Finding Chemo for Nemo: Recurrent Eruptive Keratoacanthomas in a Tattoo
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Representation of Women at American College of Mohs Surgery Annual Meetings From 2006 to 2019
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Single-Sling Island Pedicle Flap With Bilevel Undermining for Repair of Superior Helical Rim Defects
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

The Impact of COVID-19 on Micrographic Surgery and Dermatologic Oncology Fellows
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Early-Onset Sweet-like Dermatitis After Facial Hyaluronic Acid Filler Injection
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Response to the Letter “Silicone Oil-Systemic Safety Data Still Pending”
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Silicone Oil—Systemic Safety Data Still Pending
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Hyperbaric Oxygen Therapy in Hyaluronic Acid Filler–Induced Dermal Ischemia
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Vascular and Pigmented Lesions of Phacomatosis Pigmentovascularis Treated With a Combination of Long-Pulsed, Q-Switched Laser, and Picosecond Lasers
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Successful Treatment of Milia in Skin of Color (FST IV-VI) With Variable Short-Pulse Er:YAG Laser Vaporization
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Subungual Caliber Persistent Artery of the Nail Unit Coincident With Onychopapilloma
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Patient Scar Assessment Correlates With Quality of Life After Mohs Micrographic Surgery
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Dermatofibrosarcoma Protuberans of the Scalp: A Challenging Tumor With a Proposed Modification to the Slow Mohs Technique
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Retrospective Review of Atypical Squamous Proliferations
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Letters and Communications Source Type: research

Repair of a Deep Auricular Wound
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Reconstructive Conundrum Source Type: research

Reconstruction of a Defect Involving the Cupid's Bow
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Reconstructive Conundrum Source Type: research

Types of Cosmetic Procedures Requested by Different Types of Patients and the Reasons for These Preferences
CONCLUSION Different types of patients demand different types of cosmetic treatments, and the motivations of patients who ask for particular procedures also differ. Better understanding of patient preferences may help physicians allocate resources and meet patient needs. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Comparison of Single- Versus Dual-Vector Technique Using Facial Suspension Threads: A Cadaveric Study Using Skin Vector Displacement Analysis
CONCLUSION This study provides evidence resulting from cadaveric observations for the overall nonsuperiority of the dual-vector technique compared with the single-vector technique. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Comparison of the Safety and Efficacy of Foam Sclerotherapy With 1:2 Polidocanol to Air Ratio Versus 1:4 Ratio for the Treatment of Reticular Veins of the Lower Extremities
CONCLUSION Two different POL to air ratios, 1:2 versus 1:4, were similarly safe and efficacious for the treatment reticular veins of the lower extremities. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

A Novel Compound Sclerosant: Polidocanol–Bleomycin Foam
CONCLUSION The POL–bleomycin foam was prepared successfully and its FHT was as long as the POL foam. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Follicular Unit Excision Punches and Devices
CONCLUSION The surgeon should have a comprehensive knowledge base of available punch shapes and devices and understand the advantages and disadvantages of each. It is also beneficial to have an in-depth knowledge of skin properties and follicular unit structure. Ultimately, understanding the dynamics behind punch excision will enhance the FUE technique. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Review Article Source Type: research

The Effect of Conditioned Media From Human Adipocyte-Derived Mesenchymal Stem Cells on Androgenetic Alopecia After Nonablative Fractional Laser Treatment
CONCLUSION The application of ADSC-CM after nonablative fractional laser treatment accelerated increases in hair density and volume in AGA patients. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Treatment Modalities for Cherry Angiomas: A Systematic Review
CONCLUSION A variety of therapeutic modalities exist for the treatment of cherry angiomas. However, a limited number of high-quality studies explored the efficacy of treatments and compared treatment modalities. Light-based methods such as argon, KTP, Nd:YAG, intense pulsed light, and PDL, along with non–light-based interventions such as cryotherapy, electrosurgery, and sclerotherapy effectively treated cherry angiomas. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Review Article Source Type: research

Nonsurgical Treatment of Postpartum Lower Abdominal Skin and Soft-Tissue Laxity Using Microfocused Ultrasound With Visualization
BACKGROUND Microfocused ultrasound with visualization (MFU-V) is a well-established treatment modality for skin tightening. There is a paucity of evidence for its use in body treatments, such as the lower abdomen. OBJECTIVE To investigate the effectiveness and safety of MFU-V in treating lower abdominal skin and soft-tissue laxity in postpartum women. METHODS The lower abdomen of 20 female patients between 6 and 24 months postpartum are treated with MFU-V using 1.5-, 3.0-, and 4.5-mm transducers. Data are prospectively collected and analyzed at 3 and 6 months using subject-reported and investigator-report...
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Laser Plume From Human Papillomavirus–Infected Tissue: A Systematic Review
CONCLUSION The current body of the literature suggests that laser surgeons are at a risk for HPV exposure by inhalation of laser-derived aerosols. We offer best practice recommendations for laser operators. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Review Article Source Type: research

