Patients Seek Better Results in Nonsurgical Cosmetic Treatments
According to David Goldberg, MD of Skin Laser & Surgery Specialists of NewYork & New Jersey, "The reason why this technology all of a sudden is becomingvery exciting is that the whole pendulum with what we are trying to accomplishis swinging back with patients wanting to see some results. We went fromlaser resurfacing, which worked but had all its problems, to non-ablativelunchtime procedures which were easy to do but didn't do much. Portrait offersdifferent treatment options that you can match with both yours and yourpatient's expectations. It can induce collagen remodeling in a very differentmanner than what we are used to while at the same time promoting skintightening. You can reduce wrinkles, tighten skin, improve tone, texture andpigmentation -- take your pick, it does it all".
One of the most requested aesthetic improvements is wrinkle reduction andtightening around the eyes and the excess tissue of the upper eyelid. In astudy conducted by Brian Biesman, MD of Nashville Centre for Laser and FacialSurgery, looking at the use of high-energy plasma skin regeneration comparedto blepharoplasty, patients rated their overall improvement as 64% (37-90%).This clinical study laid the foundation for a further study using plasma atlow energy in multiple passes based on a technique developed by William Petri,MD, PhD, from the Center for Dermatology and Maxillofacial Surgery inChambersburg, PA, producing skin tightening and wrinkle reduction with ashorter recovery time. Dr. Biesman said of his reaction to the initialresults, "I am very, very enthusiastic about the changes we are seeing ...plasma treatment of the eyelid is a very viable and I think a very excitingtechnique that can play a nice role in the aesthetic practice."
Richard Fitzpatrick, MD, of La Jolla Cosmetic Surgery Centre in CA and apioneer in cosmetic laser procedures, reported that skin tightening andimprovement in rhytides were noted in all of his patients treated with plasmaand approached results seen with CO2. He added, " ... the really nice thingabout the (Portrait(R)) procedure is that it heals like a TCA peel, but youget results like a CO2 laser." Dr. Fitzpatrick also presented the results of astudy in which he and Kenneth Rothaus, MD, of Ageless Plastic Surgery & Laserin New York City and White Plains, NY looked at adverse effects for plasmaskin regeneration compared to CO2 treatments. For all adverse events --hyperpigmentation, hypopigmentation, erythema, and scarring and infection --plasma had an extremely low complication rate, a high safety profile, and ashort recovery period relative to CO2.
Nathan Uebelhoer, DO of Naval Medical Center, San Diego, CA, discussed astudy evaluating the treatment of acne scars* with Portrait(R) plasma skinregeneration. Using high-energy settings, patients expressed seeing a 35%overall improvement in their acne scars 3 months post treatment. Dr. Ubelhoerreported a 41% improvement rating which was determined by a blinded physicianassessment at his site. Dr. Uebelhoer's conclusion about treating acne scarswith plasma energy is that "it improved acne scars safely, effectively ... "and " ... the patients all noted their improvement and 71% of the patientswould recommend (this treatment) to a friend."
The Hot Topic session continued with Jeffrey Dover, M
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