Dermatologic SurgeryPub Date : 2026-05-01Epub Date: 2025-09-24DOI: 10.1097/DSS.0000000000004879
Nicole Marella G Tan, Kavita Darji, Misha Zarbafian, Mitchel P Goldman
{"title":"Subcutaneous Calcifications After Use of Synthetic Deoxycholic Acid Injections for Fat Reduction in the Knees.","authors":"Nicole Marella G Tan, Kavita Darji, Misha Zarbafian, Mitchel P Goldman","doi":"10.1097/DSS.0000000000004879","DOIUrl":"10.1097/DSS.0000000000004879","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"508-509"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dermatologic SurgeryPub Date : 2026-05-01Epub Date: 2025-09-03DOI: 10.1097/DSS.0000000000004847
Helen Chen, Melanie P Hager, Leonard H Goldberg, Ziv Schwartz
{"title":"Nail Cutter as a Tool to Remove Necrotic Bone and Stimulate Granulation Tissue on Exposed Scalp Bone.","authors":"Helen Chen, Melanie P Hager, Leonard H Goldberg, Ziv Schwartz","doi":"10.1097/DSS.0000000000004847","DOIUrl":"10.1097/DSS.0000000000004847","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"496-498"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dermatologic SurgeryPub Date : 2026-05-01Epub Date: 2025-10-13DOI: 10.1097/DSS.0000000000004907
Drake Carter, Mojahed Mohammad K Shalabi, Alexander D Woods, Benjamin F Kelley, Stanislav N Tolkachjov
{"title":"Utilization of Mohs Micrographic Surgery for Benign Adnexal Tumors of the Skin: A Systematic Review.","authors":"Drake Carter, Mojahed Mohammad K Shalabi, Alexander D Woods, Benjamin F Kelley, Stanislav N Tolkachjov","doi":"10.1097/DSS.0000000000004907","DOIUrl":"10.1097/DSS.0000000000004907","url":null,"abstract":"<p><strong>Background: </strong>Mohs micrographic surgery (MMS) is primarily utilized for the treatment of malignant skin cancers. However, benign adnexal tumors of the skin (BATS) sometimes present as large, locally aggressive, or cosmetically disfiguring lesions that may benefit from the tissue-sparing, margin-controlled benefits of MMS to ensure complete clearance with satisfactory aesthetic outcomes.</p><p><strong>Objective: </strong>To present a systematic review of the clinical presentation and reported outcomes of BATS treated by MMS.</p><p><strong>Materials and methods: </strong>A systematic review was performed using the databases PubMed, EMBASE, and Web of Science to identify cases where BATS were treated with MMS. From the eligible articles, clinical details were extracted, as well as stated rationale for choosing MMS as the surgical intervention.</p><p><strong>Results: </strong>Thirty-one articles were included describing 85 BATS treated with MMS. Tumors represented included trichoblastoma, desmoplastic trichoepithelioma, hidradenoma, chondroid syringoma, spiradenoma, cylindroma, desmoplastic trichilemmoma, papillary eccrine adenoma, pilomatrixoma, proliferating trichilemmal tumor, and tubular apocrine adenoma. Most tumors were located on the head/neck and were treated by MMS due to large size, aggressive behavior, recurrence after prior excision, or cosmetically sensitive location.</p><p><strong>Conclusion: </strong>Although BATS are not currently described in the appropriate use criteria for MMS, certain clinical scenarios may justify the use of MMS when treating these tumors.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"407-414"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dermatologic SurgeryPub Date : 2026-05-01Epub Date: 2025-10-28DOI: 10.1097/DSS.0000000000004916
Kanthi Bommareddy, Harold Brody, Suzanne Cheng, Marina Landau, Kachiu Lee
{"title":"Histologic Changes After Chemical Peeling: A Clinical Review.","authors":"Kanthi Bommareddy, Harold Brody, Suzanne Cheng, Marina Landau, Kachiu Lee","doi":"10.1097/DSS.0000000000004916","DOIUrl":"10.1097/DSS.0000000000004916","url":null,"abstract":"<p><strong>Background: </strong>Chemical peeling causes controlled damage of the epidermis and dermis for medical and aesthetic improvement. Chemexfoliation can be categorized into superficial, medium, and deep, depending on level of wounding.</p><p><strong>Objective: </strong>This clinical review seeks to understand the architectural changes in the epidermis and dermis.</p><p><strong>Materials and methods: </strong>PubMed was searched to include studies that reported epidermal and dermal changes after chemexfoliation regardless of primary indication. Narrative synthesis was performed to summarize effects.