NOV-DEC 2018

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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Page 45 of 68

"Treatment for reducing scars has been around since Cleopatra," says Mitchel P. Goldman, MD, medical director of Cosmetic Laser Dermatology and West Dermatology in San Diego, and clinical volunteer professor of dermatology at the University of California, San Diego. Egyptians used different types of acids as well as sandpaper to resurface skin and smooth scars. Fortunately, we now have more effective treatment options, but they still rely on the same basic principal of resurfacing the skin to stimulate new collagen. FROM PEELS TO LASERS The fi rst "modern" advances in scar treatment came about as a result of World War I when a German-American dermatologist named Max Jessner invented a chemical peel to soften sol- diers' gunpowder burn scars. Jessner peels are still used to smooth skin 100 years later, but not everyone is a candidate for a Jessner peel, which can create post-infl ammatory hyperpigmenta- tion (PIH), particularly in darker skin types. In the 1950s, dermabrasion became popular in the treatment of acne scars. "Dermabrasion for acne consisted of a diamond-studded wire brush that would scrape off skin," says Dr. Goldman. "It was a bloody, painful procedure with a number of potential complications, such as loss of skin pigment and the creation of new scars." Today, lasers have become the go-to treatment tools for acne, surgical and traumatic scars. "Laser technology offers a better range of treatments," says Dr. Goldman. "I can't totally remove a scar, but I can make it 50 to 75 percent better." Jessner peels are still used to smooth skin 100 years later. | NOVEMBER/DECEMBER 2018 43

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