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    308 results match your criteria Complications of Dermatologic Laser Surgery

    1 OF 7

    Role of Nonsurgical Chin Augmentation in Full Face Rejuvenation: A Review and Our Experience.
    Dermatol Surg 2018 Jan 5. Epub 2018 Jan 5.
    Cosmetic Laser Dermatology, San Diego, California.
    Background: The chin is a critical component to the perception of facial attractiveness. Dermal fillers offer a nonsurgical, temporary method of correcting mild to moderate chin retrusion and resorption. Thus far, discussion of this procedure has been largely limited to the plastic surgery and otolaryngology literature. Read More

    [Dermatologic surgery, hemophilia and Von Willebrand disease].
    Ann Dermatol Venereol 2017 Nov 14. Epub 2017 Nov 14.
    Service de dermatologie, centre Tarnier, hôpital Cochin, AP-HP, 89, avenue d'Assas, 75006 Paris, France; Université Paris 5, 15, rue de l'École-de-Médecine, 75006 Paris, France. Electronic address:
    Background: Von Willebrand disease (VWD) and hemophilia A and B are the most common types of hereditary coagulation-factor deficiencies. The frequency and type of complications of skin surgery in these patients are unknown. The increasing incidence of skin cancer prompted us to reflect upon this issue. Read More

    Postinflammatory hyperpigmentation: A comprehensive overview: Treatment options and prevention.
    J Am Acad Dermatol 2017 Oct;77(4):607-621
    Department of Dermatology, Henry Ford Hospital, Detroit, Michigan. Electronic address:
    Postinflammatory hyperpigmentation (PIH) occurs after various dermatoses, exogenous stimuli, and dermatologic procedures. The clinical course of PIH is chronic and unpredictable, although the probability of resolution of epidermal hyperpigmentation is better than those of dermal hyperpigmentation. PIH can be prevented or alleviated. Read More

    The increasing relevance of biofilms in common dermatological conditions.
    J Dermatolog Treat 2017 Aug 9:1-6. Epub 2017 Aug 9.
    b Department of Dermatologic Surgery and Laser Unit, St. Thomas' Hospital , St. John's Institute of Dermatology , London , UK.
    Background: Biofilms are diverse groups of microorganisms encased in a self-produced matrix that offers protection against unfavorable conditions and antibiotics.

    Methods: We performed a literature search using the MEDLINE electronic database. Only original articles published in English were considered for review. Read More

    Removal of Tattoos by Q-Switched Nanosecond Lasers.
    Curr Probl Dermatol 2017 10;52:105-112. Epub 2017 Mar 10.
    Department of Dermatology, Klinikum Darmstadt, Darmstadt, and Department of Dermatology, University Hospital Greifswald, Greifswald, Germany.
    Tattoo removal by Q-switched nanosecond laser devices is generally a safe and effective method, albeit a time-consuming one. Despite the newest developments in laser treatment, it is still not possible to remove every tattoo completely and without complications. Incomplete removal remains one of the most common challenges. Read More

    Pulsed Dye Laser Therapy in the Treatment of Warts: A Review of the Literature.
    Dermatol Surg 2017 Apr;43(4):485-493
    *Department of Dermatology, University College London Hospital, London, United Kingdom; †Department of Dermatologic Surgery and Laser Unit, St. John's Institute of Dermatology, St. Thomas' Hospital, London, United Kingdom.
    Background: Warts or verrucae vulgaris are common cutaneous infections with currently no definitive curative treatments available.

    Objective: To determine the efficacy of pulsed dye laser (PDL) in the treatment of warts.

    Materials And Methods: A literature search was performed using the PubMed and MEDLINE databases. Read More

    Measuring niacin-associated skin toxicity (NASTy) stigmata along with symptoms to aid development of niacin mimetics.
    J Lipid Res 2017 Apr 23;58(4):783-797. Epub 2017 Jan 23.
    cyberDERM, Inc., Broomall, PA.
    Though cardioprotective, niacin monotherapy is limited by unpleasant cutaneous symptoms mimicking dermatitis: niacin-associated skin toxicity (NASTy). Niacin is prototypical of several emerging drugs suffering off-target rubefacient properties whereby agonizing the GPR109A receptor on cutaneous immune cells provokes vasodilation, prompting skin plethora and rubor, as well as dolor, tumor, and calor, and systemically, heat loss, frigor, chills, and rigors. Typically, NASTy effects are described by subjective patient-reported perception, at best semi-quantitative and bias-prone. Read More

