Advances in Dermatologic Surgery: Articles 1-5

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• Use of Cutaneous Lasers and Light Sources: Appropriate Training and Delegation
  Skin Therapy Letter: Volume 12 • Number 5 • June 2007
  Abstract: In recent years, there has been increasing concern among physicians, patient advocacy groups, and media watchdogs that laser, light, and cosmetic surgery are being practiced by poorly trained professionals, with resulting preventable injuries to patients. In response, several professional organizations have developed guidelines for the delegation of laser services to nonphysician providers. These guidelines delineate appropriate qualifications for delegating physicians and nonphysician providers, and also describe the circumstances and settings in which delegation is appropriate.   |     Full Article ...



• Rejuvenation of the Lip with Injectables
  Skin Therapy Letter: Volume 12 • Number 3 • March 2007
  Abstract: As the range of soft tissue augmentation products proliferates, most will be used (with varying degrees of success) to shape and augment the lip. The range of outcomes for this indication depends on the skill of the injector, the anatomy of the patient and the intrinsic properties of the product. Permutations of these interacting factors are infinite and it is the range of combinations that is responsible for the complexity (and fascination) of lip rejuvenation with injectable products. Based on personal experience, the perfect lip is the one that “wows” the patient and makes them happy with the procedure. Individualizing the injection is of paramount importance and should take priority over a formulaic approach that defines each lip injection as identical. This review will discuss some of the factors that should be considered prior to injecting a lip with soft tissue augmentation products.   |     Full Article ...



• Treatment of Acne Scarring
  Skin Therapy Letter: Volume 11 • Number 10 • December 2006 - January 2007
  Abstract: Acne scarring is common but surprisingly difficult to treat. Scars can involve textural change in the superficial and deep dermis, and can also be associated with erythema, and less often, pigmentary change. In general, treatment of acne scarring is a multistep procedure. First, examination of the patient is necessary to classify the subtypes of scarring that are present. Then, the patient’s primary concerns are elicited, and the patient is offered a menu of procedures that may address the various components of the scarring process. It is important to emphasize to the patient that acne scarring can be improved but never entirely reversed.   |     Full Article ...



• Fractional Laser Treatment for Pigmentation and Texture Improvement
  Skin Therapy Letter: Volume 11 • Number 9 • November 2006
  Abstract: Fractional laser treatment with the 1,550nm erbium fiber laser (Fraxel® Laser, Reliant Technologies) has bridged the gap between the ablative and nonablative laser modalities used to treat the epidermal and dermal signs of skin aging. By targeting water as its chromophore, the laser induces a dense array of microscopic, columnar thermal zones of tissue injury that do not perforate or impair the function of the epidermis. The significant skin remodeling that ensues can be used to treat, with limited downtime, epidermal pigmentation, melasma, and rhytides, as well as textural abnormalities that include acne-related and surgical scars.   |     Full Article ...



• Pigmentary Disorders in Asian Skin: Treatment With Laser and Intense Pulsed Light Sources
  Skin Therapy Letter: Volume 11 • Number 8 • October 2006
  Abstract: The development of selective photothermolysis has enabled removal of targets such as melanin. Both lasers and intense pulsed light (IPL) sources have been used in the treatment of pigmented lesions, however careful selection is important to ensure success. This is especially true in darker skinned individuals where the risk of postinflammatory hyperpigmentation (PIH) is high. The advent of the Q-switched laser, IPL, and now fractional photothermolysis (Fraxel®, Reliant Technologies) offers a variety of ways to treat epidermal and dermal pigmentary disorders.   |     Full Article ...

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