ABSTRACT
BACKGROUND: Facial aging involves multilevel changes, extending from the skin to deep support structures. A comprehensive treatment approach targeting the many aspects of facial dynamics and architecture is often necessary to achieve optimal correction, prevent changes before they occur, and/or help highlight inherited features. OBJECTIVE: To explore the integration of botulinum toxin type A (BoNT-A) into multimodal aesthetic treatment plans. MATERIALS AND METHODS: This article reviews evidence supporting the combination of BoNT-A with other minimally invasive cosmetic therapies, including dermal fillers, lasers, and energy-based devices as well as with plastic and reconstructive surgeries for more controlled healing and improved scar cosmesis. RESULTS: Combination treatment protocols including BoNT-A demonstrate higher patient satisfaction and retention rates compared to monotherapy or sequential treatments. Some guidelines for sequencing of treatments exist, but evidence is scant with certain combinations. CONCLUSION: Integrating BoNT-A into a larger aesthetic treatment plan is crucial for achieving natural and satisfying results in facial rejuvenation. Evidence supports better outcomes when incorporating with both surgical and nonsurgical modalities. Understanding how to address anatomy over time through different aesthetic therapies together allows for individually tailored, more deeply impactful treatment plans.
Subject(s)
Botulinum Toxins, Type A , Cosmetic Techniques , Dermal Fillers , Rejuvenation , Skin Aging , Humans , Botulinum Toxins, Type A/administration & dosage , Skin Aging/drug effects , Combined Modality Therapy/methods , Dermal Fillers/administration & dosage , Face , Neuromuscular Agents/administration & dosage , Laser Therapy/methods , Patient Satisfaction , Neurotoxins/therapeutic use , Neurotoxins/administration & dosageABSTRACT
The use of artificial intelligence (AI) will soon be commonplace within the field of cosmetic dermatology. Current uses for AI in the discipline have focused on empowering patients to be more involved in treatment decisions with customizable skin care, augmented-reality applications, and at-home skin analysis tools. AI-driven skin analysis tools are also included in many dermatology practices with the development of three-dimensional facial reconstruction, including models for predicting clinical outcomes. We highlight current and developing applications of AI in cosmetic dermatology and provide insight into future modalities in this field. Dermatologists need to be well-informed about emerging technologies to better educate patients and enhance their clinical practices.
Subject(s)
Artificial Intelligence , Cosmetic Techniques , Dermatology , Humans , Dermatology/trendsABSTRACT
Recently, the addition of moringa to skincare products has become a popular trend, especially in the natural beauty industry. It is being marketed for its intended moisturizing, antioxidant, and anti-aging properties; however, data are scarce demonstrating its clinical effects as well as standardized concentration, formula, source, and extraction methods. Skin specialists must be aware of this trendy ingredient, including its recent claims in marketing material and current evidence in the literature.
Subject(s)
Skin Aging , Skin Care , Humans , Skin , Antioxidants/pharmacology , Antioxidants/therapeutic useABSTRACT
Growing a cosmetic dermatology practice is an often complex and arduous task. Many factors must be considered to build and maintain a successful clinical practice. Devices and injectables are both integral components to operating a comprehensive cosmetic dermatology practice. Aesthetic physicians seeking to grow their cosmetic practice in these areas must be aware of the numerous considerations-both more obvious and more subtle-that play a role in the decision-making process, including the local market, patient demand, clinic space, and physician experience and training. This contribution is focused on the factors that should be carefully considered when one is looking to grow a cosmetic dermatology practice with devices and injectables.
Subject(s)
Cosmetic Techniques , Dermatology , Humans , Dermatology/education , InjectionsABSTRACT
The use of at-home remedies for many dermatologic issues is common, as some patients do not seek professional care either for lack of access, excessive cost of prescription medication, or desire for a more "natural" solution. As these over-the-counter compounds become more prevalent, it is important for dermatologists to be aware not only of the chemicals that they contain but also of their potential adverse effects. It is important to educate and warn patients that not only will these compounds probably not achieve the desired endpoint but they may lead to unwanted cosmetic results and even permanent scarring.
Subject(s)
Cicatrix , Medicine, Traditional , HumansABSTRACT
Over the years, health disparities in medicine have continued to grow, and dermatology has been especially impacted, given the relative shortage of dermatologists in comparison to patient needs. Novel and disruptive solutions may be required to help improve patient care. In 2013, Google Glass was introduced, which is a wearable head-mounted display. The device is analogous to having a computer connected to your eyeglasses with one of the lenses serving as the screen. The technology has already been introduced for various applications within the medical field. We reviewed the pros and cons of this technology, with specific focus on dermatologic care, and discussed how Google Glass could potentially address current dermatologic health disparities. (SKINmed. 2022;20:187-189).