    [Melasma : An update on the clinical picture, treatment, and prevention].
    Hautarzt 2017 Feb;68(2):120-126
    Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum des Saarlandes, 66421, Homburg, Deutschland.
    Melasma, also known as chloasma or mask of pregnancy, presents clinically as hyperpigmented skin areas, which develop mostly in the face as a consequence of increased synthesis of melanin. The established treatment options, including topically applied agents and the use of various laser systems, mostly result in improvement but not in complete remission of the lesions. Because of its significant impact on quality of life and the limited effectivity of available treatment options, the management of melasma is challenging for the treating physician. Read More

    Laser Safety in Isotretinoin Use: A Survey of Expert Opinion and Practice.
    Dermatol Surg 2017 Mar;43(3):357-363
    *SkinCare Physicians, Chestnut Hill, Massachusetts; †Feinberg School of Medicine, Department of Dermatology, Northwestern University, Chicago, Illinois.
    Background: Reports of poor wound healing in the setting of isotretinoin treatment have created a conservative standard of care in which laser and phototherapy treatment of patients receiving isotretinoin is relatively contraindicated.

    Objective: A survey of 220 nationally recognized experts in cutaneous laser surgery was conducted to evaluate physician experience and opinion pertaining to laser and light procedures in patients treated with isotretinoin, including perceived risk and actual complications.

    Results: There was a 42% response rate. Read More

    Prevention and Management of Injection-Related Adverse Effects in Facial Aesthetics: Considerations for ATX-101 (Deoxycholic Acid Injection) Treatment.
    Dermatol Surg 2016 Nov;42 Suppl 1:S300-S304
    *Private Practice, Boca Raton, Florida; †Evidence Scientific Solutions, Philadelphia, Pennsylvania; ‡Department of Dermatology, University of California Los Angeles and Private Practice (Skin Care and Laser Physicians of Beverly Hills), Los Angeles, California.
    ATX-101 (deoxycholic acid injection; Kythera Biopharmaceuticals, Inc. [an affiliate of Allergan plc, Dublin, Ireland]) was approved in 2015 in the United States (Kybella) and Canada (Belkyra) for submental fat reduction. As expected, injection-site reactions such as pain, swelling, and bruising, which were mostly mild or moderate and transient, were common adverse events (AEs) reported in clinical trials. Read More

    Hypertrophic scarring: the greatest unmet challenge after burn injury.
    Lancet 2016 Oct;388(10052):1427-1436
    Department of Surgery, The University of Texas Medical Branch, Galveston, TX, USA; The Institute for Translational Sciences, The University of Texas Medical Branch, Galveston, TX, USA; Shriners Hospitals for Children, Galveston, TX, USA.
    Improvements in acute burn care have enabled patients to survive massive burns that would have once been fatal. Now up to 70% of patients develop hypertrophic scars after burns. The functional and psychosocial sequelae remain a major rehabilitative challenge, decreasing quality of life and delaying reintegration into society. Read More

    Single Session Treatment of Rolling Acne Scars Using Tumescent Anesthesia, 20% Trichloracetic Acid Extensive Subcision, and Fractional CO2 Laser.
    Dermatol Surg 2017 Jan;43 Suppl 1:S70-S74
    *Gateway Aesthetic Institute and Laser Center, Salt Lake City, Utah; †Goldman, Butterwick, Fitzpatrick, Groff & Fabi, Cosmetic Laser Dermatology, San Diego, California.
    Background: Successful treatment of acne scars is challenging. Many modalities have been used with marginal success.

    Objective: The authors describe a combination of a superficial chemical peel, subcision, and fractional carbon dioxide (CO2) laser resurfacing in a single-treatment session as a novel treatment approach for rolling acne scars. Read More

    Dermal Remodeling of Burn Scar by Fractional CO2 Laser.
    Aesthetic Plast Surg 2016 Oct 12;40(5):761-8. Epub 2016 Aug 12.
    Department of Dermatology, Korea University College of Medicine, Inchon-ro 73(Anam-dong 5ga), Seongbuk-gu, Seoul, 136-705, Korea.
    Background: Ablative CO2 fractional lasers have recently been introduced for burn scar treatment because of pronounced clinical outcomes with fewer treatment sessions than nonablative fractional laser.

