Cosmetic Dermatologic Surgery Research Articles

Cosmetic dermatologic surgery fellowship websites and social media presence: Opportunities for improved applicant recruitment.

The American Society for Dermatologic Surgery (ASDS) established a cosmetic dermatologic surgery fellowship in 2013. Programs often outline details of fellowships on their websites to help prospective applicants make informed decisions. Our primary goal was to evaluate the content quality of online information for all ASDS-accredited cosmetic dermatologic surgery fellowships on program websites and the ASDS website. Our secondary goal was to describe program activity on social media platforms as another avenue for applicant recruitment. Program websites were assessed using an aggregate score from twenty-one standardized content quality variables. Social media activity on Facebook and Instagram from January 6 2021, to March 6, 2021, was categorized. Among 24 cosmetic dermatologic surgery fellowship programs, 23had websites. Basic information was provided across most websites or the ASDS website (eg, address, 95.8%), but more qualitative variables like research opportunities or didactic schedule were not consistently reported. Most programs had highly active social media accounts (91.7% on Facebook and 79.2% on Instagram). There is a gap of information availability between the ASDS website and individual cosmetic dermatologic surgery fellowship websites. Increasing information availability may enhance the applicant recruitment process and serve as a low-cost intervention to ensure optimal fit.

ASDS Cosmetic Dermatologic Surgery Fellowship Milestones

The American Council of Graduate Medical Education, which oversees much of postgraduate medical education in the United States, has championed the concept of "milestones," standard levels of achievement keyed to particular time points, to assess trainee performance during residency. To develop a milestones document for the American Society for Dermatologic Surgery (ASDS) Cosmetic Dermatologic Surgery (CDS) fellowship program. An ad hoc milestone drafting committee was convened that included members of the ASDS Accreditation Work Group and program directors of ASDS-approved Cosmetic Dermatologic Surgery (CDC) fellowship training programs. Draft milestones were circulated through email in multiple rounds until consensus was achieved. Thirteen milestones were developed in the 6 Accreditation Council for Graduate Medical Education (ACGME) competency areas, with 8 of these being patient-care milestones. Additional instructions for milestone administration more specific to the CDS fellowship than general ACGME instructions were also approved. Implementation of semiannual milestones was scheduled for the fellowship class entering in July 2018. Milestones are now available for CDS fellowship directors to implement in combination with other tools for fellow evaluation.

Practice and Educational Gaps in Cosmetic Dermatologic Surgery.

This article identifies gaps in the practice of cosmetic dermatology and cosmetics education, and how to overcome these limitations. There is a rapid development of new devices and procedures, with limited data, patient-reported outcomes, and comparative effectiveness research from which to develop best cosmetic practice. There is a need for increased research and funding dedicated to these goals, improved and convenient training for staff to adopt new devices/procedures, and continuous evolution of databases to pool outcome data and develop outcome sets. Resident education can be improved by dedicated resident cosmetic clinics, didactic teaching from visiting professors, attendance of cosmetic dermatology courses and meetings, and encouraging postresidency training.

The Art of Skin Health: Restoration and Rejuvenation, 2nd edition

Zein E. Obagi. The Art of Skin Health: Restoration and Rejuvenation , 2nd edition. Boca Raton, FL: CRC Press, 2014. ISBN-10: 1842145967, ISBN-13: 978-1842145968. $199.95. ![Graphic][1] This book was presented for review to me as a cosmetic dermatologic surgeon with authorship of textbooks on chemical peeling and as a teacher of many of the procedures shared by plastic surgery. This new textbook is a consolidation of Dr. Obagi's opinions and a compilation of the basic existing knowledge, reviewing practically everything one might need to reverse photo damage and aging skin. Chapter 1 is a basic science skin presentation for the nonphysician or the relatively inexperienced physician, complete with references. Chapter 2 expands principles on the reversal of cosmetic benign skin changes, which the author claims is not performed well by the specialty of dermatology. In my opinion, that may have been the case 20 years ago. His principles of skin restoration are excessively discursive and are extensively presented. Chapter 3, written by the author's associate, is an encyclopedic consolidation of every topical agent, including growth factors and barely-effective cosmeceuticals, available to treat the most common skin diseases. This is geared towards the physician rather than the nonphysician. Chapter 4 on the author's skin classification system incorporates botulinum toxin, lasers, fillers, and his peels, and it may be inferred that the author believes that his system is superior to the existing system of judging whether these procedures are indicated. Chapter 5 on rejuvenating the skin presents accurate points but nothing new to a physician familiar with existing principles of cosmetic dermatologic and plastic surgery. However, the author's interpretation of peel depth and his non-peer-reviewed claims that his … Corresponding Author: Dr Harold J. Brody, 1218 West Paces Ferry Road, Suite 200, Atlanta, GA 30327, USA. E-mail: drb{at}atlantadermatology.com [1]: /embed/inline-graphic-1.gif

