Being an expert witness in a medical legal battle could be a challenging experience for any physician who volunteers for this duty. Knowing the facts of the case in great detail and remaining truthful and ethical throughout the procedure are two principles that a physician must follow in order to complete the task with integrity and reputation intact, according to two physicians familiar with the process.
Modern Medicine Now
Participating in continuing education, attending medical symposia and keeping abreast of the latest research can help cosmetic surgeons arm themselves with the latest knowledge in their field. But there's another step that surgeons say is unparalleled when it comes to gaining perspective into their patents' experience and using it to make improvements in their treatment process: undergoing cosmetic surgery.
Results of a systematic review and meta-analysis highlight the limitations of research investigating methods for preventing seroma after abdominoplasty/abdominal lipectomy and fail to demonstrate superiority of any one technique. However, the findings support use of some method to attempt to reduce the risk, said Ali Izadpanah, M.D., C.M., M.Sc., at the 91st annual meeting of the American Association of Plastic Surgeons.
Most aesthetic surgeons would agree that injectable fillers have a role for rejuvenation of the aging face. However, consideration of patients with poor cosmetic results or frank complications after repeated filler injections and the cumulative costs and downtime associated with this practice reinforces the need for thoroughly reviewing the pros and cons of all options and remembering to be a doctor first.
The advent of lasers and intense pulsed light (IPL) platforms has significantly improved the safety and efficacy of treating facial vessels, but the ability to address both telangiectasias and facial reticular veins requires the use of different lasers and appropriate settings, says Mitchel P. Goldman, M.D. His tools of choice are IPL for treating facial telangiectasias and a long-pulsed, dynamically cooled 1,064 nm Nd:YAG laser for periocular veins.
Understanding of the pathophysiology of cellulite may help to guide the development of interventions for improving its appearance. At the 28th annual scientific meeting of the American Academy of Cosmetic Surgery, speakers discussed associations between cellulite, other subcutaneous fat and aging.
There are a variety of options available today for patients who wish to be rid of lower-extremity spider and reticular veins, but sclerosants remain the most popular, says Neil Sadick, M.D. When choosing which sclerosing agent to use for a particular patient, Dr. Sadick says he considers several factors.
A randomized, split-face, controlled study has shown that photodynamic treatment using hexyl aminolevulinate HCl (HAL; Allumera, PhotoCure) and multiple laser and light sources is safe, well tolerated and effective for photorejuvenation, says Sabrina Fabi, M.D.
Adding modern vein care to his cosmetic surgery practice was a synergistic move that helped Colin E. Bailey, M.D., maintain fiscal equilibrium even in the most unsettling economic times, he says.
For some patients with tear trough deformity, autologous fat may be the best material to use for lower eyelid augmentation, according to Sherrell J. Aston, M.D.