    Objective: This study was conducted to observe clinical as well as histologic changes of burn scars after treatment with CO2 fractional laser.

    Materials And Methods: Eleven patients (one female and 10 males, aged 31-59 years) with skin phototypes III to V with burn scars received 10 sessions of fractional CO2 laser treatments (UltraPulse(®) Encore; Lumenis, Santa Clara, CA, USA) over an average 5-week interval. Read More

    Dermatologic surgery emergencies: Complications caused by systemic reactions, high-energy systems, and trauma.
    J Am Acad Dermatol 2016 Aug;75(2):265-84
    Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. Electronic address:
    While the overall incidence of emergencies in dermatologic surgery is low, emergent situations can occasionally pose a risk to patients undergoing such procedures. The clinical importance of several types of emergences related to systemic reactions, high energy systems, and trauma are reviewed, and relevant epidemiology, clinical manifestations, diagnosis, work-up, management, and prevention are discussed. Early detection of surgical emergencies can mitigate any associated adverse outcomes, thereby allowing the outstanding record of safety of dermatologic surgery to continue. Read More

    Preventing, identifying, and managing cosmetic procedure complications, part 1: soft-tissue augmentation and botulinum toxin injections.
    Cutis 2016 Jun;97(6):E28-9
    Department of Dermatology, University of California, San Diego, USA.
    This column highlights some of the potential complications that have been associated with cosmetic procedures. Tips for how dermatology residents may prevent, identify, and manage complications from cosmetic procedures for optimal patient outcomes is provided. In part 1 of this series, soft-tissue augmentation and botulinum toxin injections are discussed. Read More

    Canadian Clinical Practice Guidelines for Rosacea.
    J Cutan Med Surg 2016 Sep 17;20(5):432-45. Epub 2016 May 17.
    University of Calgary, Calgary, AB, Canada.
    Rosacea is a chronic facial inflammatory dermatosis characterized by background facial erythema and flushing and may be accompanied by inflammatory papules and pustules, cutaneous fibrosis and hyperplasia known as phyma, and ocular involvement. These features can have adverse impact on quality of life, and ocular involvement can lead to visual dysfunction. The past decade has witnessed increased research into pathogenic pathways involved in rosacea and the introduction of novel treatment innovations. Read More

    Severe neck scarring: A consequence of fractional CO2 laser resurfacing.
    J Cosmet Laser Ther 2016 Oct 2;18(6):352-4. Epub 2016 Jun 2.
    a Laser Skin Care of Louisiana , Lafayette , LA , USA.
    Fractional CO2 laser resurfacing using aggressive treatment parameters may result in adverse effects comparable to those of fully ablative CO2 laser resurfacing. A 45-year-old female underwent fractional CO2 laser treatment of the neck. She contacted the author for treatment of the marked erythema, swelling, and perceived skin tightness that resulted from the resurfacing procedure. Read More

    Comparative study of wound healing in rat skin following incision with a novel picosecond infrared laser (PIRL) and different surgical modalities.
    Lasers Surg Med 2016 Apr 4;48(4):385-91. Epub 2016 Mar 4.
    Max Planck Institute for the Structure and Dynamics of Matter, Hamburg, 22761, Germany.
    Background And Objective: As a result of wound healing the original tissue is replaced by dysfunctional scar tissue. Reduced tissue damage during surgical procedures beneficially affects the size of the resulting scar and overall healing time. Thus the choice of a particular surgical instrument can have a significant influence on the postoperative wound healing. Read More

    Treatment of pigmentary disorders in patients with skin of color with a novel 755 nm picosecond, Q-switched ruby, and Q-switched Nd:YAG nanosecond lasers: A retrospective photographic review.
    Lasers Surg Med 2016 Feb;48(2):181-7
    Laser and Skin Surgery Center of New York, New York City, 10016, New York.
    Background And Objectives: Laser procedures in skin of color (SOC) patients are challenging due to the increased risk of dyspigmentation and scarring. A novel 755 nm alexandrite picosecond laser has demonstrated effectiveness for tattoo removal and treatment of acne scars. No studies to date have evaluated its applications in pigmentary disorders. Read More

