Aesthetics

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Cultural concerns

The Chinese culture exerts a profound impact on a variety of medical decisions, including face transplants, sources say.

Common legal issues facing physicians who perform cosmetic laser treatments include medical malpractice, as well as issues related to physician extenders and the Health Insurance Portability and Accountability Act (HIPAA), an expert says.

Although many lasers have earned Food and Drug Administration (FDA) approval for treating patients of color, an expert says that physicians' expertise has yet to catch up with the technology available.

National report - Chemotherapy and radiation can createunwanted results ranging from hair loss to pigment problems.However, an expert tells Dermatology Times that with some newbiologically targeted cancer therapies, skin-related side effectsseem to provide a barometer of these treatments' effectiveness.

The YAG laser can be used safely as long as it is not used withinone centimeter of the orbital rim where there would be a risk oflight being transmitted to the eye.

National report - For treating the lips and lower face,experts tell Dermatology Times that options including fillers,botulinum toxin injections and newer resurfacing technologies candeliver excellent cosmetic results usually with little or nodowntime.

Las Vegas - Lipodissolve, a treatment some doctors believe tobe a form of mesotherapy, is evolving to be highly effective fortreatment of post-liposuction irregularities and cellulite, but thetherapy is not a replacement for liposuction and proper training isessential, according to Barry Lycka, M.D., speaking at the annualmeeting of the American Society of Cosmetic Dermatology andAesthetic Surgery here.

National report - While soft-tissue fillers offer the uniquebenefit of providing fast correction for busy patients who don'twant to have the down-time for a face-lift, bruising can throw amonkey wrench into the best-laid plans for stellar patientsatisfaction.

Las Vegas - The calcium hydroxylapatite filler Radiesse(Bioform) has its share of caveats, but the filler generally offersgood correction that lasts for a year or more, with side effectsunlikely, according to Alastair Carruthers, M.D., speaking at theAnnual Meeting of the American Society of Cosmetic Dermatology andAesthetic Surgery.

Las Vegas - The new wound healing product Biafine (OrthoNeutrogena), gaining popularity among radiation oncologists for the treatment of radiation dermatitis, also offers an innovative option for dermatologists in treating problems ranging from sunburn to superficial wounds, according to Diane Berson, M.D., speaking at the annual meeting of the American Society of Cosmetic Dermatology and Aesthetic Surgery here.

Houston - For the general dermatologist, the mainstay of safeand effective skin cancer management is dependent upon sensibleclinical judgment, says Deborah MacFarlane, M.D., associateprofessor of dermatology and plastic surgery at the University ofTexas Medical School at Houston, and MD Anderson Cancer Center.

Hong Kong - Members of the Pigmentary Disorders Academy (PDA)discussed a spectrum of topical issues, finalized revisions tomanuscripts for a supplement to the Journal of the American Academyof Dermatology, and decided to undertake a global, community-basedsurvey investigating the natural history of melasma as the nextmajor project when the group convened its third annual meetinghere.

National report - As if keeping track of the expanding rosterof fillers and neurotoxins wasn't enough for dermatologists andcosmetic surgeons, the Federal Trade Commission (FTC)'s nod towardAllergan's estimated $3.4 billion buyout of aesthetic rival Inamedinjects an anything-but-paralyzing wrinkle into what some industrypundits call a quest to deliver "total facial rejuvenation."