Dermatologic SurgeryPub Date : 2025-03-01Epub Date: 2024-11-12DOI: 10.1097/DSS.0000000000004439
Megan Hoang, Fatima N Mirza, Molly E Thomas, Tiffany J Libby
{"title":"Complications of Neuromuscular Monitoring During Anesthesia due to Neuromodulator Injections.","authors":"Megan Hoang, Fatima N Mirza, Molly E Thomas, Tiffany J Libby","doi":"10.1097/DSS.0000000000004439","DOIUrl":"10.1097/DSS.0000000000004439","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"342-345"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616846","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 : 2025-03-01Epub Date: 2024-10-15DOI: 10.1097/DSS.0000000000004443
Moosa Ayub Hira, Robert Francis Moore, Zain Ulabedin Syed
{"title":"Intravascular Melanoma Metastasis Detected During Mohs Micrographic Surgery for Invasive Melanoma.","authors":"Moosa Ayub Hira, Robert Francis Moore, Zain Ulabedin Syed","doi":"10.1097/DSS.0000000000004443","DOIUrl":"10.1097/DSS.0000000000004443","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"316-317"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496981","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 : 2025-03-01Epub Date: 2024-10-23DOI: 10.1097/DSS.0000000000004463
Mahmoud Almady, Alicia Mitchell, Christian Gronbeck, Albert E Zhou, Hao Feng
{"title":"Demographics of Mohs Surgeons Performing Mohs Micrographic Surgery for Cutaneous Melanoma: A National Survey Analysis.","authors":"Mahmoud Almady, Alicia Mitchell, Christian Gronbeck, Albert E Zhou, Hao Feng","doi":"10.1097/DSS.0000000000004463","DOIUrl":"10.1097/DSS.0000000000004463","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"321-323"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496977","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 : 2025-03-01Epub Date: 2024-10-23DOI: 10.1097/DSS.0000000000004471
Kamal Alhallak
{"title":"Clarification Regarding the Interpretation of Anatomical Safety Zones in Temple Filler Injections.","authors":"Kamal Alhallak","doi":"10.1097/DSS.0000000000004471","DOIUrl":"10.1097/DSS.0000000000004471","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"339-340"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496974","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 : 2025-03-01Epub Date: 2024-11-25DOI: 10.1097/DSS.0000000000004447
Khaled Elhoshy, Julbahar Ibrahim, Vanessa Hafez
{"title":"Microneedling in Localized Acquired Hypomelanosis: A Randomized Controlled Trial.","authors":"Khaled Elhoshy, Julbahar Ibrahim, Vanessa Hafez","doi":"10.1097/DSS.0000000000004447","DOIUrl":"10.1097/DSS.0000000000004447","url":null,"abstract":"<p><strong>Background: </strong>Several insults can cause acquired localized hypomelanosis which can be a therapeutic challenge. Microneedling is a minimally invasive procedure that stimulates melanogenesis with the benefit of short downtime and a low risk of scarring.</p><p><strong>Objective: </strong>To determine the efficacy and safety of microneedling in localized acquired hypomelanosis.</p><p><strong>Materials and methods: </strong>This is a randomized controlled trial. Twenty patients aged 18 years and older had their lesions randomized into either a single session of microneedling with 1.5-mm needles or no treatment. Three months later, peripheral tanning, patient satisfaction, surface tanning grade of improvement, Vitiligo Extent Score for a Target Area (VESTA), patient and physician global assessment of improvement (GAI) were evaluated.</p><p><strong>Results: </strong>Median peripheral tanning was observed in 80% of lesions in the microneedling arm versus 85% in the no-treatment arm. Median physician GAI was 37.5% versus 33.33%, respectively. Median VESTA was 37.5% versus 29%, respectively. Median Patient GAI was 50% in both arms. Surface tanning showed a median increase of +3 grades in both arms.</p><p><strong>Conclusion: </strong>Medium-depth microneedling deserves a place in the armamentarium of therapeutic tools for localized acquired hypomelanosis in normal-texture and scarred skin. The authors suggest repetitive sessions at intervals of 1 to 2 months to offer better coverage. Interestingly, a possible systemic effect of microneedling deserves further investigation.