    Facial Pores: Definition, Causes, and Treatment Options.
    Dermatol Surg 2016 Mar;42(3):277-85
    *Yonsei Star Skin & Laser Clinic, Seoul, South Korea; †Departments of Dermatology, Chung-Ang University College of Medicine, Seoul, South Korea; ‡GoodDay Skin & Laser Clinic, Seoul, South Korea.
    Background: Enlarged skin pores refer to conditions that present with visible topographic changes of skin surfaces. Although not a medical concern, enlarged pores are a cosmetic concern for a large number of individuals. Moreover, clear definition and possible causes of enlarged pores have not been elucidated. Read More

    The Bilateral Dufourmentel Flap for Repair of Nasal Dorsum Defects After Mohs Micrographic Surgery.
    Dermatol Surg 2016 Mar;42(3):320-6
    *Tucson Dermatology Ltd., Tucson, Arizona; †Department of Dermatology and Cutaneous Biology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania; ‡Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.
    Background: Single-stage repairs of large nasal dorsum defects risk introducing lower nasal distortion.

    Objective: To describe the authors experience with the "birhombic" flap, a bilateral Dufourmentel rhomboid flap, for repair of nasal surgical defects after Mohs micrographic surgery.

    Materials And Methods: The authors performed a retrospective chart review of patients who underwent birhombic flap repair of the nose by a single physician after Mohs micrographic surgery from 2008 to 2013 at the Medical University of South Carolina. Read More

    Trauma-induced pemphigus: a case series of 36 patients.
    J Dtsch Dermatol Ges 2016 Feb;14(2):166-71
    Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
    Background And Objectives: Pemphigus is a group of autoimmune diseases characterized by intraepidermal acantholytic blisters. Isomorphic responses, or Koebner phenomenon (KP), defined as the appearance of typical lesions of a disease following trauma are rarely reported in pemphigus. Our aim was to present patients who developed new pemphigus lesions as a result of skin trauma. Read More

    [What's new in instrumental dermatology?].
    Ann Dermatol Venereol 2015 Dec;142 Suppl 3:S8-S17
    5, rue du Werkhof, 68100, Mulhouse, France. Electronic address:
    The publications in the field of aesthetic dermatology including those related to laser treatment and related procedures are numerous. Nevertheless, a large number of them lack a serious and well-structured methodological approach or are biased and may lead to false conclusion due to conflict of interest. The selection of the publications used for this review, while subjective, has been based on the strength of the methodology applied as well as their benefit to the dermatological community as a whole. Read More

    Scar Management in the Pediatric and Adolescent Populations.
    Pediatrics 2016 Feb 7;137(2):e20142065. Epub 2016 Jan 7.
    Department of Dermatology, Naval Medical Center, San Diego, California.
    For most children and adolescents who have developed symptomatic scars, cosmetic concerns are only a portion of the motivation that drives them and their caregivers to obtain treatment. In addition to the potential for cosmetic disfigurement, scars may be associated with a number of physical comorbidities including hypertrichosis, dyshidrosis, tenderness/pain, pruritus, dysesthesias, and functional impairments such as contractures, all of which may be compounded by psychosocial factors. Although a plethora of options for treating scars exists, specific management guidelines for the pediatric and adolescent populations do not, and evidence must be extrapolated from adult studies. Read More

    Complications in the Cosmetic Dermatology Patient: A Review and Our Experience (Part 2).
    Dermatol Surg 2016 Jan;42(1):12-20
    *Department of Dermatology, University of Illinois, Chicago, Illinois; †Cosmetic Laser Dermatology, Goldman, Butterwick, Fitzpatrick, Groff & Fabi, San Diego, California; ‡Department of Medicine/Dermatology, University of California; §Department of Ophthalmology, University of British Columbia, Vancouver, Canada.
    Background: Over recent decades, the options available to patients for cosmetic rejuvenation have expanded dramatically. The range of options commonly available to patients now includes neuromodulators, fillers, sclerotherapy, chemical peels, lasers, lights and other energy devices, and liposculpture and continues to grow. Like all therapeutic interventions, these cosmetic dermatologic procedures are not without risk. Read More

