APR 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 12 of 68

10 APRIL 2018 | Med Esthetics EDITORIAL ADVISORY BOARD • 603.354.3291 Demand for cosmetic procedures increased by 2 percent in 2017, according to the annual plastic surgery procedural statistics from the American Society of Plastic Surgeons (ASPS). The data for the annual statistics is culled from the ASPS Tracking Operations and Outcomes for Plastic Surgeons (TOPS) database as well as the annual survey, which is sent to American Board of Medical Specialties' certifi ed physicians most likely to perform cosmetic procedures. Once again, botulinum toxins and soft tissue fi llers lead the pack with 7.23 million and 2.69 million procedures, respectively, performed in 2017. There were also some signifi cant shifts lower in the list. Cellulite treatments were up 19 percent over 2016, and requests for noninvasive skin tightening procedures increased by 9 percent. Radiofrequency-based skin tightening procedures have been somewhat controversial since their introduction more than a decade ago, with reports of signifi cant pain and inconsistent results. But this has not dampened the public's desire to undergo these treatments. That demand, in turn, has spurred product innovation. Today there are dozens of devices using a variety of energy sources and applicators to improve skin-tightening outcomes with less discomfort. On page 36 ("The Heat Is On"), physicians share their top tools and treatment protocols for patients with mild-to- moderate skin laxity. Chemical peels took the No. 3 spot in the ASPS' list of top noninvasive cosmetic procedures with 1.37 million performed in 2017 and microdermabrasion was No. 5 (740,287 procedures). These low-cost and highly effective treatments have been staples of professional skincare services from the beginning. Exfoliation in general, whether chemical or physical, is one of the earliest beauty tips known to humankind. But new research into the skin microbiome may herald a shift in how we think about skin care. On page 30 ("A Healthy Balance"), researchers discuss what we have learned about how our skin fl ora affects skin health and why the consistent use of aggressive topical treatments may do more harm than good. Laser hair removal ranked No. 4 with 1.1 million procedures performed last year. In 2016, researchers surprised many in the aesthetics industry when they revealed that plume emitted during laser hair removal procedures contains both viable human tissue and harmful chemical com- pounds. Since that time, professional associations and regulatory agencies have been investigating the best ways to protect providers and patients. Turn to page 42 ("Up In Smoke") to learn more about the latest laser plume safety recommendations, so you can continue to provide the services your patients crave in the safest and most effective manner. Inga Hansen Executive Editor/Associate Publisher Mary Lee Amerian, MD Medical Director, Santa Monica Laser and Skin Care Center, Santa Monica, CA Bruce Katz, MD Director, Juva Skin & Laser Center, Clinical Professor of Dermatology, Mount Sinai School of Medicine, New York City Joel L. Cohen, MD Director, AboutSkin Dermatology and DermSurgery, CO Associate Clinical Professor of Dermatology, University of Colorado, Assistant Clinical Professor of Dermatology, University of California - Irvine Michael H. Gold, MD Founder, Gold Skin Center, Assistant Clinical Professor, Vanderbilt University Medical Center Nashville, TN Mitchel P. Goldman, MD Medical Director, West Dermatology, Volunteer Clinical Professor of Dermatology, University of California - San Diego Jeannette Graf, MD Assistant Clinical Professor of Dermatology, Mount Sinai Medical Center, New York, NY Lorrie Klein, MD Founder, OC Dermatology & Euro Day Spa, Assistant Clinical Professor of Dermatology, University of California - Irvine Vic Narurkar, MD Founder, Bay Area Laser Institute, Associate Clinical Professor of Dermatology, UC Davis Medical School, Chief of Dermatology, California Pacifi c Medical Center, San Francisco Hema Sundaram, MD Director, Sundaram Dermatology, Cosmetic & Laser Surgery Center Rockville, MD Alex R. Thiersch, JD Founder and Director, American Med Spa Association (AmSpa), Partner, ByrdAdatto Law Firm Chicago Wm. Philip Werschler, MD Director, Spokane Dermatology Clinic and Werschler Aesthetics, Spokane, WA TOXINS STILL TOPS EDITOR'S NOTE

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