A Prospective, Split-Face, Randomized Study Comparing Picosecond to Q-Switched Nd:YAG Laser for Treatment of Epidermal and Dermal Pigmented Lesions in Asians
CONCLUSION The picosecond laser seems to be more effective and better tolerated than Q-switched laser for the treatment of pigmented lesions in Asians. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Commentary on Ethyl Alcohol Versus Botulinum Toxin-A: A Comparative Study of the Visual and Histopathologic Outcomes in the Rabbit Anterior Auricular Muscle Model
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Commentary Source Type: research

Ethyl Alcohol Versus Botulinum Toxin A: A Comparative Study of the Visual and Histopathological Outcomes in the Rabbit Anterior Auricular Muscle Model
CONCLUSION Ethanol can block muscle function reversibly and can serve as an alternative to BTA, particularly when rapid results are desirable. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Potency and Quality of Reconstituted Botulinum Neurotoxin Type A According to Storage Temperatures
CONCLUSION Based on the results, the authors conclude that the efficacy and quality of the reconstituted PraBoNT-A product are not compromised at least for a certain period of time and that the shelf life of reconstituted PraBoNT-A is longest when stored at the freezing temperature. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Treatment of Refractory Melasma in Asians With the Picosecond Alexandrite Laser
CONCLUSION This investigation highlights the utility of a picosecond Alexandrite laser with a flat and diffractive lens to successfully treat a large percentage of Asian patients in a sunny climate. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

The Vascular Component of Melasma: A Systematic Review of Laboratory, Diagnostic, and Therapeutic Evidence
CONCLUSION There is promising evidence supporting the use of tranexamic acid and laser/light therapies to treat the vascular component of melasma, and more rigorous clinical trials are needed to validate their efficacy. Clinicians may consider treatment with one or more antivascular therapeutics in patients with melasma. Further research is warranted to characterize the role of cutaneous vascularization in melasma and may provide insights for novel therapies. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Review Article Source Type: research

A Systematic Review of the Efficacy and Safety of Microneedling in the Treatment of Melasma
CONCLUSION Based on low-quality evidence, microneedling may play a role in the treatment of melasma, with the mechanism of action likely being the facilitation of delivery of topical therapies to the epidermis and dermis, and one ancillary benefit of this approach being the very low risk of postinflammatory hyperpigmentation. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Review Article Source Type: research

Development and Validation Clinician and Patient Reported Photonumeric Scales to Assess Buttocks Cellulite Severity
CONCLUSION The CR-PCSS and PR-PCSS reliably assess cellulite severity of the buttocks and can detect a clinically meaningful change after treatment for cellulite. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

A Randomized, Split-Body, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of Poly-l-lactic Acid for the Treatment of Upper Knee Skin Laxity
CONCLUSION Based on our study, PLLA may be a safe and effective modality in addressing upper knee skin laxity. Larger studies with longer follow-up times and a validated knee laxity scale are needed to further determine if and how much improvement can be achieved. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Commentary on Tomography of the Forehead Arteries and Tailored Filler Injection for Forehead Volumizing and Contouring
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Commentary Source Type: research

Tomography of the Forehead Arteries and Tailored Filler Injection for Forehead Volumizing and Contouring
CONCLUSION This study introduces an effective technique for forehead filler injection that minimizes the risk of filler injection and improves patient satisfaction. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Commentary on Evaluation of Physicochemical Properties Following Syringe-to-Syringe Mixing of Hyaluronic Acid Dermal Fillers
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Commentary Source Type: research

Evaluation of Physicochemical Properties Following Syringe-to-Syringe Mixing of Hyaluronic Acid Dermal Fillers
BACKGROUND Historically, soft-tissue hyaluronic acid (HA) fillers have been mixed with agents to reduce pain or alter physicochemical properties. OBJECTIVE Evaluate the impact of dilution and mixing on HA filler physicochemical properties. MATERIALS AND METHODS Crosslinked HA filler (VYC-20L, 20 mg/mL) was diluted to 15 mg/mL using saline through 5 or 10 passes between 2 syringes connected using a luer connector. Extrusion force, rheological properties, and microscopic appearance were assessed. Undiluted VYC-15L (15 mg/mL) served as the control. RESULTS Average extrusion force was higher for dilute...
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Aging Changes of the Superficial Fat Compartments of the Midface Over Time: A Magnetic Resonance Imaging Study
BACKGROUND Studies involving superficial facial fat compartments are few in number with conflicting results. Most of them involved small study groups and compared measurements between different populations of young and old subjects either on cadavers or living subjects. OBJECTIVE To clarify volumetric and dimensional changes in midfacial superficial fat compartment retrospectively in patients who underwent a repeat magnetic resonance imaging (MRI) without gross pathology. MATERIALS AND METHODS A total of 70 patients with a mean age of 60 years (range: 33–82 years) and a median elapsed time of 44.5 m...
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Commentary on the Influence of Topical Anesthesia on Superficial Sensitivity: A Double Blind, Randomized, Placebo Controlled Study on 48 Healthy Subjects
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Commentary Source Type: research