    Comparison of 532 nm Potassium Titanyl Phosphate Laser and 595 nm Pulsed Dye Laser in the Treatment of Erythematous Surgical Scars: A Randomized, Controlled, Open-Label Study.
    Dermatol Surg 2016 Jan;42(1):70-6
    Washington Institute of Dermatologic Laser Surgery, Washington, DC.
    Background: The pulsed dye laser (PDL) has long been used for treatment of erythematous and hypertrophic scars. Its effectiveness has been attributed in large part to its vascular-specificity. The vascular-specific potassium titanyl phosphate (KTP) laser has also been reported to be clinically effective for scars, but has not been compared to the PDL. Read More

    Pulsed Dye Laser for Early Treatment of Scars After Dermatological Surgery.
    J Drugs Dermatol 2015 Nov;14(11):1209-12
    Background: Wound healing is a complex process; during the process angiogenesis takes place, that presents clinically as erythema, telangiectasia and edema. Pulsed dye laser (PDL) has a wavelength of 585-595 nm, which targets the chromophore hemoglobin.

    Objective: Determine the level of improvement of post-dermatological surgery scars. Read More

    Microneedling in skin of color: A review of uses and efficacy.
    J Am Acad Dermatol 2016 Feb;74(2):348-55
    Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, New York. Electronic address:
    In ethnic skin, traditional skin resurfacing procedures such as dermabrasion, chemical peels, and laser therapy can be effective but can also be associated with prolonged recovery and risk of complications. These complications can include a higher risk of dyspigmentation and scarring, and unsatisfactory clinical outcomes. Microneedling is an evolving treatment technique for an expanding number of dermatologic conditions. Read More

    Common Dermatologic Procedures.
    Med Clin North Am 2015 Nov 11;99(6):1305-21. Epub 2015 Sep 11.
    Division of Dermatology, University of Washington School of Medicine, Seattle, WA 98105, USA. Electronic address:
    Dermatologists perform a wide variety of procedures on a daily basis. The skin biopsy is a fundamental technique that can be performed by all physicians who manage cutaneous conditions. Specimens should always be sent for pathologic evaluation, regardless of whether the sampled lesion appears benign. Read More

    Diagnosis and Management of Infantile Hemangioma.
    Pediatrics 2015 Oct;136(4):e1060-104
    Infantile hemangiomas (IHs) are the most common tumors of childhood. Unlike other tumors, they have the unique ability to involute after proliferation, often leading primary care providers to assume they will resolve without intervention or consequence. Unfortunately, a subset of IHs rapidly develop complications, resulting in pain, functional impairment, or permanent disfigurement. Read More

    Acne scarring: A review of available therapeutic lasers.
    Lasers Surg Med 2016 Feb 28;48(2):95-115. Epub 2015 Sep 28.
    The Ronald O. Perelman Department of Dermatology, NYU Langone Medical Center, 240 East 38th Street, New York, NY 10016.
    Background And Objective: The utilization of lasers in dermatology has greatly expanded in recent decades. Acne scarring is a common indication in which lasers play an important therapeutic role.

    Study Design/materials And Methods: Available lasers include traditional ablative lasers, such as carbon dioxide and erbium lasers, traditional non-ablative lasers, such as neodymium, diode, alexandrite, pulsed dye lasers and intense pulse light, as well as both ablative, and non-ablative fractional laser systems. Read More

    Cross-sectional survey of awareness and behavioral pattern regarding acne and acne scar based on smartphone application.
    Int J Dermatol 2016 Jun 4;55(6):645-52. Epub 2015 Sep 4.
    Department of Dermatology, Kyung Hee University School of Medicine, Seoul, South Korea.
    Background: Although acne scar is a permanent sequela that may be induced by improper management of active acne lesion, patient behavior patterns and awareness regarding acne are unclear. The aim of this study was to identify awareness and behavioral patterns concerning acne and acne scar of people having acne and differences between those with and without acne scars.

