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General dermasurgery information

WHAT IS DERMASURGERY?
Dermasurgery (or dermasurgery) is the practice of dermatology that specializes in surgical procedures and minimally-invasive treatments to improve the health, function and appearance of your skin. The subspecialty is recognized by the American Medical Association as the field of medicine that deals with the diagnosis and treatment of skin conditions, including therapeutic, reconstructive and cosmetic skincare. Dermasurgery is the largest specialty group in dermatology and represents the fastest-growing segment of dermatologic practice.

WHO IS A DERMASURGEON?
A dermasurgeon (or dermasurgeon) is a skin surgery specialist who focuses on the health and beauty of your skin – from head to toe, from the cradle to the golden years. Nearly all dermasurgeons perform both medically necessary and cosmetic surgery procedures to maintain the health, function and appearance of your skin.

Dermasurgeons are Board-certified physicians who successfully complete medical school and a one-year internship, followed by a specialized three-year dermatology residency program. They continue their research and training through accredited continuing medical education in the form of ongoing post-graduate courses and symposia, staying abreast of the latest clinical advances and technologies in their field.

Dermasurgeons are pioneers in the research and development of many of today’s most effective therapeutic and cosmetic skincare solutions. For example, the art and science of procedures for the treatment of skin cancer, aging and sun-damaged skin, unwanted hair, varicose veins, scars, undesirable body fat, hair loss and more were investigated and refined by dermasurgeons. You may directly seek the services of a dermasurgeon or be referred to one by your primary care provider or general dermatologist.

WHAT CAN DERMASURGEONS DO FOR YOU?
Dermasurgeons specialize in the use of surgical and non-surgical skills and methods for diagnosing and treating various skin, hair, nail and vein conditions, including benign growths, skin cancers, aging skin, unwanted fat, excess hair and varicose veins. As experts on living skin cells, dermasurgeons are uniquely qualified to employ a range of corrective and preventive techniques to keep skin healthy, vibrant and youthful-looking. In fact, dermasurgeons are responsible for the development and refinement of many of today’s therapeutic and cosmetic surgery procedures.

Great strides in minimally-invasive techniques and today’s advanced technologies now enable dermasurgeons to achieve medically effective and cosmetically elegant results. Procedures are typically less intense, safe and heal more quickly than ever before. Further, treatment is usually performed in the physician’s office, which translates to added convenience and cost-effectiveness.

WHAT ARE THE COMMON TREATMENTS USED IN DERMASURGERY?

Anti-Aging and Cosmetic Approaches
Skin rejuvenation techniques include topical products applied to the skin, botulinum toxin, brow lifts, chemical peels, dermabrasion, eyelid surgeries, laser treatment, liposuction, microdermabrasion, mini face lifts, neck and jowl treatments, and soft tissue fillers.

Age Spots and Birthmark Correction
With laser and light-based technologies and chemical peels, dermasurgeons have dramatically advanced the treatment of birthmarks and age spots, medically referred to as benign vascular and pigmented lesions. They can now successfully treat birthmarks of virtually every size, type and color on all parts of the body with or without scalpels in an out-patient setting.

Botulinum Toxin
First introduced in the U.S. by a dermasurgeon in 1991, botulinum toxin injections are used primarily to paralyze certain facial muscles which cause frown lines, crows’ feet and other wrinkles. It works by relaxing the underlying facial muscles and that help form wrinkles, an effect that lasts for three to four months. It also is used to improve neck lines and control excessive sweating.

Chemical Peels
Chemical peels are beneficial in the treatment of wrinkles around the eye and mouth, skin discoloration and age spots, as well as dull skin texture and mild acne scars. The procedure involves the application of a special chemical solution to remove outer layers of aged, discolored and irregular skin. Fresh skin is then generated, which is usually smoother, less wrinkled and more even in color. Dermasurgeons pioneered chemical peeling procedures more than 50 years ago and have perfected a range of peeling techniques and solutions.

Dermabrasion
Dermabrasion is a resurfacing procedure where the skin is mechanically smoothed to achieve a rejuvenated appearance. It is used to treat scarring, remove tattoos, and minimize age spots, wrinkles and certain types of skin growths.

Hair Loss and Restoration
Dermatology is the only medical specialty that focuses on the biology of hair, studying the causes and treatment of hair loss. Having invented hair transplant procedures back in the 1950s, dermasurgeons are trained in a combination of techniques to produce the best results. These include hair restoration treatment using standard, mini and micro-grafts; scalp reduction for extensive balding; scalp extenders or tissue expanders; scalp lift and scalp flaps.