Needs Assessment for Cosmetic Dermatologic Surgery

Cosmetic procedures have been an integral part of dermatologic surgery for over half a century, with a more recent proliferation of devices to improve skin color and texture and modify subcutaneous fat. Overall, cosmetic dermatologic procedures are extremely safe. However, detailed information about safety and effectiveness, and especially comparative effectiveness, is not available for many procedures. There are few randomized control trials of comparative effectiveness of different procedures for similar indications. Key comparative effectiveness studies are briefly reviewed, and areas of substantial deficiency in such research are highlighted.

Lipoenxertia autóloga no tratamento da atrofia hemifacial progressiva (síndrome de Parry-Romberg): relato de caso e revisão da literatura

Parry-Romberg syndrome, also known as progressive hemifacial atrophy, is a rare disorder characterized by slow and progressive hemifacial atrophy. The treatment offered for the syndrome generally aims at improving aesthetics. Fat grafts, silicone injections or acrylic prosthesis are alternatives suggested for correction of facial atrophy. Currently, the recommended technique for correction of facial atrophy is cosmetic dermatologic surgery with autologous fat grafting. This study reports a case of Parry-Romberg syndrome and demonstrates that dermatologic surgery can relieve serious damage to the patient's anatomy, starting from the discussion of the therapeutic aspects of the syndrome with emphasis on autologous fat grafting.

Photodynamic Therapy/Assisted Photorejuvenation

Photodynamic therapy (PDT) shows great efficacy and high tolerability for the treatment of non-melanoma skin cancer (actinic keratosis, basal cell carcinoma, Bowen’s disease) especially in patients with large and multiple lesions, in poor-healing sites and patients immunosuppressed or with co-morbidities. Besides, more recently, PDT has been used, widely and with great success, for many off-label diseases and in cosmetic dermatology, especially on photorejuvenation, therefore further and larger prospective studies with long-term follow-up are required to verify its efficacy and safety in treating these condition. The treatment of ageing skin remains a very hot topic, and many systems have been reported as having varying degrees of success. Nowadays our experience and literature data show how topical PDT can be considered a new non-invasive device for the treatment o photoaging skin with no/minimal side effects and able to bridge the world of medical and cosmetic dermatologic surgery.

Surgery and parental separation as potential risk factors for abnormal eating attitudes—longitudinal study

Due to the susceptibility of eating disorders (ED) to stressful life events, we wanted to examine longitudinally whether two childhood adversities: (1) surgery and (2) parental separation, will affect abnormal eating attitudes in adolescents. Consecutively for 4 years, the eating attitude test (EAT-26) and the eating disorder inventory-2 (EDI-2) questionnaires were administered to students from grades 7th through 10th and 8th through 11th. Multilevel analysis revealed that parental separation and oral or cosmetic dermatologic surgeries were significantly correlated with EAT-26 and EDI-2 scores throughout the 4 years of the study. Post-hoc interpretation suggests a connection between (A) chirurgic intervention in the oral cavity and problematic eating attitudes, and (B) cosmetic dermatologic surgery and greater awareness to body appearance-a feature which might characterize adolescents who are prone to develop ED.

5-aminolevulinic acid photodynamic therapy: where we have been and where we are going.

