Dermatologic SurgeryPub Date : 2025-05-01Epub Date: 2025-01-06DOI: 10.1097/DSS.0000000000004544
Anna D Guanche, Marcus G Tan, Stanislav N Tolkachjov
{"title":"How We Do It: Soft Tissue Fillers in the Temporal and Mastoid Regions to Achieve \"Pan-Facial\" Rejuvenation.","authors":"Anna D Guanche, Marcus G Tan, Stanislav N Tolkachjov","doi":"10.1097/DSS.0000000000004544","DOIUrl":"10.1097/DSS.0000000000004544","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"565-567"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930891","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 : 2025-05-01Epub Date: 2024-12-17DOI: 10.1097/DSS.0000000000004535
Joshua L Owen, Maryann England, Gregory I Kelts, Jon M Robitschek
{"title":"Treatment of Internal Nasal Valve Dysfunction After Mohs Surgery With a Novel Suspension Suture.","authors":"Joshua L Owen, Maryann England, Gregory I Kelts, Jon M Robitschek","doi":"10.1097/DSS.0000000000004535","DOIUrl":"10.1097/DSS.0000000000004535","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"547-549"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834528","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":"Changes in Volume of Skin Cancer-Related Procedures for Medicare Patients During the COVID-19 Pandemic: A Retrospective Cross-Sectional Study.","authors":"Goranit Sakunchotpanit, Vijay Kodumudi, Bichchau Nguyen","doi":"10.1097/DSS.0000000000004520","DOIUrl":"10.1097/DSS.0000000000004520","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"549-551"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784417","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 : 2025-05-01Epub Date: 2024-06-20DOI: 10.1097/DSS.0000000000004290
Daniela Frankel, Karla Valdes-Morales, Mara Trifoi, Junqian Zhang
{"title":"Repair of a Defect of the Apical Triangle and Upper Cutaneous Lip.","authors":"Daniela Frankel, Karla Valdes-Morales, Mara Trifoi, Junqian Zhang","doi":"10.1097/DSS.0000000000004290","DOIUrl":"10.1097/DSS.0000000000004290","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"537-539"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426510","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 : 2025-05-01Epub Date: 2024-07-02DOI: 10.1097/DSS.0000000000004309
Eve Tranchito, Daniel Karasik, Rod Rezaee, Cyrus C Rabbani
{"title":"Lateral Upper Lip Subunit Reconstruction.","authors":"Eve Tranchito, Daniel Karasik, Rod Rezaee, Cyrus C Rabbani","doi":"10.1097/DSS.0000000000004309","DOIUrl":"10.1097/DSS.0000000000004309","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"533-535"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491277","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 : 2025-05-01Epub Date: 2025-01-06DOI: 10.1097/DSS.0000000000004536
Michael Franzetti, Landon Hendrickson, Thomas Knackstedt, Lindsey Collins
{"title":"Atypical Fibroxanthoma and Pleomorphic Dermal Sarcoma: A Retrospective Review and Survival Analysis at a Single Academic Institution.","authors":"Michael Franzetti, Landon Hendrickson, Thomas Knackstedt, Lindsey Collins","doi":"10.1097/DSS.0000000000004536","DOIUrl":"10.1097/DSS.0000000000004536","url":null,"abstract":"<p><strong>Background: </strong>Prognostication of atypical spindle cell neoplasms, including atypical fibroxanthoma (AFX) and pleomorphic dermal sarcoma (PDS), is challenging; outcomes vary widely, and further identification of prognostic features is crucial.</p><p><strong>Objective: </strong>To evaluate prognostic factors that may portend worse outcomes in patients with AFX and PDS.</p><p><strong>Materials and methods: </strong>A retrospective chart review of patients with AFX and PDS was conducted. Data were analyzed using Pearson chi square and T -test. Survival was analyzed using the Kaplan-Meier estimate. A stepwise cox proportional hazards model was created to identify variables associated with increased risk of poor outcomes.</p><p><strong>Results: </strong>Thirty-four patients with AFX and 10 patients with PDS were identified. PDS had a 60% overall mortality rate (vs 26.5% in AFX), a larger preoperative size of 8.9 cm 2 (vs 2.4 cm 2 ) ( p < .0001), and a 50% recurrence rate (vs 5.9%) ( p = .0039). Female gender (HR 22.18 95% CI 2.54-194.13; p = .001), immunosuppression (HR 5.02 95% CI 1.32-19.12; p = .0044), and perineural invasion (PNI) (HR 78.46 3.97-1,549.56; p = .0091) were associated with increased risk of poor outcomes.</p><p><strong>Conclusion: </strong>Few large studies have examined clinical features that portend worse outcomes. The authors identify female gender, immunosuppression, and PNI as variables associated with increased risk of recurrence or death.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"471-474"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930889","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 : 2025-05-01Epub Date: 2024-12-19DOI: 10.1097/DSS.0000000000004533
