Cosmetic Dermatology Training During Residency: Outcomes of a Resident-Reported Survey.

Background: As the demand for cosmetic treatments increases, it is important for dermatology residents to be educated about and achieve proficiency in dermatologic cosmetic procedures.

Objective: To assess dermatology residents' educational exposure to cosmetic dermatology.

Materials And Methods: An anonymous 18-question survey was sent electronically to 1,266 dermatology residents requesting information about cosmetic dermatology training during residency.

Consensus for sclerotherapy.

Background: The American Society for Dermatologic Surgery (ASDS) periodically develops consensus documents for its members concerning various aspects of dermatologic surgery. Unwanted and painful leg veins are a very widespread problem. Many advances in sclerotherapy of varicose and telangiectatic leg veins have occurred since the previous consensus documents.

Treatment of reticular and telangiectatic leg veins: double-blind, prospective comparative trial of polidocanol and hypertonic saline.

Background: Sixty-three subjects' legs were randomized to receive treatment with polidocanol (POL) or hypertonic saline (HS) for telangiectasias and reticular leg veins.

Objective: To compare the safety and efficacy of two sclerosing agents in three dermatologic surgery practices.

Methods: After exclusion of saphenofemoral junction incompetence, each subject's veins were categorized (telangiectasias <1 mm and reticular veins 1-3 mm) and randomized.

Sclerosants: a comparative review.

Background: Sclerotherapy is popular for the treatment of lower extremity telangiectasias and varicose and reticular veins. Although a large number of sclerosants are commonly employed, there are few data that directly compare their advantages and drawbacks.

Objectives: To analyze and present the differences between sclerosants that make them more or less suitable agents in specific clinical applications.

Foreign body granulomas after all injectable dermal fillers: part 1. Possible causes.

Genuine granuloma formation following implantation of injectable dermal fillers is a rare complication, with incidences ranging from one in 100 patients (1 percent) to one in 5000 (0.02 percent). Foreign body granulomas occur several months to years after injection at all implantation sites at the same time.

Treatment options for dermal filler complications.

The author contends that early adverse reactions to dermal fillers are caused by a superficial injection technique and that late adverse reactions result from unique patient responses. He has found all complications treatable with a correct dose of intralesional steroids or inconspicuous surgical entry. Here he provides guidelines for injection techniques and treatment for complications.

Complications of fillers: overview.

Background: Avoiding complications requires thorough training and medical, anatomic, and esthetic common sense. Complications can occur as a function of anatomic location, technique deficiencies, the type of defect treated, identifiable host factors, infectious processes, and allergies as a consequence of intrinsic characteristics of any particular filler. They can also occur in the absence of any identifiable host factors and flawless technique.

Liquid silicone for soft tissue augmentation.

Background: The use of liquid silicone for soft tissue augmentation has been associated with a great deal of controversy and negative publicity. It is hoped that this monograph will clarify some of the substantive issues behind the controversy.

Objective: To outline and discuss the history, legal status, indications, contraindications, technique, and complications associated with the use of liquid silicone for soft tissue augmentation.