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Since these devices are sold over-the-counter, no one really wants to know because injection into the skin would technically make the rollers a device that would require Food and Drug Administration attention.

I thoroughly enjoyed the lead article about “antimicrobial stewardship” in the October edition of Dermatology Times (“Antimicrobial stewardship: How dermatologists can be part of the solution, Vol. 34, No. 10). It succinctly and effectively detailed that for healthcare providers in general and dermatologists in specific, it is our duty to utilize antimicrobials appropriately.

Dermatologists might slash the development of resistance to antibiotics by embracing lower, subantimicrobial doses for acne cases that require only anti-inflammatory activity, experts say. However, they add, getting the majority of dermatologists to accept this message likely will prove challenging.

Skin poration is a not a new concept, but rather the application of acupuncture techniques to skincare. This trend has now spread to the United States.

Dr. Doe has a 25-year-old dermatology practice in a quiet suburban area. Although he loves practicing dermatology, he finds himself overwhelmed with government regulation. HIPAA, EMR, meaningful use, ACA - he does not know where to begin.

There is a suggestion that early treatment of severe psoriasis will decrease the risk of cardiovascular comorbidities that have been associated with severe psoriasis such as stroke and heart attack, according to a clinical professor dermatology at the State University of New York Buffalo School of Medicine.

To document the value of melanoma screening, researchers in the United States continue to refine screening strategies, an expert says.

The commercialization of ingenol mebutate (Picato, LEO Pharma) a medication that is currently approved in the United States and many other countries for the treatment of actinic keratosis, is an example of how enthusiasm and commitment can drive innovation, a LEO Pharma general manager says.

A new area of research may help in the development of more effective topical products to counteract polycyclic aromatic hydrocarbons, a result of air pollution which impacts skin aging.

Key concerns regarding infectious diseases with cutaneous manifestations include the expanding reach of infections formerly thought rare and exotic, experts say. Meanwhile, they add, some infections rarely seen stateside in recent years are resurging.

Cosmetic concerns are important to many of our patients. Among the difficulties faced by consumers is the blitz of advertising of new and presumably revolutionary products that can rejuvenate and preserve the youthful appearance of the skin. Many products make what sound like medical claims about the efficacy of these agents. Norman Levine, M.D., asked Zoe Draelos, M.D., the foremost authority on this subject, to discuss these issues with us.

Are you interested in learning how to promote your dermatology practice on Twitter? Compared to other social networks, Twitter is one of the simplest and most straightforward platforms you could ever use.

Kent Remington, M.D., guides patients through his method for conducting a successful aesthetic consult, he told attendees at the MauiDerm 2014 meeting. Knowing a patient’s “real” reasons for aesthetic improvement - and shifting from a monotherapy toward performing a full-face rejuvenation following a multitherapeutic approach - are essential in achieving excellent aesthetic outcomes, he told attendees at the MauiDerm 2014 meeting.

The purpose of aesthetics

We’re learning more about the aging process and how it occurs at different levels: from the surface of the skin, all the way down to the bony structure. Our purpose in aesthetics is to understand this process and to work with it to highlight the natural beauty of an individual, Ava Shamban, M.D., told attendees at the MauiDerm 2014 meeting.

Beware of fake toxins

Michael Gold, M.D., at the MauiDerm 2014 conference shared his insight into the world of fake botulinum toxins. There is a huge counterfeit market, and it behooves dermatologists to be aware, because the products are easily acquired over the Internet or purchased overseas and carried into the United States.

Neuromodulators not equal

Joel Cohen, M.D., explained to attendees at MauiDerm 2014 the differences among the three approved botulinum toxin products and how to use them successfully to take advantage of their unique properties. He recommended that doctors really think about these products as unique and begin to use them for their individual properties.

New drugs, data and guidelines on acne and rosacea treatment were among the takeaways from days two and three of MauiDerm 2014. Presenters also described evidence-based suggestions for managing pigmentary disorders and updated information on infectious diseases.

A multispectral digital skin lesion analysis device may be useful in helping clinicians to classify clinically ambiguous lesions, detect early melanomas in young adults, and identify outlier lesions that should be biopsied, according to a collection of posters presented at MauiDerm 2014.

Know your nutraceuticals

Nutraceuticals and the claims that these products make have become increasingly popular on a global basis, according to an expert who spoke at MauiDerm 2014.