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Chicago — Patients seeking upper-face rejuvenation have never before enjoyed as many safe, effective alternatives as are now available, says Kenneth Beer, M.D., director, Palm Beach Esthetic Institute, and clinical instructor of dermatology, University of Miami.

New Orleans - A new procedure releases skin attachments of deep wrinkles, scars and folds notoriously difficult to correct with traditional techniques, says to Miles H. Graivier, M.D. The subcision or release of skin attachments is performed with a braided wire attached to two long, straight needles (Nutec International) and takes little time for a plastic surgeon to learn, Dr. Graivier adds. He presented this technique at the Aesthetic Meeting 2005 sponsored by the American Society of Aesthetic Plastic Surgery (ASAPS), here.

The two commercially available formulations of botulinum toxin type A - Botox Cosmetic (Allergan) and Dysport (Ipsen/Inamed) - produce similar "action halos" when injected into the frontalis muscle under identical conditions to treat horizontal frown lines, says Doris M. Hexsel, M.D., private practitioner in Porto Alegre, Brazil, and former professor of dermatology, University of Passo Fundo School of Medicine, Brazil.

Chicago - Patients seeking full facial rejuvenation can now choose from an unprecedented array of nonsurgical options, according to William P. Werschler, M.D.

Kissimmee, Fla. — With recent developments in the treatment of hyperpigmentation, Dr. Roger Ceilley, clinical professor of dermatology at the University of Iowa and past president of the American Academy of Dermatology and the American Society for Dermatologic Surgery, provided further insight into the management of post-inflammatory hyperpigmentation.

National report — Treating wounds is a delicate mixture of new tools and tried-and-true wound healing basics, according to Mark D.P. Davis, M.D., associate professor of dermatology at the Mayo Clinic in Rochester, Minn.

Topical retinoids, namely tretinoin and adapalene, have been used successfully for acne vulgaris for years.

Philadelphia — For reasons not fully understood, some of the lighter resurfacing peels are achieving results nearly equivalent to CO2 resurfacing, without the long list of complications.

Chicago — Cutaneous optical imaging, nonablative light rejuvenation, endovenous laser treatments and minimally invasive facial rejuvenation techniques represent some of the most significant advances in the rapidly changing field of dermatologic surgery, according to one expert.

Burlington, Vt. — The continually expanding array of new products for dermatologic surgeons includes several modalities that are particularly noteworthy because of their potential for enhancing efficacy and/or safety, says Glenn D. Goldman, M.D.

National report — The medical spa industry's rapid expansion has created an environment in which patrons don't always know what they're getting — and many providers don't know what they're getting into.

Medical therapies have a lower efficacy than traditional surgical therapies for treatment of NMSC.

A rapidly growing trend in medical practices is the expansion into ancillary services. The rising costs of operating a medical business have forced physicians to take a look at how they can expand and better serve their patients.