Fat grafting.

This article from 2001 reviews the state of the art of fat grafting from a historical approach by two dermatologists. At that time, autologous tissue augmentation was controversial and the authors describe initial efforts at improving retention of fat grafting.

The treatment of hypopigmentation after skin resurfacing.

Background: Hypopigmentation has plagued all methods of skin resurfacing. Whether the physician uses chemical peels, dermabrasion or laser resurfacing hypopigmentation can develop.

Objective: To examine the pathogenesis and treatment of hypopigmentation after resurfacing.

Fat grafting.

Autologous adipose tissue has been used for tissue augmentation for over a century. The technique still remains controversial and some investigators have given up on fat transfer. The authors' objective is to improve the retention of the fat graft by using less traumatic methods to collect the fat, to concentrate it, and to reinject it to obtain more reliable augmentations for the cosmetic improvement of tissue defects.

The S-lift facelift featuring the U-suture and O-suture combined with skin resurfacing.

Background: A short-flap S-lift may be helpful for minor jowling or submental laxity in cases of early facial ptosis, revision facelifts, or where skin resurfacing is combined with neck lifting.

Objective: To develop a safe and effective method to lift the jowl either as a single procedure or combined with other rejuvenation methods.

Methods: After the induction of monitored anesthesia care the skin resurfacing is completed, if necessary, and the submental and lateral S-lift incisions are marked next to the tragus.

Lip rejuvenation.

Background: The management of the senile lip remains a dilemma. Allogenic fillers often feel unnatural, lip resurfacing is not adequate, and fat transfers may disappear.

Objective: To develop a more reliable step-by-step approach to lip augmentation.

Modified tumescent liposuction.

Background: Tumescent liposuction has been found to be safe and effective. However, there are still many refinements that may be possible, such as varying the size and tips of the cannulas, varying the types of infiltrate and associated anesthesia, and the method of compression.

Objective: To examine possible variables in tumescent liposuction techniques such as the most efficient liposuction cannulas, to determine an effective tumescent fluid, and to examine the extent of compression provided by different garments.

Neck rejuvenation by combining Jessner/TCA peel, dermasanding, and CO2 laser resurfacing.

Background: One of the greatest challenges facing facial cosmetic surgeons today is the simultaneous rejuvenation of the neck and face. Laser resurfacing of the face using the carbon dioxide (CO2) laser or the erbium:yttrium-aluminum-garnet (Er:YAG) laser has enjoyed widespread popularity, but the neck and chest are often avoided. It would be quite helpful to rejuvenate the neck at the same time the face is being resurfaced.

Disappointing results following resurfacing of facial skin with CO2 lasers for prophylaxis of keratoses and cancers.

Background: With the development of the short-pulse CO2 laser it was hoped that this resurfacing would prevent recurrent actinic keratoses and basal cell cancers similar to resurfacing with dermabrasion, laser abrasion, and deep chemical peel. However, we have begun to see patients that are developing keratoses and cancers within months following laser resurfacing.

Objective: To document the problems of recurrent keratoses and basal cell cancers in patients following CO2 laser resurfacing.

The complications of blepharoplasty: their identification and management.

Background: Because of the increasing number of blepharoplasties being done by cosmetic dermatologists, it is necessary to have an increased awareness of sequella and complications.

Objective: To review the frequent complications following blepharoplasty and to develop methods for their prevention and treatment.

Method: A thorough history and physical combined with accurate intraoperative markings and postoperative instructions can make the procedure more predictable.

Dermabrasion using CO2 dry ice.

Background: The cosmetic dermatologic surgeon can improve facial scars by using a variety of techniques. Chemical peels, lasers, and dermabrasion are among the most common modalities used. In recent years, laser resurfacing has enjoyed great popularity; however, there is still a role for the time-honored and effective technique of dermabrasion.

CO2 laser physics and tissue interactions in skin.

Background And Objectives: The theoretical model of CO2 laser tissue interaction appeared to be too simplistic. To explain the reactions seen in skin, a more complex model was needed. We hoped to correlate the clinical-histologic patterns of CO2 laser tissue interactions.

Botulinum toxin. The Newport Beach experience.

Background: Injections of botulinum toxins have become a major therapeutic tool for cosmetic dermatologists. This therapy is quite useful as an adjuvant to the step-by-step skin rejuvenation program.

Objective: To review our method of dilution and injection and to present case studies.

Collagen shrinkage (selective dermaplasty) with the high-energy pulsed carbon dioxide laser.

Background: The high-energy pulsed carbon dioxide (CO2) laser has proven useful for skin resurfacing. The modality can be less penetrating than chemical peels and more accurate than dermabrasion.

Objective: To demonstrate the additional benefit of dermal remodeling (selective dermaplasty) of skin lesions, scars, grafts, folds, and eyelids.