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.
Modern Medicine Now
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.
A new platform for bipolar radiofrequency-assisted liposuction (RFAL; BodyTite, Invasix) is promising technology for performing body contouring in an outpatient setting under local anesthesia. However, achieving safe and successful outcomes requires careful technique and patient selection, says Spero J. Theodorou, M.D.
Outcomes from 1,500 consecutive cases of office-based, laser-assisted liposuction using local anesthesia show it is a viable alternative to liposuction under traditional anesthesia for body contouring in appropriately selected patients, says Christopher T. Chia, M.D.