-
Dermatologic Surgery : Official... Mar 2023As one of the defining features of the face, the ear influences perceptions of beauty. Despite its significance, comparatively little is known about rejuvenation options... (Review)
Review
BACKGROUND
As one of the defining features of the face, the ear influences perceptions of beauty. Despite its significance, comparatively little is known about rejuvenation options for the ear.
OBJECTIVE
To provide a comprehensive review of minimally invasive options for earlobe rejuvenation.
METHODS
& Materials: Cochrane, Embase, and PubMed were used to identify articles exploring minimally invasive treatments for ear rejuvenation.
RESULTS
Topical medications, peels, fillers, lasers, photodynamic therapy, and dermabrasion are safe and efficacious for managing a variety of concerns related to earlobe aesthetics.
CONCLUSION
Numerous minimally invasive treatment modalities are available for earlobe rejuvenation; further investigation is needed to design a grading system and treatment algorithm.
Topics: Humans; Cosmetic Techniques; Rejuvenation; Ear Auricle; Photochemotherapy; Skin Aging
PubMed: 36809188
DOI: 10.1097/DSS.0000000000003709 -
World Journal of Otorhinolaryngology -... Sep 2023Many facial plastic surgery procedures can be performed in an office-based setting, ranging from simple chemical peels to reconstructive surgeries to assist with scar... (Review)
Review
OBJECTIVE
Many facial plastic surgery procedures can be performed in an office-based setting, ranging from simple chemical peels to reconstructive surgeries to assist with scar revision. The aim of this review is to summarize the current state of facial plastics in-office surgical procedures, including scar revision, dermabrasion, lasers, and chemical peels.
METHODS
A literature review was conducted with the PubMed search engine with the following keywords: facial plastics, scar revision, dermabrasion, lasers, chemical peels, face, office, and outpatient. The literature was surveyed for relevance, with a focus on realistically which procedures were performed in a facial plastics surgery outpatient clinic. These were then used to compile a review of the current state of this field.
RESULTS AND CONCLUSIONS
There are various scar revision procedures that can be performed in the office setting, including z-plasty, w-plasty, and geometric broken line closure techniques, as well as various nonmedical treatment options to improve the appearance of a scar. Dermabrasion can also be performed to assist with elevated scars. Various lasers are available to enhance cell turnover in the field of facial rejuvenation, scarring, and sun damage. Chemical peels are also available to assist with facial rejuvenation. With the appropriate counseling of the patient and medical staff, these can be safely performed in the office.
PubMed: 37780675
DOI: 10.1002/wjo2.122 -
Journal of Cosmetic Dermatology Sep 2023The popularity of social media appears to be increasing the acceptance of cosmetic treatments, prompting more consumers to seek cosmetic treatments. As the estimated... (Review)
Review
BACKGROUND
The popularity of social media appears to be increasing the acceptance of cosmetic treatments, prompting more consumers to seek cosmetic treatments. As the estimated prevalence of acne vulgaris among adult women may be as high as 54%, acne is commonly observed among patients presenting for cosmetic treatments. Concomitant treatment of acne in the aesthetic patient population will improve overall clinical outcomes.
AIMS
The goal of this work was to deliver a high-quality ethical and evidence-based educational program to physicians and adjunctive health care providers to advance patient care.
METHODS
This paper is based on a webcam presentation with roundtable discussion by several notable experts in their field.
RESULTS
A range of topical medications, injectable products, chemical peels, and energy-based devices are available for treating acne vulgaris. In most instances, these are compatible with rejuvenation procedures in the aesthetic patient.
CONCLUSION
The growth of social media is raising awareness of aesthetic procedures and appears to be increasing the number of patients seeking aesthetic treatment. Educating patients about the importance of treating acne vulgaris can improve overall treatment outcomes. In most instances, the presence of acne is not a barrier to aesthetic care.
Topics: Adult; Humans; Female; Acne Vulgaris; Chemexfoliation; Dermabrasion; Treatment Outcome; Esthetics
PubMed: 37403516
DOI: 10.1111/jocd.15913 -
The Pan African Medical Journal 2021Congenital melanocytic nevus (CMN) is a proliferation of melanocytes that presents at birth or shortly after birth as light brown to black patches or plaques, covering...
