ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Skin Resurfacing and Rejuvenation

by Mary Beth Nierengarten • August 1, 2006

  • Tweet
  • Email
Print-Friendly Version

Given that several modalities can be used to treat a specific condition or achieve a desired objective, another classification system has been proposed that emphasizes the option to use more than one modality for a given condition. In an article published in Facial Plastic Surgery in 2005 (21:120-130), Richard D. Gentile, MD, MBA, of Northeastern Ohio University College of Medicine in Rootstown, and colleagues proposed a classification system based on two criteria: degree of wound healing or ablation and the effectiveness for specific clinical conditions. They claim that when comparing the degree of ablation and clinical conditions, the treatment options tend to show a similar pattern of choices.

You Might Also Like

  • Noninvasive Techniques for Management of Aging Skin
  • Facial Plastic and Reconstructive Surgery: New Patients, New Reasons, New Techniques
  • Platelet Gel in Facial Surgery: Is The Excitement Warranted?
  • Keeping Watch for Skin Cancers on the Head and Neck
Explore This Issue
August 2006

Because several options may be available to treat a given condition or achieve a desired objective, Dr. Gentile and colleagues use an approach called multimodality aesthetic skin rejuvenation (MMASR) that takes into consideration both the number of different treatment modalities available and recovery time intolerance. In this approach, more than one modality may be used to treat a given problem. For example, they have found that stacking nonablative techniques together during the same treatment session enhances the effects of microdermabrasion without increased side effects, and allows the patient to reduce number of office visits required to achieve their objective.

Customize Treatment to Fit the Patient

Regardless of classification system, or whether a single or multimodality approach to skin resurfacing is used, treatment choice ultimately is about tailoring treatment to individual needs. There is no preferred treatment, said Dean M. Toriumi, MD, Professor of Otolaryngology-Head and Neck Surgery at the University of Illinois in Chicago. Selection of method depends on the patient, their skin type, and the experience of the surgeon. According to Dr. Toriumi, dermabrasion remains an effective treatment for unpigmented raised facial scars, chemical peels for fine wrinkles and some pigmentation problems, carbon dioxide lasers for fine facial wrinkles in fair-skinned patients, and pulsed dye lasers for scars and for superficial vascular lesions.

For patient with specific skin types, however, certain techniques are not recommended. Carbon dioxide laser resurfacing is not recommended in patients with darker skin, he said, adding that they can develop permanent pigmentation problems and dermabrasion is not good for younger children, as their skin may respond in a hypertrophic fashion.

Figure. Current techniques in skin resurfacing and rejuvenation are making it possible for more people to keep face against the travails of time. This Special Report offers some tips and caveats for otolaryngologists-head and neck surgeons who want to incorporate these techniques into their practices.

click for large version
Figure. Current techniques in skin resurfacing and rejuvenation are making it possible for more people to keep face against the travails of time. This Special Report offers some tips and caveats for otolaryngologists-head and neck surgeons who want to incorporate these techniques into their practices.
Table. Options for Nonsurgical Treatment of Facial Skin Based on Objective

click for large version
Table. Options for Nonsurgical Treatment of Facial Skin Based on Objective

For Ira Papel, MD, President of the American Academy of Facial Plastic and Reconstructive Surgery, and Assistant Professor of Otolaryngology-Head and Neck Surgery at Johns Hopkins University in Baltimore, MD, patient skin type, age, and what a patient want to accomplish are key variables to consider when deciding on which treatment modality to choose. According to Dr. Papel, selection of treatment modality follows an incremental approach to what the patient wants. Usually, [treatment choice is] an incremental thing, he said, where you start with something very minimal and then build up over time and you stop when the patient is happy.

The general problem with some of these technologies is that they tend to become obsolete in a relatively short period of time. – Dean M. Toriumi, MD

Pages: 1 2 3 4 5 | Single Page

Filed Under: Departments, Facial Plastic/Reconstructive, Medical Education, Practice Focus, Tech Talk Tagged With: facial, injectables, laser, plastic, rejuvenation, surgery, techniques, technology, treatmentIssue: August 2006

You Might Also Like:

  • Noninvasive Techniques for Management of Aging Skin
  • Facial Plastic and Reconstructive Surgery: New Patients, New Reasons, New Techniques
  • Platelet Gel in Facial Surgery: Is The Excitement Warranted?
  • Keeping Watch for Skin Cancers on the Head and Neck

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Vertigo in the Elderly: What Does It Mean?
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Is the Training and Cost of a Fellowship Worth It? Here’s What Otolaryngologists Say
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Why Virtual Grand Rounds May Be Here to Stay
    • Otolaryngologist Leverages His Love of Pinball into Second Business
    • These New Imaging Advances May Help to Protect Parathyroids
    • Is the Training and Cost of a Fellowship Worth It? Here’s What Otolaryngologists Say
    • Which Otologic Procedures Poses the Greatest Risk of Aerosol Generation?

Polls

Have you used 3D-printed materials in your otolaryngology practice?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.