NOV-DEC 2015

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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In a study published in Dermatologic Surgery (September 2015), Girish S. Munavalli, MD, MHS, and Ratchathorn Panchaprateep, MD, PhD, investigated the safety and effi cacy of cryolipolysis for the nonsurgical treatment of pseudogynecomastia. Twenty-one men with pseudogynecomastia were enrolled and received an initial 60-minute cryolipolysis cycle followed by a two-minute massage, and a second 60-minute cycle with 50% treatment area overlap. At the 60-day follow-up, subjects underwent another 60- minute treatment. In the patient surveys, 95% of subjects reported improved visual appearance and 89% reported reduced embarrassment associated with pseudogynecomastia. Ultrasound results showed a mean fat layer reduction of 1.6mm ± 1.2mm, and blinded reviewers correctly identifi ed 82% of baseline photographs. Side effects included mild discomfort during treatment, transient paresthesia and tenderness, and one case of paradoxical hyperplasia (PH). Dr. Munavalli and Dr. Panchaprateep con- cluded that cryolipolysis is a safe and effective nonsurgical alternative for pseudogynecomastia fat reduction. Springer Publishing has released the second edition of Injectable Fillers in Aes- thetic Medicine, a compre- hensive text for medical providers who work with dermal fi llers. Authors and dermatologists Mauricio de Maio of Brazil and Berthold Rzany of Germany offer an overview of the character- istics, effi cacy and safety of the most common fi llers available today. Providers can follow step-by-step instructions on how to work with the fi llers for the most frequently requested facial procedures, including the glabella, nasolabial folds, infraorbital hollow, nose, cheeks, lips and marionette lines. The new edition also includes a chapter on extrafacial indications. Additional chapters include guidance on how to deal with adverse events and how to safely combine fi llers with other aesthetic procedures. Injectable Fillers in Aesthetic Medicine is available at amazon. com and © GETTY IMAGES; BOTTOM: COURTESY OF SPRINGER PUBLISHING | NOVEMBER/DECEMBER 2015 9 In the August 2015 journal of Clinical Inter- ventions in Aging, David Ip and Nga Yue Fu of Hong Kong reported that patients with degenera- tive knee joints who un- derwent treatment with hyaluronic acid fi llers and low level laser therapy were able to postpone joint replacement surgeries when compared to patients who had not undergone fi ller and laser treatment. The prospective, double-blind, placebo-controlled study included 140 patients with bilateral tricompartmental knee arthritis. Group A received treatment with a sham light source and saline injections; Group B received treatment with an HA fi ller and low level laser. Treatments were performed twice a year for one year. Only 1 of 70 patients in Group B required joint replacement at the end of the year, while 15 of the 70 patients in Group A needed joint replacement surgery. Cryolipolysis Effective for Pseudogynecomastia Step Up Your Knowledge of Injectables Degenerative Knee Joints Benefi t from HA Fillers and Laser

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