Congenital melanocytic nevus (CMN) is a proliferation of melanocytes that presents at birth or shortly after birth as light brown to black patches or plaques, covering any part of the body occasionally exhibiting hypertrichosis. The estimated prevalence of such large forms is 0.002% of the births, resulting from mutations of genes coding for NRAS and KRAS proteins, usually during the first twelve weeks of pregnancy. Giant CMN also known as "bathing trunk nevus," "giant hairy nevus", and "nevus pigmentosus et pilosus" has highest potential to turn into malignant melanoma. We present a case of a 7 year old boy who came to our clinic with complaints of itching over his left shoulder and back for 4 months duration. He gave history of black patches on those areas since birth that gradually grew in size and attained the current presentation. On examination, well demarcated black patches were noted over his left shoulder, arm, trunk (A) and extending from nape of the neck and the entire back with excessive hair growth (B). A diagnosis of congenital melanocytic nevus was established and since it could potentially evolve into a melanoma, prophylactic surgery with skin grafting was suggested but the patient's parents refused. Hence dermabrasion was done to lighten the dark pigmentation and reduce hair growth within nevi. Parents were counselled about complications of CMN and advised to follow up with a dermatologist regularly. Clinicians should scrupulously examine the child to facilitate timely surgical intervention thereby reducing morbidity and mortality associated with this condition.
Topics: Child; Humans; Infant, Newborn; Male; Melanocytes; Melanoma; Nevus, Pigmented; Skin Neoplasms; Skin Transplantation
PubMed: 34887981
DOI: 10.11604/pamj.2021.40.107.26779 -
Skin Research and Technology : Official... Feb 2024Facial acne scars are a prevalent concern, leading to the development of various treatment modalities. (Review)
Review
BACKGROUND
Facial acne scars are a prevalent concern, leading to the development of various treatment modalities.
OBJECTIVES
This review aims to explore the latest advancements in the treatment of facial acne scars, focusing on both surgical and non-surgical methods.
METHODS
The non-surgical treatments reviewed include topical medications (such as retinoids and alpha hydroxy acids) and non-invasive procedures (like microdermabrasion and chemical peels). Surgical options discussed are punch excision, subcision, and fractional laser treatments.
RESULTS
Combination therapy, integrating both surgical and non-surgical approaches, is frequently utilized to achieve optimal results in scar improvement.
CONCLUSION
Recent advancements in the treatment of facial acne scars provide promising options for individuals seeking improvement. However, these treatments have associated risks and potential adverse effects, highlighting the importance of consulting a dermatologist before beginning any treatment regimen.
Topics: Humans; Cicatrix; Acne Vulgaris; Chemexfoliation; Dermabrasion; Retinoids; Treatment Outcome
PubMed: 38303407
DOI: 10.1111/srt.13573 -
Dermatologic Surgery : Official... Mar 2022Melanocytic nevi submitted to trauma can undergo clinical, dermoscopic, and even histological changes, making it difficult to differentiate them from a melanoma.
BACKGROUND
Melanocytic nevi submitted to trauma can undergo clinical, dermoscopic, and even histological changes, making it difficult to differentiate them from a melanoma.
OBJECTIVE
The aim of this study is to evaluate the dermoscopic changes of traumatized nevi after dermabrasion.
METHODS
Dermoscopic images of acquired melanocytic nevi were compared before and 4 weeks after half of their area had undergone dermabrasion.
RESULTS
The sample consisted of 50 lesions from 15 patients. The homogeneous pattern was the most frequent, followed by the reticular, cobblestone, and globular patterns. After dermabrasion, nearly half of the lesions (46%) became dermatoscopically asymmetric. Among all lesions, structureless areas, dotted vessels and erythema were the most frequent new dermoscopic structures.
CONCLUSION
Trauma after dermabrasion may induce significant dermoscopic changes in melanocytic nevi. Although the global pattern did not change, most of the lesions became asymmetric, with the appearance or fading of dermoscopic structures and colors. A history of recent trauma should be investigated when evaluating pigmented lesions.
