Cosmetics are products designed to provide an appearance benefit to consumers; these do not provide the same efficacy as prescription drugs per se but fill a meaningful need for consumers and are readily available to the world consumer in their respective marketplaces. As a starting premise, traditionl moisturizers in and of themselves are able to […]

John E. Oblong The Procter and Gamble Company, Cincinnati, OH, USA 15.1 Introduction 301 15.2 Cosmetics 302 15.2.1 Retinoids 302 15.2.2 Niacinamide 305 15.2.3 Ascorbic Acid 306 15.2.4 Peptides 306 15.2.5 Kinetin (N6-Furfuryladenine) 307 15.3 Beyond Cosmetics—Prescription Technologies 308 15.4 Dermal Fillers and BOTOX Cosmetic 308 15.5 Nonablative Instruments and Techniques 310 15.6 Phototherapy 310 […]

The author has been using microdermabrasion routinely since 1997, starting first with particle abrasion, and then moving to dermal infusion with abrasive hand piece technology five years later. The optimal use for microdermabrasion technology is in a combination protocol using prescription retinoids, cosmeceuticals, and sunscreens to achieve faster improvement of many skin conditions. The best […]

One of the main reasons for the popularity of microdermabrasion is its safety. The main risk of any surface abrasion is pigmentary disruption. Lasers, intense pulsed light devices, as well as microdermabrasion are often utilized to treat sun-induced hyperpigmentation, melasma, and PIH, yet practicing physicians are well aware of the risk of inducing PIH from […]

Microdermabrasion is used for many skin disorders. Most dermatologists routinely use it in their practices for photoaging, dyschromia, including postinflammatory hyperpigmenta­tion (PIH) and melasma, noninflammatory acne. Less frequently, it is used for striae disten – sae and traumatic scars, such as dog bites (Fig.14.1). One of the first published reports in the United States on […]

Several papers have been published that evaluated the effects of microdermabrasion microscopically. Improvement of the stratum corneum is a common finding. One study showed it to have smoothed and become more compacted with epidermal hyperplasia [7]. In another study, where histology was performed immediately after treatment (acute) and after six procedures, found that acutely the […]

Since the FDA approval of injectable bovine collagen in the early 1980s, the possibility of improving one’s appearance during a quick office visit captivated the public. Soon after, topical tretinoin was hailed as the first agent that could improve the signs of photoaging [1]. Next, the concept of “lunchtime” peels revolutionized skin resurfacing. No longer […]

Mary P. Lupo Department of Dermatology, Tulane Medical School, and Lupo Center for Aesthetic and General Dermatology, New Orleans, LA, USA 14.1 Introduction 291 14.2 History 292 14.3 Published Microscopic and Molecular Findings 292 14.4 Published Clinical Findings 294 14.5 Complications and Contraindications 295 14.6 Practical Tips 296 References 299 12.3 Introduction Microdermabrasion is a […]

Total global nonsurgical restoration employs the three “R”s—resurfacing, relaxation, and refilling. Resurfacing employs nonablative, fractional nonablative, fractional ablative, Before After Figure 13.5 Pre – and post-combination with fraxel and radisse filler. and ablative modalities. The nature of the device to be employed for resurfacing depends on the extent of anomalies of the facial canvas. Relaxation […]