Laser Hair Removal
Laser and light-based technologies have revolutionized the therapeutic and cosmetic practice of dermasurgery. By penetrating the melanin in the hair shaft and disabling the hair follicle, long wavelength lasers and pulsed light sources can effectively remove unwanted hair from the face, underarms, back, legs and bikini area on patients of just about all skin types. Laser hair removal can also successfully treat inflamed and bumpy skin caused by ingrown hair.

Laser Resurfacing and Skin Rejuvenation
Laser resurfacing is a cosmetic solution for skin with significant sun damage, wrinkles, acne scars, freckles and age spots. This technique removes the top layers of skin as it gently smoothes and precisely contours the skin surface. Non-ablative (non-wounding) skin rejuvenation is an ideal treatment for those with mild to moderate aging and sun-damaged skin. Non-ablative lasers and light-based devices bypass the top skin layers to stimulate collagen production and tighten underlying skin without patient downtime.

Liposuction Using Local Anesthesia
With the bottom layer of skin made up of fat cells, it is no wonder cosmetic dermasurgeons have extensive experience in performing liposuction to remove unwanted or excess body fat. In the 1980s, they introduced the concept of using local anesthesia, often referred to as tumescent liposuction, which allows the physician to perform the procedures in the office with increased safety and superior cosmetic results.

Scar Improvement
Whether as the result of acne, a skin disease like chicken pox, stretch marks or trauma to the skin, there are several therapeutic and cosmetic dermatologic remedies to improve the appearance of scars. High-tech lasers, dermabrasion, punch grafts and chemical peels are some of the more common treatments developed or refined by dermasurgeons for scar improvement.

Skin Cancer
Dermasurgeons are the unrivaled specialists in the diagnosis, removal, closure and overall treatment of skin cancer. From Mohs micrographic surgery to simple biopsy and excisions as well as preventive laser therapy of pre-cancerous growths, dermasurgeons can control and effectively treat skin cancer with early detection.

Skin Disease Management: Acne, Psoriasis, Rosacea and Vitiligo
Advances in laser technology spearheaded by dermasurgeons provide new treatments for chronic skin conditions like acne, psoriasis, rosacea and vitiligo. These and other skin disorders, which a mere ten years ago required extensive and invasive surgery or were simply resistant to treatment, can now be successfully managed.

Soft Tissue Augmentation (Fillers)
Dermasurgeons have developed and tested various natural and synthetic substances to give skin a smoother and more pleasing appearance. Collagen is one of several widely available injectable wrinkle fillers used to “erase” lines, fill and plump furrows and hollows in the face, and enhance the definition of the lips. Certain scars and skin depressions also respond well to soft tissue fillers.

Tattoo Removal
Several types of laser systems may be used to eliminate tattoos, depending on anatomic location, size and ink color. The laser beam targets the pigment in the skin and mechanically breaks it down. The body then naturally removes the pigment and the tattoo fades. Non-laser techniques are also effective for tattoo removal. Most tattoos require multiple treatments for thorough removal.

Vein Treatments
There are a number of treatment options that minimize or remove the varicose or spider vein, most typically on the face or legs, so its function can be quickly taken over by healthy veins. Procedures include: laser surgery or pulsed light therapy, sclerotherapy (injection of a solution to collapse the vein), ambulatory phlebectomy (vein is removed via a series of tiny incisions along the path of the enlarged vein).

On the Horizon
Dermasurgeons continue to pioneer new research and treatment options. Consult your dermasurgeon to learn about the newest procedures and techniques for the health and beauty of your skin.

WHAT IS THE American Society for Dermatologic Surgery?
The American Society for Dermatologic Surgery (ASDS) was founded in 1970 to promote excellence in the subspecialty of dermasurgery and to foster the highest standards of patient care. The Society is dedicated to advancing education and research in the therapeutic, reconstructive and cosmetic surgery of the skin – from the basics to the advanced, the traditional to cutting-edge breakthroughs. It supports a variety of educational programs and advocacy issues to enhance the ethical practice of dermasurgery on behalf of its 5,000 members and the public.

The field of dermasurgery is constantly evolving and expanding with the discovery of new technologies and treatment techniques. According to national statistics compiled by the ASDS, the number of skin surgery procedures performed in 2005 rose to almost 5 million – a 32% increase compared to 2001, when the study was first conducted.

FOR MORE INFORMATION AND REFERRALS
For more information on skin conditions and treatments, along with a list of ASDS members in your state, please visit the Find a Dermasurgeon section of our Web site. 

 

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