Topics: Dermabrasion; Dermoscopy; Humans; Melanoma; Nevus, Pigmented; Skin Neoplasms
PubMed: 34966122
DOI: 10.1097/DSS.0000000000003278 -
Dermatologic Therapy Sep 2021Cutaneous lupus erythematosus (CLE) is an autoimmune photosensitive disorder that affects the skin. CLE lesions can have signs of skin damage including dyspigmentation,... (Review)
Review
Cutaneous lupus erythematosus (CLE) is an autoimmune photosensitive disorder that affects the skin. CLE lesions can have signs of skin damage including dyspigmentation, scarring, atrophy and/or alopecia. Disease damage secondary to CLE can be cosmetically disfiguring and causes patients significant distress. While many current treatments for CLE focus primarily on reducing inflammation, there are few options for managing disease damage. Providers currently lack strong guidance on managing CLE damage due to the paucity of literature on this topic. Because of this knowledge gap, we aim to provide an overview of what is currently known about the pathogenesis and management of signs of disease damage in CLE. In this narrative review, Pubmed, Ovid Medline, and Google scholar were searched for relevant articles assessing pathogenesis and treatment of disease damage. Therapeutic options for CLE damage, including hyperpigmentation (laser and camouflage), hypopigmentation (melanocyte grafting and camouflage), scarring (laser, dermabrasion, and camouflage), atrophy (filler, fat transplantation, and flap procedures), and scarring alopecia (hair transplantation and camouflage) were identified. We found that investigations of therapeutics for CLE disease damage primarily consist of case reports and small case series. Reported adverse events due to treatment for CLE disease damage range from temporary erythema and discomfort to disease reactivation and pigmentary defects. There are various treatments for disease damage for each sign of disease damage. However, more robust investigations are needed to assess disease pathogenesis and improve treatments of disease damage due to CLE.
Topics: Cicatrix; Erythema; Humans; Lupus Erythematosus, Cutaneous; Pigmentation Disorders; Skin
PubMed: 34151487
DOI: 10.1111/dth.15034 -
Archives of Dermatological Research Nov 2023Port-Wine Stains are a congenital vascular malformation that affect 0.3-0.5% of newborns. It is a benign capillary malformation that commonly occurs on the head and... (Review)
Review
Port-Wine Stains are a congenital vascular malformation that affect 0.3-0.5% of newborns. It is a benign capillary malformation that commonly occurs on the head and neck. It is formed by progressive dilation of the post-capillary venules, and as the patient ages it may be associated with hypertrophy and nodularity which can lead to cosmetic disfigurement and psychological aggravation. There are many choices of treatment such as cryosurgery, cosmetic tattooing, and dermabrasion, amongst others. The treatment of choice is pulse dye laser (PDL) because it is both effective and safe to use. In darker skin types (Fitzpatrick skin types IV-VI), treatment is more difficult. Caution when treating darker skin types with PDL comes from the fact that there is an inverse correlation between vessel specificity of the PDL and skin pigmentation. In this review, we will be reviewing the literature and discussing the manuscripts that describe the treatment of PWS on patients with fitzpatrick skin type IV-VI. Authors searched the PubMed Medline in the English language from database inception through December 2022 for eligible articles. The keywords searched included "PDL," "pulse dye laser," "skin of color," "Fitzpatrick skin types IV-VI," "fitzpatrick," "pigmented skin," "Port-wine stain," "PWS", and "pulse dye laser." The articles that were included discussed PDL in the treatment of PWS in patients of skin of color. Any additional similar articles that were cited in our search were also included. Articles that were excluded did not discuss Fitzpatrick skin types IV-VI, darker skin type, or PDL. Data collected from each article included the number of participants, Fitzpatrick skin type, age, and laser parameters. There were 120 articles that were reviewed from our search and a total of nine articles met inclusion criteria with 241 patients that were considered Fitzpatrick skin type IV-VI. The patients were of a wide range of ages from 1 month to 74 years old. In our review, patients who are treated at a younger age had better results than when treated at an older age. The results show that darker skin individuals have better results when treated at a younger age compared to adults, they can experience complete resolution. Adults who were treated saw a variation of results, from improvements in the appearance to hyperpigmentation/hypopigmentation or scarring of the treated area. Patients who are Fitzpatrick skin type IV-VI are at higher risk of adverse events when treated with PDL for PWS when compared to patients of other skin types. Studies show that PDL can be beneficial for PWS in patients of skin of color; however, there are risks of hyperpigmentation, hypopigmentation, and scarring that are important to take into consideration when treating these patients. Further research is warranted to improve the understanding of PDL for PWS in patients of skin of color.
