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National report — The current status of photodynamic therapy (PDT) in the United States is really status quo — that's the assessment of dermatologist Michael Gold, M.D., founder of the Gold Skin Care Center, The Laser and Rejuvenation Center, Tennessee Clinical Research Center and Advanced Aesthetics Medi Spa of Nashville, Tenn.

With increased experience, clinicians are finding other uses for Botox (Allergan). Apart from more popular applications such as treatment for excessive sweating or hyperhidrosis or to eliminate frown lines between eyebrows, Botox is being injected in the lower parts of the face to improve wrinkles and to optimize wound healing.

Vitamin D, mexoryl

Oral vitamin D supplementation and the use of sunscreens is a better way to maintain bone health than frequent unprotected sun exposure.

Dermatologists are working to demonstrate physician competency through more rigorous recertification processes.

Counterfeit prescription drugs pose a "potentially serious health threat" in the United States — one that can result in serious or deadly consequences for patients because of unscrupulous acts of profiteers who take advantage of a lack of uniform regulation and enforcement.

Counterfeit prescription drugs pose a "potentially serious health threat" in the United States — one that can result in serious or deadly consequences for patients because of unscrupulous acts of profiteers who take advantage of a lack of uniform regulation and enforcement.

I am certain that most of you have heard the following comments made by a well-meaning patient: "I first saw a dermatologist for my problem. I then went to a doctor for further evaluation."

Looking back on 2005

With three dermatologists in his office and about 15 patients on Accutane, Dr. Rusonis says it is going to be a lot of additional time and work for the office staff.

Las Vegas — Perhaps more than with any other kind of medical procedure using state-of-the-art technology, advancements in non-ablative cutaneous laser surgery seem to be frequent and many.

The best facial rejuvenation techniques can be diminished if the face appears to grow younger while the neck on down continues to look older.

East Grinstead, England — Researchers here have embarked on the first multicenter study to evaluate the efficacy of a spray-on skin technique in treating severe burns.

National report -- The annual number of skin surgeries performed has climbed 32 percent since 2001, with growth in minimally invasive procedures surging 58 percent, according to a recent survey by the American Society for Dermatologic Surgery (ASDS).

Seattle — For treating varicose leg veins, various lasers and one radiofrequency (RF) device have replaced vein stripping, one expert says, while foam sclerosants likewise are gaining popularity. However, he cautions that published reports tend to overstate the effectiveness and ease of these newer treatments.

Atlanta — Although many physicians remain skeptical about the use of injectable silicone, Stephen Mandy, M.D., of Miami discussed the benefits of using the synthetic polymer to treat acne scarring at the American Society of Dermatologic Surgery Meeting here.

Bacterial update

Philadelphia - The emergence of methicillin-resistant staphylococcus aureus (MRSA) and new approaches to treatment of various bacterial illnesses are capturing the interests of dermatologists.