Photodynamic therapy, utilizing the topical administration of 20% 5-aminolevulinic acid, has generated a great deal of interest in the dermatology community over the past several years. The purpose of this article is to review the history of photodynamic therapy in dermatology and to review recent new advances with this technology that will increase its appeal to all dermatologists. A literature review and results of new clinical trials with regards to photorejuvenation and acne vulgaris treatments with 5-aminolevulinic acid photodynamic therapy are presented. Short-contact, full-face 5-aminolevulinic acid photodynamic therapy treatments with a variety of lasers and light sources have shown to be successful in treating all facets of photorejuvenation and the associated actinic keratoses as well as disorders of sebaceous glands, including acne vulgaris. The treatments are relatively pain-free, efficacious, and safe. They are also making already available laser/light source therapies work better for acne vulgaris and photorejuvenation. The use of 5-aminolevulinic acid photodynamic therapy with short-contact, full-face broad-application therapy is now able to bridge the world of medical and cosmetic dermatologic surgery. This therapy is available for all dermatologists to utilize in the care of their patients.

Nonablative vs. Ablative Laser Skin Rejuvenation: Histologic Effects

Nonablative skin rejuvenation has become one of the most exciting procedures in cosmetic dermatologic surgery. A variety of light wavelengths at

Beauty Versus Medicine

BACKGROUND This investigation was initiated because of a growing concern by the American Society for Dermatologic Surgery about the proliferation of nonphysicians practicing medicine and its impact on public health, safety, and welfare. OBJECTIVE Prompted by an alarming rise in anecdotal reports among dermatologic surgeons, the study sought to determine whether there was a significant increase in the number of patients seeking corrective treatment due to complications from laser and light-based hair removal, subsurface laser/light rejuvenation techniques, chemical peels, microdermabrasion, injectables, and other cosmetic medical/surgical procedures performed by nonphysicians without adequate training or supervision. METHODS A survey of 2,400 American Society for Dermatologic Surgery members in July 2001 and in-depth phone interviews with eight patients who experienced complications from nonphysicians performing cosmetic dermatologic surgery procedures were conducted. RESULTS Survey data and qualitative research results attributed patient complications primarily to “nonphysician operators” such as cosmetic technicians, estheticians, and employees of medical/dental professionals who performed various invasive medical procedures outside of their scope of training or with inadequate or no physician supervision. CONCLUSION The results underscore the need for improved awareness, legislation, and enforcement regarding the nonphysician practice of medicine, along with further study of this issue.

Lasers and cosmetic dermatologic surgery for aging skin

Many topical agents and physical modalities have been used throughout the years to give the face a more youthful appearance. The goal has always been to effectively and consistently rejuvenate the face while minimizing the time of recovery and risk for complications. Because each person is unique, there is no one modality that is best for everyone. This article reviews some of the options available for treating photoaged skin in 2001. Various lasers (e.g., vascular lesion, pigmented lesion, hair removal, and resurfacing), botulinum A toxin, chemical peels, and various dermal and subcutaneous filler substances all are discussed.

Cosmetic dermatology. No apologies, a few regrets.

While I agree with the need for discussion on the ethical aspects of cosmetic dermatologic surgery, I would not argue that the main reason to hold such a discussion is to dispel the notion that this branch of our specialty is somehow tainted, frivolous, and immoral. Rather, I would hope to make the argument that the specialty has a primary responsibility to the public and organized medicine to oversee the diagnosis and treatment of conditions pertaining to the skin, including those aspects that may relate to the appearance as well as the health of the skin. The human history of obsession with appearance did not begin with the carbon dioxide laser. The public will continue to avail itself of any and all technologies that may enhance appearance. Naturally, they will turn to us as the masters of diagnosis, treatment, and the science of the skin. What then is our role in the quest for improved appearance? Specifically, Ringel asks, “What is the ethical justification for getting involved in the treatment of aging skin?” Not to what end, asks Ringel, but by what right? Ringel argues that cosmetic dermatology uses false logic and even more questionable ethical grounds to justify and promote the treatment of aging skin. She opines that (1) aging is not an illness, (2) aging is not a mental illness, and (3) cosmetic surgery is based on a contractual (not a professional) model aimed only at promoting patient satisfaction irrespective of patient health. Underlying Ringel’s arguments as a whole is the premise that cosmetic surgery somehow condones and promotes ageism. I would like to respond to each objection in turn. AGING IS NOT AN ILLNESS, BUT PHOTOAGING IS A PATHOLOGICAL CONDITION