</p><p><strong>Results: </strong>Thirteen studies ( n = 142) describe the histologic changes after superficial peels. These peels cause epidermal necrosis with regeneration and histologic improvement of the epidermis with equivocal dermal changes. Thirteen studies ( n = 75) describe the histologic changes after medium-depth peels. Medium-depth peels showed mostly increased dermal thickness and collagen content with variable improvement in elastin quality. Thirteen studies ( n = 294) describe the histologic changes after deep peels. Deep peels showed consistent, long-lasting epidermal and dermal thickening and collagen production with mostly improved elastin quality. Limitations include sample heterogeneity and variations in follow-up biopsies.</p><p><strong>Conclusion: </strong>Chemical peels result in identifiable histologic changes depending on depth and type of peel. Understanding the histologic changes allows the clinician to better select the appropriate peel for the intended pathology needed to correct.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"453-457"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145376453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dermatologic SurgeryPub Date : 2026-05-01Epub Date: 2025-10-13DOI: 10.1097/DSS.0000000000004869
Peter Rullan, Gary Monheit, Kachiu C Lee
{"title":"How We Do It: Combination CROSS, Subcision, Fractionated Er:Yag, and Filler for Treatment of Acne Scars.","authors":"Peter Rullan, Gary Monheit, Kachiu C Lee","doi":"10.1097/DSS.0000000000004869","DOIUrl":"10.1097/DSS.0000000000004869","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"500-502"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dermatologic SurgeryPub Date : 2026-05-01Epub Date: 2025-10-24DOI: 10.1097/DSS.0000000000004925
Karen B Schmaling, Victoria R Sharon, Reason Wilken, Arthur W Blume
{"title":"Adverse Psychological Events Associated With Mohs Micrographic Surgery: A Rapid Review and Meta-Analysis.","authors":"Karen B Schmaling, Victoria R Sharon, Reason Wilken, Arthur W Blume","doi":"10.1097/DSS.0000000000004925","DOIUrl":"10.1097/DSS.0000000000004925","url":null,"abstract":"<p><strong>Background: </strong>Anxiety and other psychological symptoms may not be addressed in Mohs micrographic surgery (MMS) informed consent procedures nor assessed during the perioperative period.</p><p><strong>Objective: </strong>First, to examine psychological adverse events (AEs) associated with MMS, and second, to examine psychological risks identified in MMS informed consent forms.</p><p><strong>Materials and methods: </strong>This review was registered (PROSPERO CRD42024594453). First, MEDLINE and PsycINFO were searched from inception through November 5, 2024 for studies of adults undergoing MMS with quantitative measures of psychological status in the perioperative period. Thirteen measures, most often of anxiety, were standardized for pooled analysis. Second, Google was searched for US MMS consent forms on October 23, 2024. Data were extracted with 20% conducted in duplicate; authors were contacted for missing data. Risk of bias was assessed.</p><p><strong>Results: </strong>The literature search resulted in 29 studies totaling 6,455 patients. Using one standardized score per study, patients reported a pooled distress rating of 25.26 out of 100, with significant heterogeneity (95% confidence interval, 11.44‒61.11, I2 = 100%). The consent form search resulted in 20 consent forms: none listed psychological risks.</p><p><strong>Conclusion: </strong>Psychological AEs of MMS are common and should be addressed as risks in informed consent processes.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"428-432"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145376412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dermatologic SurgeryPub Date : 2026-05-01Epub Date: 2025-09-11DOI: 10.1097/DSS.0000000000004854
Michael Kozlov, Leonard H Goldberg, Ziv Schwartz
{"title":"Frozen Sections in Clinic as a Real-Time Diagnostic Adjunct for Urgent Dermatologic Cases.","authors":"Michael Kozlov, Leonard H Goldberg, Ziv Schwartz","doi":"10.1097/DSS.0000000000004854","DOIUrl":"10.1097/DSS.0000000000004854","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"494-495"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dermatologic SurgeryPub Date : 2026-05-01Epub Date: 2026-03-24DOI: 10.1097/DSS.0000000000005096
