Entries by Maui Derm News

New Drugs 2013: Part 2

Part 2 Neal Bhatia, MD Over the last few years, dermatology has become reliant on botany with regards to some of the newer therapies. These include: Ingenol Mebutate “Petty Spurge” Polypodium leucotomos Sinecatechins (Veregin) Ingenol Mebutate  Ingenol Mebutate is a topical gel derived from the Euphorbia peplus plant, and is approved for its effect on […]

Dermatology Year in Review Part 3: New Insights

Hensin Tsao, MD, PhD   Mosaics In the world of dermatology, we are filled with hamartomatous “overgrowth” syndromes. Many, however, are de novo so the genetic mechanism is unclear. Often times, segments or large quadrants of the body are affected clinically suggesting somatic mosaicism. Two studies in 2012, that complimented some earlier studies, looked at […]

Dermatology Year in Review Part 2: New Treatments

Hensin Tsao, MD, PhD   Dermatologists should remember that most basal cell carcinomas (BCCs) are removed by surgery or with radiation or topical therapies. This past year there has been much more data on hedgehog signaling, which is involved in most BCCs. Hedgehog Pathway Vismodegib, which targets the hedgehog pathway, has been studied in BCCs. […]

Dermatology Year in Review Part 1: New Observations

Hensin Tsao, MD, PhD Dr Hensin Tsao, Director of the Melanoma Clinic at Massachusetts General Hospital, lead off the 2013 Maui Derm meeting by providing the audience with an overview of some of the top stories in dermatology in 2012-2013. Melanoma Dermatologists should know that melanoma is the 5th most common cancer in males and […]

Combining Lasers with Toxins and Fillers

Suzanne Kilmer, MD In this presentation, Dr Kilmer reviewed the techniques for combining the various technologies that are currently available for facial rejuvenation in order to obtain optimal cosmetic improvement for patients. Dr Kilmer stresses the importance of remembering the 5 Rs: Relax Refill Rejuvenate Resurface Reassess Relax It is important to relax the skin […]

Fractionated Laser Technologies

Sandy Tsao, MD There is a lot of information out there and our patients are coming to us with questions about the various devices. Remember, there isn’t one clear-cut way to manage your patients. What’s the rationale for fractional resurfacing? Safer for non-facial areas; beard area Safer for darker skin phonotypes Efficacy greater compared with […]

Targeting Vascular Lesions

Stuart Nelson, MD, PhD There are a variety of different “optical technologies” that can be used to treat vascular skin lesions. These technologies include: pulsed green or yellow light, intense pulsed light, alexandrite, diode, Nd:YAG and dual devices such as combined pulsed dye + Nd:YAG. Dermatologists should remember that a variety of vascular skin lesions […]

Lasers: Safety and Complications

Key Safety Pearls Omar Ibrahimi, MD, PhD Lasers are extremely powerful methods for delivery of light. A basic understanding of laser safety is mandatory for anyone operating a laser The major risks associated with laser use in dermatology include: eye injury, infectious hazards, medication overdoses, fire, and electrical shock Lasers in the visible light and […]

Introduction to Lasers and Light

Victor Ross, MD “To understand laser tissue interactions and heat transfer is to understand laser medicine.” It’s important that Dermatologists understand how lasers work and how they interact with the skin. Electromagnetic radiation is energy. To best understand lasers, one should be familiar with the definitions that are associated with their use, i.e., fluence, pulse […]

Fillers: Part 3

Managing Complications Joel Cohen, MD In this presentation, Dr Cohen reviews the complications that can occur when utilizing fillers and best practices on how to manage these various complications. Dermatologists use fillers across the world, millions of times per year, and most of the time, everything is fine; but understanding the complications and how to […]