{"title":"Laser and Light-Based Therapies for Treating Melasma: An In-Depth Review.","authors":"Zainab Ridha, Payvand Kamrani, Maya Firsowicz, Misha Zarbafian, Kavita Darji, Mitchel P Goldman","doi":"10.1097/DSS.0000000000004878","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004878","url":null,"abstract":"<p><strong>Background: </strong>Melasma is a chronic, relapsing hyperpigmentation disorder with a multifactorial etiology, posing significant treatment challenges. It is associated with substantial psychological and social burdens, often impairing quality of life.</p><p><strong>Objective: </strong>This review comprehensively explores current and emerging laser and light-based treatments for melasma, evaluating their clinical applicability, efficacy, and safety.</p><p><strong>Materials and methods: </strong>The National Library of Medicine database (PubMed) was searched for studies published through April 2024. Studies were selected based on relevance to laser and light-based therapies for melasma, including intense pulsed light devices, Q-switched nanosecond lasers, ablative and nonablative fractionated resurfacing lasers, and picosecond lasers.</p><p><strong>Results: </strong>Current treatments such as intense pulsed light and Q-switched nanosecond lasers offer promising results for treatment of melasma but have risks including disease recurrence and postinflammatory pigmentary changes. Emerging treatments such as picosecond lasers show promise in reducing melanin index and improving skin texture with fewer adverse effects, showing significant reductions in melasma area and severity index scores and high patient satisfaction.</p><p><strong>Conclusion: </strong>Laser and light-based therapies continue to evolve, with growing support for multimodal approaches that address the complex pathophysiology of melasma. Their advancement provides a nuanced approach to this challenging condition, emphasizing the need for individualized treatment plans and consideration of psychosocial impacts on patients.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184924","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":"Twenty-Year History of a Cutaneous Suprapubic Growth in a Patient With Myelofibrosis.","authors":"Alexandra Martinez, Hannah Hanania, Zeena Nawas","doi":"10.1097/DSS.0000000000004888","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004888","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184933","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}
Jamal Mohammed Alqahtani, Il Joo Kwon, Hye Rin Seo, Sang Ho Oh
{"title":"How We Do It: Optimal Fixation Technique for Donor Graft in Suction Blister Epidermal Grafting for Vitiligo Using One-Sided Adhesive Dressing Material.","authors":"Jamal Mohammed Alqahtani, Il Joo Kwon, Hye Rin Seo, Sang Ho Oh","doi":"10.1097/DSS.0000000000004887","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004887","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184973","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}
Arya Patel, Sherman Chu, Vivian McCallum, Cyrus Rabbani, Bryan T Carroll
{"title":"Divergent Functional Outcome Measures for Perioral Surgery Across Clinical Indications: A Systematic Review.","authors":"Arya Patel, Sherman Chu, Vivian McCallum, Cyrus Rabbani, Bryan T Carroll","doi":"10.1097/DSS.0000000000004874","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004874","url":null,"abstract":"<p><strong>Background: </strong>The perioral region is frequently targeted surgically, with its vulnerability to nonmelanoma skin cancers, congenital deformities, and its role in facial attractiveness. This highlights the need for comprehensive evaluation tools for the region. Functional outcome evaluation can ensure the preservation of vital abilities necessary for daily independence.</p><p><strong>Objective: </strong>We reviewed and validated postsurgical assessment tools used in oncologic, reconstructive, and cosmetic procedures involving the perioral region, focusing on perioral functional outcomes covered.</p><p><strong>Materials and methods: </strong>A systematic review across PubMed, Web of Science, Embase, and Scopus identified validated surgical assessment tools for perioral surgery and the perioral functional outcomes they cover.</p><p><strong>Results: </strong>Fifty-five validated tools for cosmetic, 17 for oncologic, and 29 for reconstructive surgeries were identified. All surgery types showed a relatively narrow scope in assessing perioral functional outcomes, including speech, eating, and facial expressions. In total, 10/17 oncologic, 12/29 reconstructive, and 2/55 cosmetic tools assessed functional outcomes. A large proportion of cosmetic tools exclusively focused on aesthetic factors, while tools for other surgery types more frequently covered functional, aesthetic, and quality of life outcomes.</p><p><strong>Conclusion: </strong>Functional outcome assessment seems less emphasized across all perioral surgery types, particularly within cosmetic procedures. Refining tools for comprehensive functional evaluation can enhance patient care.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136888","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}
Melis Bal Akdogan, Yasemin Pınar Incetas, Gulsen Akoglu, Ercan Caliskan
{"title":"Autologous Microfat and Nanofat Grafting Combined With Platelet-Rich Fibrin in Early Treatment of Atrophic Facial Scars.","authors":"Melis Bal Akdogan, Yasemin Pınar Incetas, Gulsen Akoglu, Ercan Caliskan","doi":"10.1097/DSS.0000000000004877","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004877","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136899","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":"Private Equity in Mohs Micrographic Surgery: Pearls and Pitfalls.","authors":"Shane P McTighe, David Harvey","doi":"10.1097/DSS.0000000000004880","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004880","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136895","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}
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":"https://doi.org/10.1097/DSS.0000000000004879","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-24","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}
Albert E Zhou, Timothy Klufas, Christian Gronbeck, Hao Feng
{"title":"Sustained Shift Toward Office-Based Care for Dermatologic Procedures: A Cross-Sectional Analysis of Medicare Data From 2014 to 2023.","authors":"Albert E Zhou, Timothy Klufas, Christian Gronbeck, Hao Feng","doi":"10.1097/DSS.0000000000004873","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004873","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124538","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}
Rebecca L Quiñonez, Tasneem F Mohammad, Iltefat Hamzavi
{"title":"Hyperpigmentation After Melanocyte-Keratinocyte Transplantation Procedure in a Patient With Stable Vitiligo.","authors":"Rebecca L Quiñonez, Tasneem F Mohammad, Iltefat Hamzavi","doi":"10.1097/DSS.0000000000004875","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004875","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124524","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}