Junhua Qi, Gang Nie
{"title":"Assessment of a Deep Learning Model Trained on Permanent Pathology for the Classification of Squamous Cell Carcinoma in Mohs Frozen Sections: Lessons Learned.","authors":"Junhua Qi, Gang Nie","doi":"10.1097/DSS.0000000000005096","DOIUrl":"10.1097/DSS.0000000000005096","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"e18-e19"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147520287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Congenital Malalignment of the Great Toenail: Spontaneous Regression Rate and Limiting Factors for Surgical Outcome.","authors":"Olivia Mathot, Florence Dehavay, Pauline Lecerf, Bertrand Richert","doi":"10.1097/DSS.0000000000004928","DOIUrl":"10.1097/DSS.0000000000004928","url":null,"abstract":"<p><strong>Background: </strong>Congenital malalignment of the great toenails (CMGTN) is an underreported nail dystrophy often misdiagnosed and inappropriately treated. Surgery can be performed but data concerning age, technique, and results are limited.</p><p><strong>Objective: </strong>To summarize the clinical presentation, patient characteristics, treatment options (surgery vs wait-and-see) and evolution of CMGTN as well as identifying the limiting factors for spontaneous evolution and surgery, based on a severity score that the authors developed.</p><p><strong>Materials and methods: </strong>Records of 60 patients were retrieved from their department's database over an 11-year period (2009-2020). Assessment was evaluated by 3 nail expert dermatologists and self-evaluation.</p><p><strong>Results: </strong>A total of 60 patients and 94 nails were included. Nail plate deviation, nail bed epithelialization, transverse ridges, and pachyonychia were the most frequent clinical signs. Surgery was performed on 33 nails, and 61 were followed up. Self-evaluation revealed better or completely healed nails in both groups. Severity score was significantly lower ( p < .0001) after surgery but was not improved in the wait-and-see group. No relation could be found between age of diagnosis, age at surgery, and score evolution.</p><p><strong>Conclusion: </strong>Surgery is effective and provides excellent cosmetic results, no matter the age or severity of the condition. Surgical approach should not only be reserved for young patients and severe cases.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"469-474"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145451261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dermatologic SurgeryPub Date : 2026-05-01Epub Date: 2025-10-03DOI: 10.1097/DSS.0000000000004896
Dalia A Atallah, Sahar R Bestawy, Sara A Abouelmajd, Aya Y Badran
{"title":"Dapsone 7.5% Gel Versus Trichloroacetic Acid Peels.","authors":"Dalia A Atallah, Sahar R Bestawy, Sara A Abouelmajd, Aya Y Badran","doi":"10.1097/DSS.0000000000004896","DOIUrl":"10.1097/DSS.0000000000004896","url":null,"abstract":"<p><strong>Background: </strong>Acne vulgaris is a chronic and multifactorial skin disease that can occur during adulthood, with a negative impact on self-esteem. Dapsone is a common antibacterial and anti-inflammatory medication used to treat several skin conditions.</p><p><strong>Objective: </strong>Objectives were to compare efficacy, tolerability, and safety of dapsone 7.5% gel versus trichloroacetic acid peel TCA 20% in the treatment of acne vulgaris.</p><p><strong>Materials and methods: </strong>Thirty patients with acne vulgaris participated in a split-face, comparative, quasi-experimental clinical study. Trichloroacetic acid peels 20% were applied to the right side of the participants' face every 2 weeks for 3 months. The participants were instructed to apply dapsone 7.5% gel once daily at night on the left side of the face for 3 months.</p><p><strong>Results: </strong>There was a little difference between the 2 treatments; however, both sides of the face showed a considerable decrease in lesion counts and the Global Acne Grading Score (GAGS) after treatment.</p><p><strong>Conclusion: </strong>The clinical effectiveness of trichloroacetic acid peeling and dapsone 7.5% gel was not significantly different in mild and moderate acne vulgaris. Dapsone 7.5% gel is more effective in treating inflammatory than noninflammatory lesions.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"458-463"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}