Medesthetics Special

AR Supplement

Surgical Aesthetics and Acne & Rosacea are special editions of Medesthetics. To see Surgical Aesthetics, go to http://surgicalaestheticsmagazine.epubxp.com

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Smoothing the Surface ACNE SCARS REMAIN ONE OF THE MOST CHALLENGING skin conditions to treat. The lack of a gold standard treatment to banish these permanent reminders of acne past has led physicians and product manufacturers to try new technologies, techniques and products in hopes of finding a magic bullet. While a cure remains elusive, new modalities are showing promise while offering a less traumatic path for patients seeking to reduce the appearance of their scars. "When I first started working with acne scarring, we were committed to dermabrasion, which now seems bloody and grotesque in the way it heals, and which often left people with whitened skin," says Deborah S. Sarnoff MD, director of dermatologic surgery at Cosmetique Dermatology, Laser & Plastic Surgery LLP, in Manhattan, and clinical professor of dermatology at the New York University's Langone Medical Center. "That was the tradeoff. But that's not true today." Customized Treatment As with antiaging treatments, acne scars that jump out at the physician aren't always a primary concern for the patient. Accordingly, the first step in acne scar treatment is 10 July/August 2012 | ACNE & ROSACEA the patient consult. "Sometimes a patient is more bothered by one type of scar or by scars in a particular location. So we go back and forth with the patient to determine what's most important, what his schedule looks like, and what his budget is for the procedure or procedures," says Kevin C. Smith MD, FRCPC, a dermatologist with a trans-border practice in Niagara Falls, New York, and Ontario, Canada. "Tailoring treatment to a patient's preferences is how we determine what to do—and at what rate." Rolling scars are the most common type of acne scarring but, because they're often the least noticeable, they generally get the least attention from physicians. "We do the most for icepick and boxcar scarring," notes Daniel I. Wasserman MD, head of Riverchase Dermatology & Cosmetic Surgery, based in Naples, Florida. "That's because those scars, those deep depressions that you can't stretch or mold or move, are less hidden with makeup." Second to aesthetic concerns are the patient's reasons for seeking treatment. "It's important to take a social history during consultation," says Dr. Smith. "This includes talking about what kind of work the patient does and whether she © Istockphoto New techniques and combination treatment protocols offer the most promise for acne scar patients. By Russell A. Jackson

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