Suk Bae Seo, Jovian Wan, Inneke Jane Hidajat, Henry Tanojo, Achmad Yudha Pranata, Kyu-Ho Yi
{"title":"Preliminary Evaluation of Improvements in Melasma and Photoaging With Laser-Driven Microjet Injection of Poly- d , l -Lactic Acid.","authors":"Suk Bae Seo, Jovian Wan, Inneke Jane Hidajat, Henry Tanojo, Achmad Yudha Pranata, Kyu-Ho Yi","doi":"10.1097/DSS.0000000000004533","DOIUrl":"10.1097/DSS.0000000000004533","url":null,"abstract":"<p><strong>Background: </strong>Melasma, a common skin hyperpigmentation disorder, has traditionally been linked to hormonal changes in genetically predisposed individuals. Recent studies, however, highlight the role of photoageing, particularly from visible light exposure, as a significant contributing factor. Effective treatments for melasma and associated signs of photoageing remain a clinical challenge.</p><p><strong>Objective: </strong>This study aimed to evaluate the efficacy and safety of Poly-d,l-lactic acid (PDLLA) delivered via laser-induced microjet injectors in treating melasma and signs of photoageing.</p><p><strong>Patients and methods: </strong>Eighteen Korean participants aged 42 to 74, with Fitzpatrick skin types III to IV, were enrolled. All participants exhibited melasma, signs of photoageing, or both. PDLLA was administered using the Mirajet device over 5 to 9 sessions. Clinical outcomes were assessed using the modified Melasma Area and Severity Index (MASI) and the Glogau Classification for photoageing. Adverse events were monitored throughout the study.</p><p><strong>Results: </strong>Significant improvements were observed in both melasma severity and signs of photoageing. The mean MASI score decreased from 22.72 to 7.31 ( p =.004). Photoageing severity, as assessed by the Glogau Classification, also improved notably. Minimal side effects were reported, primarily transient bleeding.</p><p><strong>Conclusion: </strong>PDLLA administered via laser-induced microjet injectors appears to be a safe and effective treatment for melasma and photoageing, particularly in patients with more severe melasma. These findings suggest the potential for PDLLA in skin rejuvenation; however, further randomised controlled trials are warranted to confirm these results and optimise treatment protocols.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"505-508"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853509","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":"Isotretinoin Effects on Nasal Contouring: The Role of Facial Landmark Detection Technology.","authors":"Milan M Hirpara, Jack Woll, Natasha A Mesinkovska","doi":"10.1097/DSS.0000000000004647","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004647","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988187","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}
Ali M Malik, Amanda M Ferrante, Breanna M Booker, M Laurin Council, Basia M Michalski-McNeely
{"title":"Medical Spa Legislation, Regulations, and Guidelines in the United States.","authors":"Ali M Malik, Amanda M Ferrante, Breanna M Booker, M Laurin Council, Basia M Michalski-McNeely","doi":"10.1097/DSS.0000000000004648","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004648","url":null,"abstract":"<p><strong>Background: </strong>The growing popularity of medical spas in the United States (US), which combine medical procedures with spa-like services, has led to increased regulatory scrutiny. These facilities operate in a complex legal environment with varying state-level regulations governing ownership, operation, and scope of practice for nonphysician providers (NPPs).</p><p><strong>Objective: </strong>To summarize the legislative landscape governing medical spas across the United States, identify common regulatory challenges, and explore implications for dermatologists, dermatologic surgeons, and medical spa operators.</p><p><strong>Materials and methods: </strong>A review was conducted using state statutes, administrative codes, case law, and professional board guidance, including resources from the American Society for Dermatologic Surgery Association (ASDSA). Data were collected from legal databases, state documents, scholarly articles, and ASDSA materials to identify key legislative themes and trends.</p><p><strong>Results: </strong>Significant variability exists in state regulations regarding medical spa ownership, roles of Doctor of Medicine (MD)/Doctor of Osteopathic (DO) supervisors, and scope of practice for NPPs. Key challenges include inconsistent standards, regulatory gaps, and patient protection concerns.</p><p><strong>Conclusion: </strong>The fragmented regulatory landscape poses challenges for physicians and patients. Standardizing state laws, strengthening training and certification requirements, and enhancing patient protections are recommended to ensure medical spas operate safely and ethically.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991557","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}