    Methods: The survey was performed via smartphone application for 900 participants in their second to fourth decade having current or previous acne lesions. Read More

    Patient safety in procedural dermatology: Part II. Safety related to cosmetic procedures.
    J Am Acad Dermatol 2015 Jul;73(1):15-24; quiz 25-6
    Department of Dermatology, MD Anderson Cancer Center, Houston, Texas; Department of Plastic Surgery, MD Anderson Cancer Center, Houston, Texas.
    Cosmetic procedures are growing in popularity and are associated with unique risks. Considering potential complications and prioritizing patient safety will help practitioners improve outcomes of elective procedures. In part II of this continuing medical education article, we provide a comprehensive review of patient safety in cosmetic procedures, including medical and legal issues surrounding the supervision and training of physician extenders. Read More

    Patient safety in dermatologic surgery: Part I. Safety related to surgical procedures.
    J Am Acad Dermatol 2015 Jul;73(1):1-12; quiz 13-4
    Department of Dermatology, MD Anderson Cancer Center, Houston, Texas; Department of Plastic Surgery, MD Anderson Cancer Center, Houston, Texas.
    Surgical procedures involve unique elements related to patient safety. One must be aware of potential complications and safety issues within the practice of dermatologic surgery. Developing a high level of competence in skin surgery will address some safety issues, while implementing protocols and redundancies provides systems-based correction for other safety issues. Read More

    Introduction of dermatome shaving as first line treatment of chronic tattoo reactions.
    J Dermatolog Treat 2015 Oct 12;26(5):451-5. Epub 2015 Feb 12.
    b Department of Dermatology , Bispebjerg University Hospital , Copenhagen , Denmark.
    Background/aims: Chronic tattoo reactions requiring treatment have increased. Laser removal is not ideal for removal of allergic reactions. Surgical removal of culprit pigment situated in the outer dermis by dermatome shaving is rational and need to be revisited. Read More

    Early postoperative single treatment ablative fractional lasing of Mohs micrographic surgery facial scars: a split-scar, evaluator-blinded study.
    Lasers Surg Med 2015 Jan 5;47(1):1-5. Epub 2015 Jan 5.
    Division of Dermatologic Surgery, University of Pennsylvania, Philadelphia, PA.
    Background/objectives: Despite precise surgical technique, some postoperative facial scars will depress and widen over time, likely due to weakened or inadequately replaced collagen fibers in the underlying dermis. The purpose of this study is to evaluate whether a 10,600 nm ablative carbon dioxide (CO2 ) fractional laser used early in the post-surgical setting results in improved postoperative facial scars after a single treatment session.

    Study Design: A prospective randomized, comparative split-scar study was conducted on 20 subjects between the ages of 20-90. Read More

    Consensus for sclerotherapy.
    Dermatol Surg 2014 Dec;40(12):1309-18
    *Department of Dermatology, University of Maryland School of Medicine, Baltimore, Maryland; †Maryland Laser, Skin & Vein Institute, Hunt Valley, Maryland; ‡Department of Dermatology, Dartmouth Medical School, Hanover, New Hampshire; §Department of Dermatology, University of California, San Francisco, California; ‖Department of Dermatology, Weill Cornell Medical College, New York, New York; ¶Department of Dermatology, University of Buffalo, Buffalo, New York; #Department of Dermatology, University of Southern California, Los Angeles, California.
    Background: The American Society for Dermatologic Surgery (ASDS) periodically develops consensus documents for its members concerning various aspects of dermatologic surgery. Unwanted and painful leg veins are a very widespread problem. Many advances in sclerotherapy of varicose and telangiectatic leg veins have occurred since the previous consensus documents. Read More

    Surgical treatment of head and neck port-wine stains by means of a staged zonal approach.
    Plast Reconstr Surg 2014 Nov;134(5):1003-12
    New York, N.Y.; and Daegu, Republic of Korea From the Department of Otolaryngology, New York University School of Medicine; the Vascular Birthmark Institute of New York, Lenox Hill and Manhattan Eye, Ear, and Throat Hospitals; and the Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital.
    Background: The majority of patients with capillary malformations (port-wine stains) develop soft-tissue and bony hypertrophy leading to gross facial asymmetry and functional deficits in vision, breathing, speech, and feeding. The authors describe and illustrate a surgical approach for the treatment of these malformations with restoration of facial symmetry and contour based on facial subunits.