BOOK REVIEW

Australasian Journal of DermatologyVolume 31, Issue 1 p. 32-32 BOOK REVIEW First published: April 1990 https://doi.org/10.1111/j.1440-0960.1990.tb00647.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Book reviews in this article: Cosmetic Dermatologic Surgery. 2nd Ed. S.J. Stegman, T.T. Tromovitch and R.G. Glogau. Volume31, Issue1April 1990Pages 32-32 RelatedInformation

Book Reviews

Clinical and Experimental DermatologyVolume 10, Issue 6 p. 595-597 Book Reviews First published: November 1985 https://doi.org/10.1111/j.1365-2230.1985.tb00631.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Clinical Dermatology Illustrated-A Regional Approach. By J.T. Reeves and H. Maibach. Review of the Year Book of Dermatology Edited by A.J. Sober and T.B. Fitzpatrick. Biology of the Integument, I. The Invertebrates Edited by J. Bereiter-Hahn, A.G. Maltolsty and K.S. Richards. Cosmetic Dermatologic Surgery. Samuel J. Stegman and Theodore A. Tromovitch. A Colour Atlas of the Nail in Clinical Diagnosis. By D.W. Beaven and S.E. Brooks. Unwanted Effects of Cosmetics and Drugs used in Dermatology. By J.P. Nater and A.C. DeGroot. Cosmetic and Drug Preservation–Principles and Practice. Edited by Jon J. Kabara. Volume10, Issue6November 1985Pages 595-597 RelatedInformation

BOOK REVIEWS

Book reviewed in this article:Topical Skin Therapeutics. By M. K. Polano. 1984. Churchill Livingstone. Pp. 197. Price: $A39.20.Milne's Dermatopathology. Revised and edited by Rona M. MacKie. 2nd ed. 1984. Edward Arnold, London. Pp. 357. Price: $A172.Cutaneous Melanoma: Clinical Management and Treatment Results Worldwide. By Charles M. Balch and Gerald W. Milton. 1985. J. B. Lippincott Company, Philadelphia. Pp. 538. Price: $A99.00.Cosmetic Dermatologic Surgery. By Samuel J. Stegman and Theodore A. Tromovitch. 1984. Year Book Medical Publishers, Chicago. Pp. 230. Price: $A70.50.

Book Reviews

British Journal of DermatologyVolume 111, Issue 2 p. 249-251 Book Reviews First published: August 1984 https://doi.org/10.1111/j.1365-2133.1984.tb04057.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinked InRedditWechat Abstract Books reviewed in this article: Allergic Contact Dermatitis to Ingredients used in Topically Applied Pharmaceutical Products and Cosmetics. A Dooms-Goossens. The Year Book of Dermatology. Edited by A.J. Sober and T.B. Fitzpatrick. Cosmetic Dermatologic Surgery. S.J. Stegman and T.A. Tromovitch. Dermatologia Vascolare. V.Petruzzellis and A. Scardigno. Current Issues in Dermatology, Volume 1. Edited by J.P. Callen, M.V. Dahl, L.E. Golitz, J.E. Rasmussen and S.J. Stegman. Hair Root Characteristics of the Human Scalp in Health and Disease. J.D.R. PeereBoom-Wynia. Volume111, Issue2August 1984Pages 249-251 RelatedInformation

Cosmetic dermatologic surgery. By Samuel J. Stegman and Theodore A. Tromovitch, 230 pp, illus, Year Book Medical Publishers, Chicago, 1984. $39.95

Cosmetic dermatologic surgery. By Samuel J. Stegman and Theodore A. Tromovitch, 230 pp, illus, Year Book Medical Publishers, Chicago, 1984. $39.95