Aesthetics

Bal Harbour, Fla. - The excessive sweating of hyperhidrosis causes significant stress and has been shown to affect quality of life, especially in those who develop it at a young age. Of all the treatments available today, one of the safest and most effective for hyperhidrosis patients is botulinum toxin, according to Leslie Baumann, M.D.

Bal Harbour, Fla. - Andrea Trowers, M.D., fellow in pediatric dermatology and assistant professor, department of dermatology, University of Miami School of Medicine, touched on issues that pediatric dermatologists deal with daily. She spoke of sun exposure, use of cleansers for babies, and treating ethnic skin.

Chicago - Laser treatment can play a varied and valuable role in the management of patients with uncomplicated, infantile hemangiomas, Arielle N.B. Kauvar, M.D., said at the annual meeting of the American Society for Dermatologic Surgery.

Maui, Hawaii - Every person who has acne who is not pregnant should be on a topical retinoid, said Julie C. Harper, M.D.Topical retinoids either alone or in combination with antibiotics should be first-line treatment in acne, no matter what kind of acne it is.

Maui, Hawaii - Preliminary results from an open-label study suggest PUVA-bexarotene is a safe and effective combination regimen for the treatment of early cutaneous T-cell lymphoma (CTCL), Joan Guitart, M.D., said at the annual Hawaii Dermatology Seminar, sponsored by the Skin Disease Education Foundation.

Bal Harbour, Fla. - The use of topically applied immune response modifier imiquimod (Aldara) goes beyond its FDA-approved application for the treatment of genital and perianal warts.

Chicago - Nonablative thermotherapy using radiofrequency energy (ThermaCool TC System) is showing promise as a very effective and highly safe modality for the treatment of moderate-to-severe inflammatory acne and associated scarring, Javier Ruiz-Esparza, M.D., said at the annual meeting of the American Society for Dermatologic Surgery.

Rancho Mirage, Calif. - Cosmetic surgeons know well the early postoperative complications of liposuction, but long-term complications such as disharmonious obesity are not as recognized, James E. Fulton Jr., M.D. said at the annual meeting of the American Academy of Cosmetic Surgery.

San Francisco - Injection compression sclerotherapy is a highly safe and effective treatment for improving the appearance of aged hands, Lee G. Schulman, M.D., Schulman Vein and Laser Center, reported in a poster presented at the annual meeting of the American Academy of Dermatology.

Rancho Mirage, Calif. -- A recent study rating the effects of botulinum toxin B in the treatment of hyperkinetic facial wrinkles showed that Myobloc is an effective treatment for interglabellar wrinkles. And while Myobloc showed some advantages over the more commonly used Botox (botulinum toxin A), the longevity of the treatment is about one or two weeks less, even at higher dosages.

Maui, Hawaii - Expanded polytetrafluoroethylene (ePTFE) implants offer an alternative for facial augmentation to patients seeking a permanent yet revisable rejuvenation solution, Anthony V. Benedetto, D.O., said at the annual Hawaii Dermatology Seminar sponsored by the Skin Disease Education Foundation.

Maui, Hawaii - More than a decade after being banned by the Food and Drug Administration for cosmetic use, liquid silicone is back and poised to take a big bite out of the cosmetic filler business.

As baby boomers age, their increasing numbers have generated a burgeoning market for ways to fight off signs of aging - both physical and mental. People want to feel and look young for as long as possible. Cosmetic dermatology has responded to those desires with chemical peels and lasers, creams and gels, Botox and collagen.

Ask dermatologists from California to the Carolinas for an opinion on where the field is going, and it's likely you'll get a variety of opinions. The reason could be that dermatology is now recognized as a broad domain with expertise in several areas including medical, surgical, and cosmetic, as well as immunodermatology and dermatopathology.

Vancouver - Men require a larger dose of botulinum toxin A for treatment of glabellar rhytids than do women, according to the results of a dose-ranging study conducted by Alastair Carruthers, M.D.

