Survey: Patients choose dermatologists for skin cancer, laser surgeries | Beware of bacteria in dermal fillers, researchers warn | LED mask is said to lighten up skin
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July 23, 2014
ASDS SmartBrief
News for and about dermatologic surgeons

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Survey: Patients choose dermatologists for skin cancer, laser surgeries
A survey of 354 adults found that 73.4% would prefer that a dermatologist excise skin cancer from their back instead of a having a plastic surgeon, primary care physician, general surgeon or advance practice nurse perform the procedure. The survey also found that 69.8% would choose a dermatologist to evaluate and biopsy a troubling facial lesion, 62.7% would choose a dermatologist to perform skin cancer surgery on the face, and 56.3% would choose a dermatologist for laser procedures. The survey results are published in the journal Dermatologic Surgery. Healio (free registration) (7/18)
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Beware of bacteria in dermal fillers, researchers warn
Subcutaneous bumps that appear after dermal filler injections might be caused by bacteria, and treatment with steroids can cause the bacteria to proliferate, according to a study published in the journal Pathogens and Disease. The researchers cultured Pseudomonas aeruginosa, Staphylococcus epidermidis and Propionibacterium acnes in a polyacrylamide hydrogel permanent filler, a semi-permanent calcium hydroxylapatite filler and a temporary hyaluronic acid filler. Prophylactic antibiotics prevented bacteria from forming on the biofilms in the gels, but in the cases where the bacteria did form, successive treatments with high doses of antibiotic were ineffective. Modern Medicine/Dermatology Times (7/16)
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Dr. Leonard Swinyer on VEOS® Dermatoscopes
"The VEOS from Canfield Imaging Systems is my number one choice for dermoscopy. Its superb lighting and optics provide an image clarity that takes the guesswork out of many diagnoses. The smart design fits nicely in my pocket and attaches easily to an iPhone for fast picture taking." Learn more >>
Leonard J. Swinyer, MD, FAAD, CPI, Salt Lake City, UT
Tools of the Trade
LED mask is said to lighten up skin
An over-the-counter device called IlluMask uses LED lights in an effort to rejuvenate skin. One patient who tried the product said it softened the lines around her lips and eyes and improved her skin tone, and said a second mask that uses blue and red lights improved her teenage children's acne. However, the lights could trigger migraine headaches or seizures in vulnerable populations, and they offer no eye protection said dermatologic surgeon Patricia Wexler. The New York Times (tiered subscription model) (7/16)
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Ingenol mebutate boosts cryotherapy results in AK, study finds
Patients with actinic keratoses who received treatment with ingenol mebutate gel after cryotherapy were more likely to achieve complete clearance at 12 months than those treated with cryotherapy alone in a Phase III trial. The number of AK cases was reduced by 68% in the treatment group at 12 months, compared with 54% in the placebo group, and 39% of patients in the treatment group experienced new lesions, compared with 52% in the placebo group. (7/18)
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Peels, 5-fluorouracil cream perform equivalently on photodamaged skin
Epidermal p53 expression was reduced and procollagen I levels were increased after photodamaged forearm skin was treated with either weekly peels or daily application of 5% fluorouracil, researchers report in the journal Dermatologic Surgery. Patients applied 5% 5-fluorouracil cream each night for 28 nights on one forearm and on the other received four weekly peels with a combination of Jessner's solution and 5% 5-FU in propylene glycol. Researchers reported no differences between the two treatments for any of the clinical parameters evaluated. Healio (free registration) (7/21)
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Sandoz's PharmaDerm gains marketing rights to Anacor's antifungal drug
Anacor Pharmaceuticals granted PharmaDerm, Sandoz's dermatology business, the U.S. rights to distribute, market and sell its Kerydin topical solution, the first oxaborole antifungal cleared for the treatment of toenail onychomycosis. In return, Anacor will receive from Sandoz $40 million upfront, $25 million in milestone payments and at least $45 million in long-term profit-sharing fees in 2016. The deal also gives Anacor the option to buy back all rights to the drug three years after it is commercialized or as of Dec. 31, 2017, whichever comes later. Genetic Engineering & Biotechnology News (7/21)
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Perfecting Your Practice
Recertification rules will add to health care provider shortage, physicians warn
New requirements that specialists complete maintenance of certification programs every two to three years, in addition to retaking board certification exams every 10 years, will force competent physicians out of practice, critics say. More than 17,000 doctors have signed an online petition to eliminate the new requirements. Supporters say the requirements ensure that doctors are up-to-date on advances in their fields. Kaiser Health News (7/21), The Wall Street Journal (tiered subscription model) (7/21)
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Sunshine Act disclosure website marred by glitches, reports say
Early reports show some glitches with the Open Payments website, the federal database designed to show doctor payments from drugmakers and medtech firms under the Physician Payments Sunshine Act. Some doctors have spent an hour or more simply logging in and verifying their identities, and an error message has caused confusion among physicians who do not have ties to drug or device makers. ProPublica (7/21)
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Unplug at the ASDS Annual Meeting
Annual Meeting
Enjoy a light dinner and an unbeatable education session during the Nov. 6 "ASDS Unplugged" session, offered free to attendees prior to the ASDS Annual Meeting. Get straight talk from top speakers as topical issues are debated including the science behind new soft-tissue fillers; the efficacy (or not) of state-of-the-art body rejuvenation and skin tightening devices; the hard truth about effective employee management; and new technologies to treat cellulite. This is a no-holds barred session – bring provocative questions and comments! Advance registration is required. View the complete ASDS Annual Meeting program and register today!
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Put passion for learning and teaching into action
In many international countries, the practice of dermatologic surgery is non-existent, supplanted by other specialties or training and expertise remains undervalued. Share your expertise worldwide and affect patient care by joining the International Traveling Mentorship Program (ITMP). Evolved from the vision of Lawrence M. Field, MD, this free program provides opportunities for international mentorship and mentor hosting that helps shape the future both for individual dermatologic surgeons and the specialty as a whole. Become an ITMP mentor or host by completing the application today!
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The young do not know enough to be prudent and therefore they attempt the impossible -- and achieve it, generation after generation."
-- Pearl S. Buck,
American writer
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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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