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Miami Beach, Fla. — Although the man behind Goldie Hawn's outrageously puffed lips in the movie First Wives Club was among the first to experiment with collagen in the lips, Arnold Klein, M.D., admits that, for that scene, he injected Ms. Hawn's lips with saline.

Kissimmee, Fla. — In dermatology practices today, two basic types of procedures exist: "desire-based" cosmetic procedures and "disease-based" procedures, such as the removal of a skin cancer. Traditionally in medicine, physicians have employed a set of relatively objective criteria to define an acceptable outcome in the second type of procedure. It is the first category, elective and cosmetic procedures, where the physician must satisfy another, more subjective, set of criteria — one that is frequently the cause of disappointment, remorse, dissatisfaction, anger and, all too often, malpractice litigation.

Fort Worth, Texas — The proliferation of new fillers creates both opportunity and risk for cosmetic dermatologists. Paul M. Friedman, M.D., clinical assistant professor at the University of Texas Medical School, Houston, says knowledge and technical expertise are vital for using the fillers to both the dermatologist's and the patient's benefit.

San Antonio — After three decades, the cosmetic profession is finally starting to sit up and take notice of autologous fat transfers, according to plastic surgeon Tolbert Wilkinson, M.D., F.A.C.S.

San Francisco — Along with helping patients, the advent of biologic drugs has restored some much-needed luster to the practice of medical dermatology.

National report — Anecdotal evidence indicates that the onion extract/allantoin gel product Mederma (Merz Pharmaceuticals) might be an effective first-line therapy for diminishing scars and associated symptoms.

National report — Acne scarring is a multifaceted problem that may involve multimodal treatment, says Gerald N. Goldberg, M.D.

New York - American dermatologists have been ignoring cellulite, but they need to start paying attention, says Mitchel Goldman, M.D., medical director of Dermatology/Cosmetic Laser Associates in La Jolla, Calif.

Philadelphia - The state of the art in lip augmentation isn't about fillers or filling technique but a conceptual breakthrough, says Sydney R. Coleman, M.D., a plastic surgeon with a New York City practice.

New York - American dermatologists have been ignoring cellulite, but they need to start paying attention, says Mitchel Goldman, M.D., medical director of Dermatology/Cosmetic Laser Associates in La Jolla, Calif.

Newport Beach, Calif. - Anti-aging therapies are shifting as the U.S. Food and Drug Administration approves an assortment of fillers and as researchers continue to study the use and safety of botulinum toxin.

National Report - Dermatologists have known for years that retinoids suppress the development of skin cancers. Recently this underutilized application has been dramatically illustrated in a case report.

Philadelphia - To plastic surgeon Kenneth Olshansky, M.D., it's as clear a choice as washing hands prior to surgery. Given a nearly 95 percent cure rate, Mohs micro-graphic surgery is the method of choice for treating certain lesions.

FortWorth, Texas - The appearance of most scars can be dramatically improved using resurfacing or ablative types of scar revision, according to Eric M. Finley, M.D., who spoke on this topic at the Texas Dermatological Society's Fall CME meeting here.

Stanford, Calif. - Chin-jowl implants are a valuable adjunct for optimizing the results of minimally invasive facelift procedures and neck liposuction, says Greg S. Morganroth, M.D., who spoke at "The Next Step: Mastering Cutaneous Outpatient Procedures," a continuing education program at Stanford University.

Philadelphia - The state of the art in lip augmentation isn't about fillers or filling technique but a conceptual breakthrough, says Sydney R. Coleman, M.D., a plastic surgeon with a New York City practice.

New York - Roger Amar, M.D., a French anatomist, plastic surgeon and inventor of the FAMI (facial autograft muscle injection) procedure, introduced an effective new procedure to enhance aging cheeks at the American Academy of Dermatology's Academy '04.

New York - The four recently defined subtypes of rosacea are likely caused by different pathogenic factors, and thus respond to different therapeutic regimens, according to Michelle T. Pelle, M.D.

National report - California pharmaceutical manufacturer Allergan is taking steps to reassure doctors and patients about the safety of Botox after four people became critically ill after they were treated with an unapproved raw botulinum toxin.