OCT 2017

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

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© GETTY IMAGES BEST PR ACTICES 10 OCTOBER | Med Esthetics Patients with cellulite and skin laxity who underwent treatment with microfocused ultrasound with visual- ization (MFU-V; Ultherapy) in combination with di- luted calcium hydroxylapatite (CaHa; Radiesse) saw a signifi cant improvement in laxity and a signifi cant reduction in dimpling. Gabriel Casabona, MD, and Gregorio Pereira, MD, published the results of their retrospective study of 20 female patients (mean age: 40.0 ± 8.2 years; mean BMI 21.5 ± 1.5 kg/m 2 ) in Plastic and Reconstructive Surgery–Global Open (July 2017). At baseline, blinded evaluators rated 75% of the women as having moderate-to-severe skin depres- sions. Ninety days after treatment with MFU-V and CaHa, the evaluators noted that 4 women had no evident depressions and 11 had only a small number of depressions (compared with 0 and 5, respectively, at baseline). The depth of the depres- sions also decreased. Eight women had no laxity, fl accidity, or sagging skin at day 90 compared with 0 at baseline. The evaluators recorded an "orange peel" appearance for 8 women at baseline but only 4 at day 90. All women reported that their skin was smooth- er 90 days after treatment; 19 of the 20 reported that their dimples were less visible. When asked to rate their overall satisfaction with the treatment, 10 women (50%) reported they were very satisfi ed and 9 women (45%) were satisfi ed. ULTHERAPY + RADIESSE REDUCES APPEARANCE OF CELLULITE STAFF WALKTHROUGHS FOR BETTER CARE Many businesses utilize secret shoppers to identify strengths and weaknesses within their organizations. Practices may also ben- efi t from enlisting staff members to walk in a patient's shoes, say Catherine Maley, founder of Cosmetic Image Marketing. She recommends having each staff member do a walk through of each step of the patient experience, noting special details that make the practice stand out as well as any areas for improvement. Then bring the staff members together to share their fi ndings at the next team meeting. Based on their feedback, update processes that need improvement, and highlight your strengths in all internal and external marketing materials. New Evidence of Demodex Mite Infestations in Rosacea A review study published in the September 2017 issue of the Journal of the American Academy of Dermatology supports rosacea treatment strategies that target Demodex mites. Ying Shuo-Chang, MD, and Yu-Chen Huang, MD, of Taipei Medical University Hospital, Taiwan, performed a literature search in PubMed, MEDLINE, and EmBase databases from inception through October 31, 2016. They searched the terms "De- modex" and "Demodex Mites" combined with "Rosacea." All studies included in their review and meta-analysis were human clinical trials published in English. Comparing control patients to rosacea patients in 23 case-control studies, 810 in 1,150 patients with rosacea had the mites vs. only 336 of the 1,057 healthy control subjects. In addition, the average density of mites in the rosacea group was 71.0 mites/cm 2 (range, 1.9-376.8 mites/cm 2 ) compared to 8.7 mites/cm 2 (range, 0.06-89.6 mites/cm 2 ) in healthy control patients.

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