect on one ’s skin compared with the simultaneous injections of CPM-HA V and CaHA. Simultaneous injection of the studied products is possible from the point of view of safety, but different levels of administration will be more optimal, which will provide a more pronounced remodeling effect on the skin. ...
Source: Dermatologic Clinics - July 23, 2023 Category: Dermatology Authors: Ya.A. Yutskovskaya, Evgeniya Altarovna Kogan, A.Yu. Koroleva, Hassan Galadari Source Type: research
Expanding Treatment Indications Beyond the Tear Trough Defect
Knowledge of the anatomy of the infraorbital region is key to understanding the full extent of clinically visible infraorbital defects and the underlying structures involved to achieve optimal aesthetic results. The authors have developed a more anatomic approach to the infraorbital region, which has led to recognition of a specific anatomic area, defined previously as the aesthetic G-point. Shifting attention away from the tear trough itself and applying a surgical approach to aesthetic medicine can lead to more natural and complete results while at the same time minimizing the risk of undesired side effects and complicat...
Source: Dermatologic Clinics - July 23, 2023 Category: Dermatology Authors: Francesco P. Bernardini, Brent Skippen Source Type: research
New Insight into Nonablative 675-nm Laser Technology
In the nonablative laser field, a new technology that emits a 675-nm wavelength red light is emerging. A literature review was performed to examine its efficacy and safety in the treatment of skin diseases. Various databases were searched (PubMed, Google Scholar, and ClinicalTrials.gov) up to March 2023. Skin aging disorders, melasma, and acne scars were the main diseases discussed in the literature. Although the therapeutic outcomes were variable, all of the studies reported good clinical outcomes. The new 675-nm laser system, targeting collagen, is promising in the treatment of aging-related skin conditions, melasma, and...
Source: Dermatologic Clinics - July 21, 2023 Category: Dermatology Authors: Martina Tolone, Luigi Bennardo, Elena Zappia, Elisabetta Scali, Steven Paul Nistic ò Source Type: research
Neurotoxin in the Lower Third of the Face
Botulinum toxin A (BT) is the most required treatment in face rejuvenation. However, applications of BT on the lower third are off-label and specific tips for the treatment of this area should be taken into account to achieve best results. In the current study, literature concerning BT treatment of lower face has been revised and summarized according to anatomy and indications, tips, and complications. BT treatment of the lower face has been reported to be effective and safe when performed with adequate knowledge of anatomy and techniques. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 19, 2023 Category: Dermatology Authors: Stefania Guida Source Type: research
Chemical Peels in Treatment of Melasma
This article details the current evidence and recommendations for the use of chemical peels in the treatment of melasma, a chronic and recurrent hyperpigmentary disorder. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 18, 2023 Category: Dermatology Authors: Rashmi Sarkar, Saloni Katoch Source Type: research
Asset Protection for Dermatologists
This article outlines the leading tools dermatologists can utilize to better shield their assets from potential liability–including exempt assets, co-ownership forms, and legal tools, such as limited liability companies and trusts. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 15, 2023 Category: Dermatology Authors: David B. Mandell, Carole C. Foos, Jason M. O ’Dell Source Type: research
Expanding and Strengthening Your Referral Network
Dermatology referral utilization is increasing, with 15% of dermatology-related visits by primary care resulting in a dermatology referral. Given this, both strengthening an expanding a referral is a key component of a successful dermatology practice. In particular, effective communication is essential for efficient patient-oriented coordinated care. Written and/or verbal communication can help build a strong communication network and, in some instances, can be applied toward Merit-based Incentive Payment System (MIPS) reporting and billing for coding families that incorporate the coordination of care. Reaching out directl...
Source: Dermatologic Clinics - July 14, 2023 Category: Dermatology Authors: Payvand Kamrani, Alexandra Flamm Source Type: research
Political Activism and the Dermatologist
The practice of medicine is governed by legislation and regulation at the state and national level. It is crucial, therefore, that dermatologists become and remain involved in the process to advocate for their patients, their practices, and the specialty itself. Maintaining a relationship with one ’s state and federal senators and representatives is critical for physicians to have a voice in the shaping of health care policy. Local, state, and national medical and specialty societies are a tremendous resource for physicians to remain abreast of policies affecting the practice of medicine. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 11, 2023 Category: Dermatology Authors: Martha Laurin Council, George J. Hruza Source Type: research
Why I ’m Still Practicing
Practicing medicine is not easy. In this article the author talks about why he is still practicing medicine. He shares some general thoughts regarding the “continue to work” versus the “retire early” dilemma. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 6, 2023 Category: Dermatology Authors: Richard G. Bennett Source Type: research
Building a Group Practice and Going Big
Guided by experiences learned over 50 years of guiding a solo practice to an independent private practice with 28 providers and 7 practice locations in southeastern Virginia, the author describes some of the pros and cons as well as pearls and pitfalls and gives practical advice on how to evolve from a small practice to a large group while maintaining independence in today’s ever-changing medical marketplace. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 6, 2023 Category: Dermatology Authors: David M. Pariser Source Type: research
From Geraniums to Guadalajara on the Virtues of Early Retirement
This is the story of author ’s life from high school through retirement. The author took early retirement after 25 years of practice in a multispecialty clinic then founded a free clinic in Mexico that the author ran for 15 years. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 6, 2023 Category: Dermatology Authors: Jerry D. Smith Source Type: research
Starting a Solo Practice
Opening a small private dermatology practice can be a rewarding experience. It may seem like a lot of trouble, but in no other setting will you have so much freedom, control, and directly be able to see the consequences of your efforts. Economically, you must realize that in other settings, all these “chores” you must do in a solo practice are paid for by you out of overhead, which can greatly exceed what it costs if you do it yourself in a small practice. That is, a small private practice can be economically more rewarding and flexible than working for a dermatology group, particularly a mu ltispecialty group. It requ...
Source: Dermatologic Clinics - June 26, 2023 Category: Dermatology Authors: Robert Skaggs, Brett Coldiron Source Type: research
Retirement Planning
The retirement process is an individualized endeavor. Both financial and social aspects are important to consider when making plans for retirement. In this article, we discuss details of retirement planning, including the need to save, how much and when to start saving, and types of retirement plans. We also review key considerations for deciding when to retire as well as aspects of retirement outside of financial planning, such as redefining one ’s purpose and finding meaningful activities to fill the void of work. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - June 26, 2023 Category: Dermatology Authors: Joshua Burshtein, Danny Zakria, Darrell Rigel Source Type: research
