New York - Look in most surgical texts and you will probably find that they suggest excision with 5-mm margins for treating sebaceous gland carcinoma. This includes removing the entire globe if there is evidence that the orbit is involved. But a recent study found that, with recurrence rates for this potentially life-threatening form of cancer up 30 percent after excision, Mohs surgery might be the better alternative.
Q: What is the role of injectable agents for periorbital rejuvenation
in your practice? Do you inject fat to the periorbita (how, where, and why)?
Do you inject botulinum toxin-A (Botox, Allergan) or collagen to this region?
How and what effects are you able to achieve?
New York - Total auricular reconstruction is a complex and technically demanding procedure with the likelihood of success critically dependent on the surgeon's experience and expertise, according to Charles H. Thorne, M.D.
Q: Dr. Richard Anderson, your article published in 1979, The Tarsal
Strip Procedure, globally and, possibly unknowingly, introduced the concept
of cantholytic canthoplasty for both functional and aesthetic procedures.
Are you still using this approach, and how often do you perform a canthopexy/canthoplasty
with your lower blepharoplasty? What problems have you personally encountered
with your approach or others and how do you avoid them? Dr. Anderson, if
you could start and then a continuation by Dr. Allen Putterman on this subject,
Q Dr. Clinton McCord, Your group practice, obviously with your
guidance, has popularized the midface/cheek lift procedure via a transblepharoplasty
approach that many of us have adopted or modified as an attempt to address
the aging midface, which has been avoided by standard approaches to either
blepharoplasty or facelifting procedures. What is your present approach
Q: How often are you employing a lower eyelid subciliary incision
with lower blepharoplasty? What is your preferred method (skin, skin-muscle,
I never do)? Dr. Norman Pastorek, why don't you start.
Q: Dr. Val Lambros, you have become well known for your acute observations
of volume changes that occur in the face with aging. What are your views
regarding orbital fat/volume management? Do you excise, reposition, reduce
with diathermy, inject? Dr. Lambros, your thoughts and then the personal
approach of the others.
Injections into brow depressors cause elevation in lateral brow, becomes
option to invasive surgery
San Francisco - Injecting botulinum toxin-A into brow depressors
resulted in lateral (temporal) brow elevation with minimal and temporary
adverse effects, offering an alternative to patients reluctant to undergo
Washington, D.C. - Two hair removal lasers were used by Tina S.
Alster, M.D., director, Washington Institute of Dermatologic Laser Surgery,
Washington, D.C., and a colleague on 20 women with Fitzpatrick skin types
I-IV and dark terminal hair. The women underwent three monthly laser-assisted
hair removal sessions with a long-pulsed alexandrite laser (755 nm, 2-msec
pulse, 10-mm spot), and a long-pulsed diode laser (800 nm, 12.5-msec, 9-mm
Oklahoma City - Diffuse hair thinning in women is a larger - and
more devastating - problem than many realize, according to Lynn A. Drake,
M.D., professor, dermatology, University of Oklahoma Health Sciences Center.