May-June 2008 | Volume 7, Issue 3
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Volume 7, Issue 3
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Anti-Aging & Wellness
Integrative Medicine: CANCER TREATMENT AND PREVENTION
By Allan E. Sosin, M.D.
Cancer continues to rank as the second most common cause of death in Western countries, behind cardiovascular disease. Lung cancer is the most common, followed by colonic cancer, then breast and prostate cancer.
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Dermatology
The Perfect BOTOX® Treatment: Updates in the use, technique, and FDA regulation of Botulinum Toxin Type A
By Gregory Alan Wiener, M.D., F.A.C.S.
Six years ago the Food and Drug Administration cleared Botulinum Toxin Type A for the treatment of wrinkles between the eyebrows. Since then, BOTOX® Cosmetic (as it is more commonly known) has been used as a cure-all by people seeking youthful, glowing skin and rejuvenated appearances. Treatment of crow’s feet and forehead is commonly done and is not approved by the FDA. If you want to deliver the perfect BOTOX® to your patients, you must be aware of these details, including approved uses of BOTOX®; and your application technique must be as concise and flawless as possible.
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Laser & Light Technology
THERMAGE – ThermaTip CL A Single Treatment, Non-Invasive Option for Improving Cellulite
By Mitchell Chasin, M.D.
Nearly 90 percent of post-pubescent women experience some degree of cellulite. Cellulite is a condition that occurs when the skin becomes dimpled, usually on the upper posterior, anterior thighs, and buttocks area. The causes of cellulite have been debated and are believed to be linked to metabolism, physiology, hormones, diet, and lifestyle. Physiological disorders include abnormal hyperpolymerization of the fibrous septae and connective tissue, changes in fat cell size and shape, and chronic venous insufficiency. While good diet and exercise may help prevent some women from experiencing excessive cellulite, most women who have followed rigorous diet and exercise routines still cannot significantly improve or eliminate their cellulite without some kind of clinical intervention.
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Legal Case of the Month
Liability Issues for Medical Spas and Aesthetic Practices
By Megan K. Packard, Professional Liability Solutions, LLC
In my last article, I touched on some common sense ways to ensure that you practice effective risk management within a practice that incorporates aesthetic procedures – whether in a medical spa or simply an integrated aesthetic practice. On a regular basis, I speak with physicians and lay business owners who are planning to open medical spas or aesthetic practices and have little awareness of the potential liability issues that can arise from these types of practices. It is essential to understand the issues one should be aware of ahead of time, rather than to be reactive only when a problem presents itself.
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Medical Spas
Meeting Medical Spa Challenges in 2008
By Cheryl Whitman, Founder and CEO of Beautiful Forever
According to Business Communications Co., Inc. (February 2005), the anti-aging market is projected to reach approximately $72 billion by 2009. If you make the right moves now, you could help set the “gold standard” by which all medical spas will be judged in 2009. And, you could stay in business for years to come – but only if you can face some of the biggest challenges head on.
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Plastic Surgery
VASER® Lipoplasty
By Maurice P. Sherman, M.D.
Body contouring procedures date back to the late 1970s when Europeans such as Georgio Fisher and others described a selective localized fat removal procedure using suction canulas. Scuderi, in 1987, first reported using ultrasonic energy for lipoplasty. The first generation of ultrasonic devices was an SMEI device, which utilized 4-6mm solid probes. Lysonix, 1996, developed a second generation ultrasonic device which had a golf-tee shape at the end of a 5mm canula with a 2mm lumen for simultaneous aspiration. Finally, in 2002, a third generation ultrasonic device marketed by Sound Surgical Technologies, termed the VASER® System, became available and was marketed as LipoSelection®.
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Practice Management
Laser Safety in the Cosmetic Practice, Part 2
By Leslie Pollard, BSM, MLSO and Editorial Advisory Member
The federal government plays a very valuable role in providing up-to-date laser safety guidelines for the healthcare environment that all facilities should consider when developing their safety programs. OSHA is a federal entity that has used these guidelines to develop regulations which help laser facilities ensure that everyone who works with these devices is informed and can participate in his or her own safety.
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