Influence of Topical Anesthesia on Superficial Sensitivity: A Double-Blind, Randomized, Placebo-Controlled Study on 48 Healthy Subjects
CONCLUSION The authors found a stronger skin sensitivity reduction by the eutectic lidocaine and prilocaine mixture and lidocaine alone compared with benzocaine. We suggest increased discomfort reduction in topical anesthetic supported dermatologic surgery by the eutectic mixture and lidocaine alone. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Safety of Oral Midazolam as a Perioperative Anxiolytic for Outpatient Dermatologic Procedures
CONCLUSION Oral midazolam administration was not associated with major adverse events including in the more intensively monitored group. This supports its use as an anxiolytic for outpatient dermatologic procedures. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Assessment of Materials to Prevent Sutures Cutting Through Atrophic Skin
BACKGROUND Sutures can tear through thin skin, especially in the elderly. To reinforce thin skin, several materials have been suggested through which sutures may be placed. OBJECTIVE To evaluate the relative tear-through resistance to suture provided by various materials applied to a skin substitute. MATERIALS/METHODS We measured the force needed for 3-0 polypropylene suture to tear through an artificial skin substitute, both alone and after various materials were applied. These materials included wound closure tapes, nonwoven polyester tape, hydrocolloid dressing, polyethylene film, and cyanoacrylate glu...
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Fractionally Ablative Er:YAG Laser Resurfacing for Thermal Burn Scars: a Split-Scar, Controlled, Prospective Cohort Study
CONCLUSION Fractionally ablative Er:YAG laser resurfacing is a safe and effective modality in the treatment of thermal burn scars with subjective and objective improvement as seen from the patient and physician. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Comparison of Postsurgical Scars Between Vegan and Omnivore Patients
BACKGROUND Postsurgical skin healing can result in different scars types, ranging from a fine line to pathologic scars, in relation to patients' intrinsic and extrinsic factors. Although the role of nutrition in influencing skin healing is known, no previous studies investigated if the vegan diet may affect postsurgical wounds. OBJECTIVE The aim of this study was to compare surgical scars between omnivore and vegan patients. METHODS AND MATERIALS This is a prospective observational study. Twenty-one omnivore and 21 vegan patients who underwent surgical excision of a nonmelanoma skin cancer were enrolled. ...
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Topical Scar Treatment Products for Wounds: A Systematic Review
CONCLUSION Silicone gel products are an effective noninvasive treatment to prevent formation of pathologic scars and improve mature scars. Further high-quality studies are needed to elucidate the long-term effectiveness of these therapies. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Review Article Source Type: research

Expert Opinion Regarding Appropriately Timing Dermatological Surgeries in Patients With Recent Myocardial Infarctions
CONCLUSION A preponderance of surveyed experts believe that most dermatologic surgeries may be safely performed in patients with a history of an MI within 1 month. The decision to implement urgent dermatologic surgery in patients with a recent MI should account for all clinically significant factors. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Anatomic Danger Zones of the Head and Neck
CONCLUSION With careful attention to anatomy and the meticulous surgical technique, there is great potential for reduction in surgical injury to danger zones of the head and neck. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Review Article Source Type: research

Experiences With Medical Spas and Associated Complications: A Survey of Aesthetic Practitioners
CONCLUSION Patient complications associated with medical spas are not uncommon. Overall, practitioners believe medical spas are endangering to patient safety, think that stricter rules and regulations are necessary, and request more support from the specialty medical societies. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research

Factors Affecting Depth of Penetration in Microneedling- and Laser-Assisted Drug Delivery: The Importance of Timing of Topical Application
This study aims to investigate the importance of timing of topical application, needle length, and device type for drug delivery. MATERIALS AND METHODS Skin harvested from cosmetic surgeries was treated with black ink applied before or after treatment with a microneedling pen (MP), roller, or fractional ablative CO2 laser, and incubated for different time intervals. Ink penetration was additionally tested using different needle lengths. Sandwich estimator was used for statistical analysis. RESULTS Ink applied before MP penetrated deeper compared to ink applied afterward at 1 and 3 hours, and roller microneedl...
Source: Dermatologic Surgery - December 1, 2020 Category: Dermatology Tags: Original Article Source Type: research