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"257-262"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709506","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":"Microneedling With Topical Insulin Versus Microneedling With Placebo in the Treatment of Postacne Atrophic Scars: A Randomized Control Trial.","authors":"Rania Mounir Abdelhay, Manar Saeed Ali, Leila Zeiad Gad, Nahla Maher Mahran","doi":"10.1097/DSS.0000000000004462","DOIUrl":"10.1097/DSS.0000000000004462","url":null,"abstract":"<p><strong>Background: </strong>Among the treatment modalities for post-acne scars, microneedling is considered a safe and effective method.</p><p><strong>Objective: </strong>To compare the efficacy and safety of combined microneedling with topical insulin versus microneedling with placebo (topical saline) in treating atrophic acne scars.</p><p><strong>Methods and materials: </strong>Twenty-one patients with atrophic post-acne scars were randomized and treated in a split face manner with 4 sessions at 3-week intervals of microneedling using dermapen, followed by application of insulin on one side of the face and saline (placebo) on the other side. Evaluation of response was done before the sessions and after 1 month of the last session using the Global Scarring Grading System of Goodman & Baron and Lipper & Perez scores, Patient reported acne scar improvement using a 4-point scale, patient satisfaction, and the facial acne scar quality of life tools.</p><p><strong>Results: </strong>Both therapeutic modalities yielded a statistically significant improvement of atrophic acne scars. By comparing both modalities, there was no statistical significance regarding clinical improvement and side effects.</p><p><strong>Conclusion: </strong>Using topical insulin combined with microneedling may have a value in improving atrophic acne scars, suggesting further evaluation using different delivery systems, insulin formulations, and assessment modalities.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"251-256"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496982","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 : 2025-03-01Epub Date: 2024-10-23DOI: 10.1097/DSS.0000000000004466
Avaneesh Sean Ojha, Navid Farahbakhsh, Sami K Saikaly
{"title":"An Assessment and Comparison of Adverse Effect Rates in Differing Absorbable Thread Lift Suture Materials.","authors":"Avaneesh Sean Ojha, Navid Farahbakhsh, Sami K Saikaly","doi":"10.1097/DSS.0000000000004466","DOIUrl":"10.1097/DSS.0000000000004466","url":null,"abstract":"<p><strong>Background: </strong>Thread lifting, a minimally invasive alternative to facial rhytidectomy, has shifted from using nonabsorbable to absorbable sutures. Although many thread lift options exist, the impact of these different properties on complication rates remains unclear.</p><p><strong>Objective: </strong>To systematically compare thread lift complication rates across different suture materials, textures, fixation methods, and lift locations.</p><p><strong>Materials/methods: </strong>A systematic review was conducted through February 2024, following PRISMA guidelines, using multiple databases. The study focused on absorbable sutures, excluding nonabsorbable materials. Statistical analysis used Chi-Square tests with Bonferroni correction.</p><p><strong>Results: </strong>Nineteen studies, encompassing 1,406 patients, met inclusion criteria. A total of 876 complications were reported. Ecchymosis (19.49%), swelling (16.79%), and tenderness (9.96%) were the most frequent complications, while hematoma (0.64%), paresthesia (1.14%), and infection (2.49%) were least frequent. Complications varied significantly among the studied factors. Swelling and ecchymosis were more associated with polycaprolactone sutures, barbed threads, and midface lifts. Barbed threads were associated with more complications than smooth or coned threads, as were floating threads compared with fixed threads.</p><p><strong>Conclusion: </strong>Variations in thread lift suture materials and fixation technique were associated with different complication rates. Thread lifts using absorbable sutures exhibited complication rates under 5%, suggesting a generally favorable safety profile.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"272-276"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496972","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 : 2025-03-01Epub Date: 2024-11-25DOI: 10.1097/DSS.0000000000004430