Oklahoma City - Results of preclinical and initial clinical studies indicate the investigational compound CX-452 has promising activity as a highly safe and very effective topical nonsteroidal anti-inflammatory and anti-aging agent, Bryan B. Fuller, Ph.D., said.

Atlanta - A report covering two years of research by the Centers for Disease Control and Prevention (CDC) to establish the maximum human tolerance to 116 chemical agents had some good news for the environment and people. Cotinine, a major metabolite of nicotine, which is present in all tobacco smoke, has been reduced in the last two years.

Chicago - Endovenous treatment with a 940nm diode laser appears to be safe and effective for eliminating saphenofemoral junction (SFJ) incompetence and closing the greater saphenous vein (GSV), Ki-Hoon Song, M.D., said at the annual meeting of the American Society for Dermatologic Surgery.

Chicago - Lasers and light sources can be used to treat some leg veins, but under most circumstances sclerotherapy remains the therapeutic modality of choice, Jeffrey S. Dover, M.D., said at the meeting of the American Society for Dermatologic Surgery.

Chicago - Duplex-guided radiofrequency (RF) endovenous occlusion (Closure) is showing excellent long-term success for eliminating reflux of the greater saphenous vein (GSV), Robert A. Weiss, M.D., said at the annual meeting of the American Society for Dermatologic Surgery.

Chicago -- Sclerotherapy results can be optimized and complications minimized by using the appropriate sclerosant solution in the minimal sclerosing concentration for obliterating a given size vessel, Neil S. Sadick, M.D., said at the annual meeting of the American Society for Dermatologic Surgery.

Chicago - Incorporating a few straightforward screening questions and some simple intraoperative techniques can translate into significant benefits for enhancing the success and safety of liposuction surgery, Naomi Lawrence, M.D., said at the annual meeting of the American Society for Dermatologic Surgery.

Birmingham, Ala. - In a rare occurrence, superficial punctate keratitis developed after injections of botulinum toxin type A to the glabellar area, a difficult diagnosis arrived at through the combined consultation of a dermatologist and an ophthalmologist.

Dear general practitioners: Botox isn't an easy road to riches. You need to get very good and deliver consistent, high-quality results throughout the entire transaction - from the first phone call to the next follow-up appointment. You are looking at investing at least $10,000 (more commonly $20,000) after all is said and done, plus probably a hundred hours (or more) of your time.

Charleston, S.C. - Facial flaps can lead to elegant functional and cosmetic reconstruction of facial defects following tumor removal, according to Joel Cook, M.D. For dermatologic surgeons to achieve superior results, however, they must have a firm understanding of basic head and neck anatomy, wound healing, and flap dynamics.

Lubbock, Texas - Dermatologists are now at the point where they like to repair and reconstruct the wounds they create in the treatment of skin cancer, according to David F. Butler, M.D.

Malden, Netherlands - Phototherapy possesses potential as an adjunct treatment in wound healing, according to research recently completed by Anneke Andriessen, Ph.D. Before any solid conclusions can be drawn, however, much work remains to be done with respect to standardizing phototherapy-related research and communicating results.

In the war against the visible signs of aging, American women and men willingly embrace the latest weapons. From Botox injections to microdermabrasion, chemical peels to laser hair removal, collagen injections to cosmeceuticals, cosmetic dermatology procedures are enjoying explosive growth.

Acne, eczema, psoriasis, rosacea, hyperhidrosis, trichotillomania, onychotillomania, neurotic excoriations ... Even as connections between isotretinoin (Accutane) and depression in teens was hotly debated in the media spotlight last year, no one denies the powerful connection between the health of the psyche and that of the skin.

Asni?ress, France - The amount of ultraviolet A radiation (UVA) filtering is as important as labeled sun protection factor (SPF) levels in determining the effectiveness of sunscreens, according to Andr?ougier, Ph.D. However the UVA blocker he prefers most, Mexoryl, remains unavailable in the United States as it awaits FDA approval.