    Methods: The authors conducted a retrospective case series of patients from 2004 to 2011 presenting for primary evaluation and treatment to a tertiary referral center specializing in vascular anomalies. Read More

    Laser skin treatment in non-Caucasian patients.
    Facial Plast Surg Clin North Am 2014 Aug 10;22(3):439-46. Epub 2014 Jun 10.
    Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor Facial Plastic Surgery Center, Baylor College of Medicine, One Baylor Plaza NA 102, Houston, TX 77030, USA. Electronic address:
    The demand for facial rejuvenation and cosmetic procedures is rising among all ethnicities and skin types. The authors present a review of lasers and how to select a laser based on skin type and the treatment goals of laser resurfacing: skin laxity, dyschromia, hair removal, keloid, and hypertrophic scarring. In addition, they discuss preprocedural and postprocedural considerations, potential complications, and their management to maximize patient outcomes and minimize risk. Read More

    Safety of performing invasive acne scar treatment and laser hair removal in patients on oral isotretinoin: a retrospective study of 110 patients.
    Int J Dermatol 2014 Oct 11;53(10):1281-5. Epub 2014 Jul 11.
    Rajiv Gandhi University of Health Sciences, Karnataka, India; Diplomate of National Board, New Delhi, India.
    Background: It is reported that patients on oral isotretinoin have greater risk of developing scars and delayed wound healing with invasive procedures. It is recommended that these procedures be resumed 6-12 months after the last dose of oral isotretinoin.

    Aim: To assess and compare the safety and look for delayed wound healing, during invasive acne scar treatment and laser hair removal on (a) patients who were on oral isotretinoin, and (b) patients who were not on oral isotretinoin. Read More

    Dermatologic and dental aspects of the 2012 International Tuberous Sclerosis Complex Consensus Statements.
    JAMA Dermatol 2014 Oct;150(10):1095-101
    Department of Dermatology, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
    Importance: The 2012 International Tuberous Sclerosis Complex Clinical Consensus Conference was convened to update the last consensus statement in 1998. Skin and dental lesions are common in tuberous sclerosis complex (TSC) and are a frequent concern for patients. Recognition of these lesions is imperative for early diagnosis, given the treatment advances that may improve patient outcomes. Read More

    The combination of rhytidoplasty and fractional CO2 laser therapy in the treatment of facial aging.
    Aesthetic Plast Surg 2014 Oct 16;38(5):839-48. Epub 2014 Jul 16.
    Institute of Medicine and Dermatology (ISMD), São Paulo, SP, Brazil.
    Background: Facial aging is a natural biological process with symptoms such as sagging tissue, accentuated lines, furrows, wrinkles, dyschromias, and loss of facial volume. Rhytidectomy alone often fails to achieve a patient's expected goals, which is why there is a high demand for adjunct laser skin treatment.

    Methods: From January 2007 to February 2013, a total of 80 patients with skin types Fitzpatrick I-IV underwent large undermined cutaneous flap rhytidectomy and superficial muscular aponeurotic system (SMAS) plicature plus hyaluronic acid injection on the nasolabial folds and lips and concomitant Lumenis UltraPulse CO2 Active FX total ablation mode resurfacing of nonundermined skin. Read More

    What's new in acne? An analysis of systematic reviews published in 2011-2012.
    Clin Exp Dermatol 2014 Apr;39(3):273-7; quiz 277-8
    Centre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.
    This review summarizes important clinical developments in acne vulgaris identified from 17 systematic reviews published between February 2011 and August 2012. Regarding causes, Demodex mites have been shown to be associated with both acne vulgaris and rosacea, although it is unclear if their eradication improves either disease. Some weak evidence has emerged that suggests a possible link between dairy produce and acne, which warrants further research. Read More

    Tattoo ink-related cutaneous pseudolymphoma: a rare but significant complication. Case report and review of the literature.
    Aesthetic Plast Surg 2014 Apr 26;38(2):471-8. Epub 2014 Feb 26.
    Dipartimento di Chirurgia Plastica Ricostruttiva, I.R.C.C.S. Policlinico San Donato, Università degli Studi di Milano, Via Morandi 30, San Donato Milanese, 20097, Milan, Italy,
    Background: The demand for decorative tattoos is steadily growing worldwide, and in the US it is estimated that up to 24% of adults has one or more tattoos. Subsequently, the number of tattoo-related complications is increasing. Among these, lymphoproliferative disorders play a minor but important role. Read More

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