Ask the right questions to choose anti-aging regimen, expert says | Implanted metals near the skin might boost skin cancer risk | Skin app is useful, but it's no substitute for a dermatologist
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October 22, 2014
ASDS SmartBrief
News for and about dermatologic surgeons

Healthy, Beautiful Skin
Ask the right questions to choose anti-aging regimen, expert says
Though the Fitzpatrick Scale and Global Heritage Model can help identify intrinsic factors of aging related to skin pigment, genetic factors do not present a complete picture, says dermatologic surgeon Jennifer Linder of the University of California, San Francisco. Ethnicity affects how skin ages and responds to anti-aging therapies, and asking patients questions about heredity can help determine appropriate treatments, Linder says. Modern Medicine/Dermatology Times (10/14)
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Implanted metals near the skin might boost skin cancer risk
People with contact allergies to nickel, cobalt, chromium or other metals can develop rashes and skin cancer when medical devices containing those metals are implanted near the skin, according to a study in the Journal of Clinical Investigation. A woman whose broken ankle was repaired with an implanted metal rod developed a rash near the implant site that did not abate after her nickel allergy was identified and the rod removed. The woman later developed Marjolin's ulcer, a rare skin cancer, at the rash site. HealthDay News (10/14)
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Skin app is useful, but it's no substitute for a dermatologist
Though 45% of Americans trust dermatologists as the best beauty experts, only 9% of those surveyed had visited a dermatologist within the past year. A new smartphone application developed with the help of dermatologists analyzes a self-photo for signs of skin damage and recommends a treatment regimen. Journalist Becky Worley compared the app's recommendations with those of dermatologist Vic Narurkar and found the app is no substitute for a dermatologist. ABC News (10/15)
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Tools of the Trade
Lasers, stem cells gain traction in wound healing
Studies have found that lasers and light-based devices might encourage wound healing, dermatologist Tania Phillips said at the annual meeting of the Canadian Dermatology Association. Phillips, director of the Dermatology Wound Clinic at Boston Medical Center, noted that sprays containing human allogeneic fibroblasts and keratinocytes have shown promise, as have bone marrow-derived mesenchymal stem cells. Modern Medicine/Dermatology Times (10/20)
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Dermatologists should be at the forefront of wound care technologies, expert says
Dermatologists should be leaders in wound care and should be aware of the latest technologies, says Dr. Adam Friedman, director of dermatologic research at Montefiore-Einstein College of Medicine. Nanotechnology is increasingly being tested in wound healing, and moist wound healing is particularly well suited to nanoparticles, Friedman says. Modern Medicine/Dermatology Times (10/17)
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In vivo confocal microscopy helps diagnose eyelid tumors
Using in vivo confocal microscopy with a handheld, dermatology-specific microscope helped dermatologists accurately diagnose eyelid margin tumors. The technique had a sensitivity of 100% and a specificity of 69.2% for malignancy in a study of 47 lesions. Healio (free registration) (10/21)
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Perfecting Your Practice
CMS upgrades Open Payments website
The database of payments from drug and device makers to U.S. doctors now allows users to search by doctor name, specialty or location, or by company name or teaching hospital. Payments can be sorted in ascending or descending order and are grouped as general payments, research payments or company ownership stake. General payments are further delineated by type, such as for meals, education or consulting. The Wall Street Journal (tiered subscription model)/Pharmalot blog (10/17)
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Hands-on ASDS cadaver lab provides essential skills
Learn how to employ anatomy to obtain the best results and prevent complications during the State-of-the-Art Cosmetic and Reconstructive Anatomy Course and Cadaver Laboratory, Dec. 6 and 7 in Miami. Directors Stephen H. Mandy, M.D., and Gary D. Monheit, M.D., will review advanced techniques for reconstructive and aesthetic procedures as well as address conundrums and challenging cases from attendees. A small-group open cadaver lab provides in-depth individual training with injectables and scalpel surgery of facial soft-tissue areas. Register online or call 847-956-0900.
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Get your office team on the same page with Mini-MBA sessions
Great for your entire office team, two "mini-MBA" sessions from the 2014 ASDS Annual Meeting will be broadcast live on Saturday, Nov. 8. Mini-MBA Part 1: Successful Practice Management includes tips for cost-effective EMR, purchasing and front and back office efficiencies. Mini-MBA Part 2: Successful Practice Marketing provides proven methods for effective practice marketing and patient communications. Save when your register for both sessions.
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Minds are like parachutes; they work best when open."
-- Thomas Dewar,
Scottish businessman
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This service is provided as a timely update to ASDS members and other health professionals about dermatologic surgery topics in the media. Links to articles are provided for the convenience of dermatologic surgeons who may find them of use in discussions with patients and colleagues.
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