Topics: Adult; Humans; Infant, Newborn; Port-Wine Stain; Lasers, Dye; Cicatrix; Albinism, Oculocutaneous; Hyperpigmentation; Treatment Outcome
PubMed: 37253863
DOI: 10.1007/s00403-023-02640-3 -
Journal of Clinical Medicine Dec 2021Scars are a common disfiguring sequela of various events such as acne, hidradenitis suppurativa, surgery, trauma, and burns, which can lead to serious psychosocial...
Scars are a common disfiguring sequela of various events such as acne, hidradenitis suppurativa, surgery, trauma, and burns, which can lead to serious psychosocial problems with a negative effect on the quality of life. Many conventional approaches have been proposed for the treatment of scars, including surgical techniques, dermabrasion, chemical peels, topical silicone gel, 5-fluorouracile and dermal fillers injection or autologous fat transfer for atrophic scars, and corticosteroids injection for hypertrophic and keloid scars; however, they have sporadic effects. Ablative lasers, such as carbon dioxide laser or Erbium Yag laser, are associated with many collateral effects limiting their application. Non-ablative laser treatments have been shown to be safer and to have fewer side effects, but they have a reduction of clinical efficacy compared to ablative lasers and a minimal improvement of scars. The demand for minimal invasive and safe technology for the treatment of a scars has stimulated the search for more effective novel therapy with fewer collateral effects. Plasma radiofrequency ablation is a new technique consisting of the generation of plasma energy through the production of ionized energy, which thermally heats tissue in a uniform and controlled manner, through a plasma radiofrequency device, inducing a sublimation of the tissue. The aim of this study is to evaluate the effectiveness of P-RF ablation in the treatment of scars performed with D.A.S. Medical device (Technolux, Italia), which is a tool working with the long-wave plasma radiofrequency principle.
PubMed: 35011879
DOI: 10.3390/jcm11010140 -
Journal of Cosmetic Dermatology May 2024Striae distensae are a permanent skin defect that can affect 50%-90% of the population. The appearance of the changes resembles spindle-shaped skin bands. The skin in... (Review)
Review
INTRODUCTION
Striae distensae are a permanent skin defect that can affect 50%-90% of the population. The appearance of the changes resembles spindle-shaped skin bands. The skin in this area is wrinkled, thin and looks like a scar. Most often, the changes are found on the skin of the abdomen, buttocks, breasts, thighs, and back. The appearance of striae means that the skin in this area has no hair follicles, sebaceous, and sweat glands. This skin is flabby, not very elastic and, what is very characteristic, the pigmentation of the skin affected by striae is much lower than in healthy skin. Cosmetology in the 21st century is developing very dynamically, new technologies are being developed, new cosmetological devices are being created and combined with treatments that have been known for a long time. Today's science offers hope for people who have struggled with reducing striae for many years and nowadays, nothing is impossible.
AIMS
The objective of this article is to provide information about cosmetological treatment used to reduce striae.
METHODS
In this article, we reviewed the published literature, article published in peer-reviewed journals.
RESULTS
Today's cosmetology offers a wide range of numerous treatments, but the best results are achieved through a synergy of two or more treatments. But we should not forget that we should respond to each customer individually.
CONCLUSION
The striae are not a problem that should be ignored. The beauty therapist is able to reduce them and help the client to improve the appearance of their skin.
Topics: Humans; Striae Distensae; Cosmetic Techniques; Dermabrasion
PubMed: 38481037
DOI: 10.1111/jocd.16270