Subject(s)
Dermatology , Smart Glasses , Delivery of Health Care , Eyeglasses , HumansABSTRACT
Dermatology residents have 3 years to master core competencies related to the delivery of patient care, preservation of medical professionalism, and responsible use of health care; however, it is crucial for residents to recognize other things outside of their formal curriculum that are equally vital to their training. Over the years, we have observed residents and now offer our own perspectives. We have collectively observed five extracurricular aspects commonly overlooked by dermatology residents that are important to their education and future practice. (SKINmed. 2022;20:123-125).
Subject(s)
Dermatology , Internship and Residency , Curriculum , Dermatology/education , Education, Medical, Graduate , Humans , Surveys and QuestionnairesABSTRACT
Background: Several oral nutraceuticals have recently emerged as products marketed to increase hair growth and thickness. However, these supplements typically lack the rigorous testing and statistically significant data that apply to pharmaceuticals. Therefore, the potential benefits of oral nutraceuticals for conditions of hair loss, such as androgenetic alopecia, have yet to be fully understood by dermatologists. Objective: The purpose of this article is to evaluate current studies in the literature to assess the efficacy of popular oral nutraceuticals marketed for hair growth in subjects with androgenetic alopecia. Methods: This article reviews the currently available literature on the nutraceuticals Nutrafol® and Viviscal® for hair growth and describes and evaluates the results observed. Results: Oral nutraceuticals are effective to a modest degree in promoting hair growth in men and women with androgenetic alopecia. Conclusion: Oral nutraceuticals have demonstrated efficacy in promoting modest hair growth in men and women with androgenetic alopecia and may serve as useful adjuncts to current treatments. As the popularity of nutraceuticals grows, it is important for dermatologists to be knowledgeable of the potential benefits and pitfalls of these supplements to appropriately counsel patients seeking treatment for hair loss.
ABSTRACT
The field of cosmetic dermatology has recently witnessed unbridled growth in the past several years. Part of this has been due to the increasing popularity of aesthetic treatments in men, who represent a growing patient population. Men tend to have higher levels of collagen density and greater skin thickness, but these begin to decrease earlier on. They can also more frequently have severe photodamage. Their clinical presentations can affect the selection of treatments. Physicians should be familiar with the subtle differences between treating men and women. Early studies and literature are beginning to shed more light on these important distinctions. We review the notable differences in facial aging, pathophysiology, and patient selection and discuss available treatment options with these factors in mind.
Subject(s)
Cosmetic Techniques , Skin Aging , Esthetics , Face , Female , Humans , Male , SkinABSTRACT
Consumer interest in aesthetic procedures continues to grow. Through savvy marketing, affordable pricing, and minimal wait times, medical spas have grown in number to where they now outnumber physician-based cosmetic practices in 73% of major U.S. cities. To staff these facilities, owners frequently turn to nonphysician operators who have variable levels of training in dermatology and cosmetics. There has been a lack of uniform standardization of training and oversight, which may contribute to adverse events, such as burns, pigmentary alterations, and scarring. As the market for noninvasive and minimally invasive cosmetic procedures continues to grow, physicians should be informed about the current cosmetic landscape in which they practice to improve patient awareness, education, and safety.
Subject(s)
Cosmetic Techniques , Cosmetics , Dermatology , Physicians , Esthetics , HumansABSTRACT
Cannabinoids represent a diverse group of pharmacologic compounds that have recently grown in popularity for its use in medicine. One of the cannabinoids of the Cannabis plant is cannabidiol (CBD), which is a compound known to regulate physiologic processes. Despite limited high-quality clinical evidence, topical CBD-containing products are frequently marketed to consumers as possessing antiinflammatory, hydrating, moisturizing, and wrinkle-reducing properties. Here, we explored the trends in consumer interest for topical CBD products by querying a popular online search engine database from 2015 to 2019 to offer valuable insights.
Subject(s)
Cannabidiol , HumansSubject(s)
Cysts/etiology , Dermal Fillers/adverse effects , Granuloma, Foreign-Body/etiology , Hyaluronic Acid/analogs & derivatives , Rupture, Spontaneous/etiology , Adult , Cysts/complications , Dermal Fillers/administration & dosage , Female , Humans , Hyaluronic Acid/administration & dosage , Hyaluronic Acid/adverse effects , Injections , Rupture, Spontaneous/complicationsABSTRACT
Atopic dermatitis is a chronic skin disease that commonly affects patients. In addition to its effects on the skin, it has also been associated with other physical, psychosocial, and economic burdens along with numerous debilitating comorbidities. More recently, research has focused on the psychosocial and mental health aspect of atopic dermatitis, which has remained controversial. We reviewed the current literature and have discussed the association of atopic dermatitis with suicide, attention-deficit/hyperactivity disorder, and schizophrenia.