Patient: A 50-year-old Caucasian female patient with recent onset of yellowish plaques on the upper eyelids. Treatment Issue: Using ablative resurfacing to improve the appearance of xanthelasma. ___________________________ Xanthelasma palpebrarum is the most common type of cutaneous xanthoma. As the name suggests, these lesions occur on the eyelids. Xanthelasma may arise at any age, with the peak incidence in the fourth and fifth decades. Clinically, yellowish plaques are typically noted, often bilaterally and in clusters. Although both the upper and the lower eyelids
Photodynamic therapy (PDT) using 20% 5-aminolevulinic acid (ALA) (Levulan Kerastick, DUSA Pharmaceuticals, Inc.) received FDA clearance in 1999 for the treatment of non-hypertrophic actinic keratoses (AKs) of the face and scalp.
Patient: A 44-year-old woman with a horseshoe-shaped mouth. When her facial muscles are at rest, it gives her the unintentional appearance of anger.
Treatment Issue: Combining botulinum toxin type A (Botox Cosmetic) and a filler agent, in this case Restylane, to correct the appearance of a downturned smile.
Botox 3 units into each depressor anguli oris along with Restylane 0.35 cc apiece into each oral commissure.
Precise placement of both products is paramount. We recommend the
Patient: A 54-year-old woman with low-lying brows at rest.
Treatment Issue: Combining botulinum toxin type A (Botox Cosmetic) and a dermal filler, in this case Restylane, to perform a bilateral brow lift.
This patient received 28 units of Botox into the glabellar complex and 3 units of Botox into each orbicularis oculi just under the eyebrow. In addition, we injected Restylane 0.25 cc apiece under the brow laterally and medially.
As is typically the case with combined therapies, precise placement of both pro
Patient: A 21-year-old Caucasian woman presenting for Mohs surgery and subsequent repair for biopsy-proven morpheaform basal cell carcinoma on nasal ala.
Treatment Issues: Using a modified bilobed flap with cartilage strut for repair of a deep surgical defect on nasal ala.
Resection of a large tumor near the alar rim may result in both functional and aesthetic concerns. First, alar collapse during the inspiratory phase of breathing can occur. This is especially true for older patients, in whom stretching of the fibrous at