Consumers should consult dermatologists to discuss benefits and potential risks NEW YORK, Nov. 13
NEW YORK, Nov. 13 /PRNewswire/ -- To satisfy the public's quest for
younger-looking skin, the marketplace for cosmetic procedures has expanded
dramatically over the years, with little signs of slowing down. From new
facial fillers that produce longer-lasting results to at-home treatments that
can temporarily remove unwanted hair, the average consumer now has many
choices when it comes to improving their appearance. However, this trend also
has created an influx of unqualified practitioners lacking the training and
expertise of dermatologists who understand the science behind these cosmetic
procedures and their effects on the skin. This can put patient safety at risk.
Speaking today at the American Academy of Dermatology's SKIN academy
(Academy), dermatologist Ranella J. Hirsch, MD, FAAD, clinical assistant
professor of dermatology at Boston University School of Medicine in Boston,
discussed how new technology and products entering the growing market of
cosmetic procedures are enhancing dermatologists' ability to fine-tune
treatments and the pros and cons of at-home cosmetic procedures.
Dermatologists Select Safest Solutions
Advances in the use of fillers, lasers and botulinum rejuvenation are
allowing dermatologists to better refine treatments based on each patient's
specific cosmetic needs. Dr. Hirsch credits the influx of new technologies and
products in these areas as the reason behind the expanded treatment options
for patients.
"The biggest news in cosmetic procedures is the number of new products in
the pipeline that allow us to truly customize and refine treatments for the
individual patient," said Dr. Hirsch. "Dermatologists are now in a position to
be able to offer patients very specific solutions to each of their skin
concerns."
For example, the technology behind lasers and other light sources -- which
is the cornerstone of many skin rejuvenation procedures -- is continually
evolving. Fractional resurfacing is one of the newer laser technologies that
gives dermatologists the option to safely treat patients with more extensive
skin damage. Dr. Hirsch noted that the main benefits of fractional resurfacing
are increased collagen production that creates more dramatic results to
improve the appearance of skin texture and reduce the appearance of wrinkles
and acne scars, doing so with considerably less downtime than other older
invasive laser technologies.
In addition, laser technologies used to treat vascular lesions -- such as
port-wine stains and other birthmarks -- have greatly improved over the years.
This allows more patients to benefit from treatment, especially infants. For
example, the pulsed dye laser selectively heats abnormal blood vessels within
the port-wine stain without injuring the surrounding skin.
"It is simply best practice for a dermatologist trained in laser
technologies to determine if a patient's birthmark is conducive to treatment
and how early and aggressive the intervention should be," added Dr. Hirsch.
A number of new fillers have been introduced in recent years to replace
lost volume in the skin and to shape and sculpt areas that show signs of
aging. Where once natural collagen was the only filler available, now the
advent of synthetic collagens, several hyaluronic acids, L-polylactic acid,
and calcium hydroxyapatite allow dermatologists to correct signs of aging from
sunken cheeks to fine lines around the eyes and lips. "Fillers represent the
most visible area of cosmetic procedures where new products have really
expanded the menu of choices available for very specific skin problems," said
Dr. Hirsch. "Different kinds of fillers can address specific kinds of facial
lines, specific kinds of aging and shaping of the face."
Botulinum toxin, most widely known for its ability to diminish wrinkles
and other facial lines, currently is being studied across many medical
specialties for an array of different conditions. For example, one
manufacturer is seeking FDA approval of using botulinum toxin to treat
migraines. Dr. Hirsch explained that a few new manufacturers have introduced
botulinum toxin formulations in recent years. This helps patients by making
pricing more competitive and, hence, more affordable.
"The important thing to remember with any of these cosmetic procedures is
that you have to be sure that what you're choosing is the real McCoy --
authentic and trustworthy," cautioned Dr. Hirsch. "Unless you go to a
dermatologist specifically trained in cosmetic procedures, you cannot be sure
you are receiving the highest quality care -- and in the case of botulinum
rejuvenation, the safe dosage and manufacturer-specific formulation."
At-Home Treatments
For some consumers, the "do-it-yourself" cosmetic treatments that can be
performed at home represent a viable alternative for those looking for a
quick, albeit temporary, remedy. Many of the at-home products such as
microdermabrasion kits and chemical peel solutions that can be purchased at
drug stores can be safe when they have been thoroughly tested for this type of
self-use. To ensure the highest level of safety, the concentration of the
active ingredients in these products is much lower than that used by
dermatologists.
However, Dr. Hirsch pointed out that there are drawbacks to at-home
treatments of which consumers should be aware. While most at-home treatments
do not produce results as dramatic or long-lasting as the cosmetic procedures
performed in dermatologists' offices, there are still safety concerns if these
are used improperly or if any of the active ingredients cause an unforeseen
skin reaction.
"It is important for consumers considering any at-home cosmetic treatments
to first discuss these products with their dermatologist," advised Dr. Hirsch.
"For example, a person using a retinoid could be at risk for an adverse skin
reaction from a chemical in these at-home products that should not be used
simultaneously."
Perhaps the most sought after new at-home cosmetic procedure that has been
introduced recently is in the realm of laser hair removal devices. Unlike the
laser hair removal procedures performed in dermatologists' offices and which
offer a long-term solution to unwanted facial and body hair, laser hair
removal performed at home is intentionally temporary. Despite giving consumers
only a temporary remedy for unwanted hair, Dr. Hirsch added that these types
of devices can be expensive -- ranging in price from approximately $800 to
$1,000. These devices also can pose a safety concern for people who are tan or
have darker skin.
The concern for people using an at-home laser hair removal device or for
those opting to receive cosmetic treatments outside of a dermatologist's
office, such as at a spa or mall-based establishment, is that many factors
could adversely affect the outcome of the procedure and pose unforeseen side
effects.
"Knowing who not to treat is extremely important, and that is why
consumers should remain highly skeptical of cosmetic procedures offered at
local malls or venues where packages of treatments are sold," said Dr. Hirsch.
"In these cases, there is no motivation to turn anyone away, and the
consequences could be very serious. To ensure the highest level of safety and
efficacy, see your dermatologist for all your skin care needs."
For more information on aging skin, go to the "AgingSkinNet" section of
http://www.skincarephysicians.com, a Web site developed by dermatologists that
provides patients with up-to-date information on the treatment and management
of disorders of the skin, hair and nails.
Headquartered in Schaumburg, Ill., the American Academy of Dermatology
(Academy), founded in 1938, is the largest, most influential, and most
representative of all dermatologic associations. With a membership of more
than 15,000 physicians worldwide, the Academy is committed to: advancing the
diagnosis and medical, surgical and cosmetic treatment of the skin, hair and
nails; advocating high standards in clinical practice, education, and research
in dermatology; and supporting and enhancing patient care for a lifetime of
healthier skin, hair and nails. For more information, contact the Academy at
1-888-462-DERM (3376) or http://www.aad.org.
SOURCE American Academy of Dermatology