Marcelo Germani, Pietra Roschel Borba, Ana C N Carnevali, Cláudia Almeida, Isadora Wille, Gabriela Giro, Victor R M Munoz-Lora
{"title":"Unveiling Patient Expectations: Insights From a Cross-Sectional Study on Facial Aesthetic Treatments.","authors":"Marcelo Germani, Pietra Roschel Borba, Ana C N Carnevali, Cláudia Almeida, Isadora Wille, Gabriela Giro, Victor R M Munoz-Lora","doi":"10.1097/DSS.0000000000004430","DOIUrl":"10.1097/DSS.0000000000004430","url":null,"abstract":"<p><strong>Background: </strong>Patient expectations play a crucial role in aesthetic treatments, influencing satisfaction of treatment outcomes.</p><p><strong>Objective: </strong>To explore and assess the expectations of 102 participants undergoing various cosmetic interventions using the FACE-Q expectations scale.</p><p><strong>Materials and methods: </strong>Participants, aged 20 to 64 years, seeking different facial aesthetic procedures completed the FACE-Q expectations scale before treatment. Data were analyzed, and the influence of age and treatment type on expectations was investigated.</p><p><strong>Results: </strong>The analysis revealed moderate overall expectations among participants, with no significant differences across different treatment modalities ( p = .263). However, age significantly influenced expectations ( p = .009), with younger adults (30-39 years) exhibiting higher expectations compared with older age groups. Correlation analysis confirmed a significant weak negative correlation between age and expectations (r = -0.210, p = .034). Multiple linear regression further identified age as a significant predictor of expectations (β = -0.564, p = .037).</p><p><strong>Conclusion: </strong>This study provides insights into patient expectations in facial aesthetic procedures, emphasizing the role of age in shaping expectations. These findings underscored consistent beliefs in positive outcomes, irrespective of the cosmetic procedure to be realized. Future research should consider international collaborations and longitudinal studies to enhance understanding and optimize patient satisfaction in aesthetic treatments.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"296-301"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709510","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 : 2025-03-01Epub Date: 2024-10-31DOI: 10.1097/DSS.0000000000004467
Liang Chen, Wei Wang, Heng Wang, Dong Dong, Tianyi Liu
{"title":"Predisposing Factors, Treatment, and Pathophysiology of Retronychia in China: A Retrospective Study of 107 Cases.","authors":"Liang Chen, Wei Wang, Heng Wang, Dong Dong, Tianyi Liu","doi":"10.1097/DSS.0000000000004467","DOIUrl":"10.1097/DSS.0000000000004467","url":null,"abstract":"<p><strong>Background: </strong>Retronychia, a condition marked by abnormal nail growth, is frequently underdiagnosed and misinterpreted, with a few reported cases in the literature.</p><p><strong>Objective: </strong>To investigate the pathophysiology, identify contributing factors, and assess the outcomes of surgical and nonsurgical treatments for retronychia.</p><p><strong>Methods and materials: </strong>A retrospective review of 107 retronychia cases diagnosed at the center between January 2021 and July 2022 was conducted.</p><p><strong>Results: </strong>Predisposing factors were identified in 93.46% of cases, with 88.79% of patients reporting a habit of wearing socks during sleep before symptom onset. Noninvasive treatments targeting these factors led to full recovery in 79.55% of cases, while 13.64% experienced partial improvement, inducing reduced proximal nail fold inflammation. Nail avulsion, which involves removing the entire nail, achieved a relapse-free cure rate of 90.91%. When the innermost nail plate was preserved, the cure rate rose to 96.67%.</p><p><strong>Conclusion: </strong>Chronic mechanical forces, frequently overlooked, play a pivotal role in retronychia onset and progression. Conservative management targeting these mechanical factors is recommended for patients with mild cases.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"245-250"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557401","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}