Thursday, August 26, 2010

Highlights from the 2010 AAD Meeting

There certainly was a focus on non-evasive body contouring with ultrasound, low level light, better radiofrequency tips, freezing (cryolipolysis) and a combo of laser, massage and suction. The studies of effectiveness and longevity are still being accumulated as well as those to reassure us on the safety of these treatments to the patient. There weren’t any rumors regarding results of the FDA mandated Lipodissolve studies yet.

Ablative Fractional Resurfacing (AFR), done with fractionated CO2 lasers, is still very popular with more cases achieving success in treating very sun damaged skin and wrinkles (even around the mouth). Some skin tightening is seen along with the improvement in the more difficult types of acne and surgical scars.

At least two more new neurotoxins (think Botox), will be available in the near future along with more competitive pricing and interesting micro injection techniques.

Revance, a topical product with a Botox like effect on crows feet, is starting the phase 3 trials soon. It won’t replace Botox but definitely seems to have some effect. It is also being studied for underarm sweating.

Face lifts are averaging 8 years in effectiveness, up to 10 years in the very fortunate. Barbed suture lifts are losing out to the statistics of 69% having 38 kinds of adverse events. 59% of patients required additional procedures, particularly fillers.

A consistent phase was heard: beware of the hype. We are reminded that as physicians we are scientifically trained and need competent, statistically sound studies to confirm the information provided by the companies and their representatives.

Dr. Ann

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