News

Chicago — Patients seeking safe and effective fat removal procedures presently must stick to dermatologist-performed tumescent liposuction, according to an expert.

Buenos Aires — In selecting therapies for patients with psoriasis, dermatologists need to consider that psoriasis is a life-long, systemic disease that substantially affects a patient's quality of life, according to Alan Menter, M.D., chief of the division of dermatology at Baylor University Medical Center, Dallas.

Doctors pay millions of dollars over the course of their careers for medical malpractice insurance coverage and often thousands more to protect some of their assets, yet they still fail to protect their single largest asset. Why is this?

Baltimore - Results of an exploratory phase 3 clinical trial demonstrate that injection of autologous living skin fibroblasts provides safe and effective correction of facial contour deformities that is sustained for at least 12 months, reports Robert A. Weiss, M.D.

National report - Even as new techniques, devices and pharmaceutical developments for facial contouring and wrinkle refinement proliferate for dermatologists and cosmetic surgeons, two trends are gaining momentum - one for the better and one for the worse, according to dermatologist David H. McDaniel, M.D., and his colleague, cosmetic surgeon Kyle S. Choe, M.D.

National report — Photodynamic therapy using the topical photosensitizer methyl aminolevulinate 16 percent cream (Metvix, Galderma) is a non-invasive, well-tolerated, effective treatment for Bowen's disease, offering excellent cosmetic results, according to the findings of a multicenter, randomized, active- and placebo-controlled study, says Colin A. Morton, M.D., consultant dermatologist, Falkirk Royal Infirmary, Falkirk, Scotland.

Tri Nguyen, M.D. was 6 years old when he finally escaped from war-ravaged Vietnam in 1976. The exit route: his parents paid a French-Vietnamese woman leaving for France to adopt him. After a year in Paris, he was reunited with his family, who ultimately settled in the United States.

Chicago — Running a successful private practice demands that dermatologists give their patients the best of everything, from pre- and postoperative care to drug samples and waiting-room d?cor, says Haines Ely, M.D., a Grass Valley, Calif.-based private practitioner and clinical professor of dermatology, University of California, Davis. Dr. Ely's office logs at least 50 patient visits daily.

Despite your best efforts in managing your schedule, patient waits and delays are inevitable in your dermatology practice. Because you are a service business, patient no-shows, delayed arrivals and your need to maximize revenue based on filling your time, create this predictable situation. You can simply expect patients to wait in an uncomfortable chair, staring at a portrait of you from 1986, with only a tattered magazine to read — or you can dazzle them.

In case you missed it, I want to tell you about a startling piece of news that I came across recently in a scientific study done by Brightwork Partners and published in USA Today. It was determined that rich retirees are happier than retirees who are not rich. Huh?

Medina, Ohio — In a market saturated with competitors, those who offer dermatologic and cosmetic services may wonder how they can stand out in a crowd that is becoming more sophisticated each day.

How does Captique (Inamed) fit into the mix of fillers?

Chicago — As physicians increasingly use injectable fillers and botulinum toxin as complementary treatments for facial rejuvenation, success depends on educating patients thoroughly and injecting products cautiously, says Seth L. Matarasso, M.D., clinical professor of dermatology at the University of California, San Francisco, School of Medicine.

Chicago — Patients seeking safe and effective fat removal procedures presently must stick to dermatologist-performed tumescent liposuction, according to an expert.

National report — Results achieved in a series of studies comprising an extensive phase 3 clinical research program support the conclusion that a self-occlusive lidocaine 7 percent/tetracaine 7 percent peel (LT peel) provides safe, rapid and effective anesthesia for a broad spectrum of cutaneous procedures.

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.

Why is the incidence of sensitive skin increasing in my patient population?

Anaheim, Calif. — Lessons can be learned from the failure of matrix metalloproteinases inhibitors (MMPIs) to make a difference in halting tumor progression in clinical trials, according to the president of the American Association for Cancer Research (AACR).

National report — Researchers at Dana-Farber Cancer Institute in Boston and Yale University Medical Center have pinpointed a specific amplified gene and protein overproduction in melanoma that they think cause malignant melanoma to be aggressive.

Stanford, Calif. — Studying functional tissue has provided Stanford University researchers important insight into melanoma's development.

The procedures were performed without any anesthesia and yet were regarded by the majority of patients as pain-free or associated with only slight to moderate discomfort.

Children with skin of color are also especially likely to develop hypo- or hyperpigmentary changes after resolution of lesions of a dermatosis or secondary to other forms of skin trauma, including treatments administered for skin disorders.

Chicago — As the Latino population continues to be the fastest growing minority group in America, dermatologists should be prepared to treat an increasing number of patients of Hispanic origin and for the unique situations they may pose regarding evaluation and management, said Miguel R. Sanchez, M.D., at the American Academy of Dermatology's Academy '05, here.

New Orleans — Mesenchymal stem cells (MSCs), which originate in bone marrow, show promise as candidates for transplantation into diseased organs to repair damaged tissue, according to Darwin J. Prockop, M.D., director of the Tulane Center for Gene Therapy here.

Chicago — Researchers are making progress but still have a long way to go in the field of bioengineered-assisted wound healing, according to some experts.

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.

Chicago — CollaGenex Pharmaceuticals, Inc. announced results from two, phase 3 clinical trials with Oracea, its drug for the treatment of rosacea, at the American Academy of Dermatology's Academy '05, here.

Vienna, Austria — A new study suggests that extracorporeal shock wave therapy (ESWT) is highly effective in treating patients with several types of skin lesions, including venous ulcers and burns.

Tokyo — There is the possibility that sex hormones and sex hormone-binding globulin (SHBG) may regulate melanogenesis, a recent finding that may change the way in which pigmentation is viewed, according to Taketsugu Tadokoro, M.D., Ph.D., director, department of dermatology, Osaka National Hospital, Osaka-shi, Japan.

Hepatitis C patients receiving treatment with interferon have a tendency to develop lesions consistent with sarcoidosis, both on the skin and internally.