Index. B Baumann skin type indicator, 6, 7 Biological aging, 208 Biometrical image tools confocal Raman spectroscopy, 15 Dermascan

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1 Index A Ablative fractional photothermolysis, 81 Acne classification acne conglobata, 37 acne cosmetica, acne excoriée, 39 acne fulminans, 38 acne inversa, 37 acne neonatorum, acne vulgaris, 35 adult acne, iatrogenic acne, infantile acne, 35 cosmetological approach cleansing agents, 43 keratolytics, 44 moisturizing agents, 44 photoprotection, 45 sebum regulators, 44 description, 34 diagnosis, 41 etiology classical aspects, 39 diet and weight loss, 39 sunlight and cosmetics, histology, incidence, 34 pathophysiology, photodynamic therapy, prognosis, 42 systemic medical treatment hormonal therapy, 48 oral antibiotics, 47 oral isotretinoin, 48 topical medical treatment AHAs, 46 antibiotics, 45 camouflage, 47 chemical peels, retinoids, 45 Acne cyst/inflammatory acne, 153, 157 Acne scarring, 206 Actinic keratosis, , 125, 153, Adipolytic therapy, 182, Adrenal steroid 21-hydroxylase deficiency (CYP21), 70 Adult acne, Alpha hydroxy acids (AHAs) acne, 46 cosmeceuticals, 103 Androgen-secreting tumors, 67 Antiandrogens, Antibiotics acne, 45 oral, 47 ATX-101, B Baumann skin type indicator, 6, 7 Biological aging, 208 Biometrical image tools confocal Raman spectroscopy, 15 Dermascan, 12 13, 15 reflectance confocal microscopy, Skin Evidence, 12, 14 Visioscope BW 30, 12 Blackheads, 42 Blepharoptosis, 136 Botulinum toxin injections, 211 skin evaluation systems, 9 Botulinum toxin type A (BT-A) commercial preparation, 133 cosmetic usage (see Cosmetic use, BT-A) dilution, 133 handling, 134 immunology, injection technique, 134 physiology and pharmacology, reconstitution, 133 A. Tosti, D. Hexsel (eds.), Update in Cosmetic Dermatology, DOI / , Springer-Verlag Berlin Heidelberg

2 216 Index Bowen s disease, 125 Bunny lines, C CAH. See Congenital adrenal hyperplasia (CAH) Camouflage, 47 Carbon dioxide laser, 81 Carboxytherapy, cellulite, 30 Cardiac pacemaker, 176 Cellulite anatomical considerations, characterization, 22 classification, 25 diagnosis, etiology, 23 lesions on buttocks, 22 pathophysiology, 23 prevalence, prognosis, 30 semiquantitative skin evaluation, 9 Subcision technique cellulite classification, complications, contraindications, 54, 55 indications, 54, 55 mechanism of action, 55 patient selection, 54 postoperative recommendations, preoperative recommendations, 56 procedure technique, treatments carboxytherapy, 30 Endermologie, 28 lasers, liposuction, 29 manual lymphatic drainage, mesotherapy, 29 oral treatment, radiofrequency, 28 Subcision, 29 topical treatment, 27 Cellulite severity scale (CSS), 9, 25 Chemical peels, Chest/décolleté wrinkles, 141 Clindamycin, 47 Clostridium botulinum, 132 Cone-spray technique, 151, 156 Confocal Raman spectroscopy, 15 Congenital adrenal hyperplasia (CAH), 67 Corneometer-pH-Meter-Sebumeter, 17 Cosmetic procedures, in Asian skin clinical features, methods/products, pathophysiology, Cosmetic use, BT-A extra facial areas, 141 lower face dimpled chin, 140 drooping mouth corner, 139 face lift, 140 GS, perioral rhytides, 140 middle face bunny lines, cheeks, 139 infraorbital rhytides, 138 nasal tip/repeated nasal flare, 139 upper face forehead lines, 137 glabellar lines, 136 lateral canthal lines, lateral eyebrow lift, 138 Cosmetological approach, acne cleansing agents, 43 keratolytics, 44 moisturizing agents, 44 photoprotection, 45 sebum regulators, 44 Crow s feet, 137 Cryopeeling, Cryosurgery advantages, 160 contraindications, 151 disadvantages, 160 history of use, indications, mechanism of action, 146 patient education, 152 patient selection, 151 postprocedure course, procedure technique acne cyst/inflammatory acne, 157 actinic keratoses, hemangioma/hemolymphangioma, 157 IGH, keloids, oral lesions, seborrheic keratoses, solar lentigines, 155 sun-damaged skin, products, relevant anatomy, 148 side effects,

3 Index 217 techniques for, uses, 145 Cutometer, 18 D Depilation, 70 Dermascan, 12 13, 15 Dermatoheliosis, 209 Dermatoscope, 2, 3 Dimpled chin (Peau d Orange), 140 Dipstick technique, Direct-current surgical galvanism, 173 Drooping mouth corner, 139 E Edematous fibrosclerotic panniculopathy. See Cellulite Eflornithine, 71 Elastomer EM 25, 18 Electrocautery, Electrocoagulation, Electrodesiccation, Electrofulguration, 171 Electrolysis, Electrosection, Electrosurgery advantages, 165, 177 adverse effects, 179 burn injury cardiac pacemaker, 176 channeling, 175 fire hazards, 175 human papillomavirus, 176 clinical applications direct-current surgical galvanism, 173 electrocautery, electrocoagulation, electrodesiccation, electrofulguration, 171 electrosection, complications, 179 disadvantages, 177 history of use, mechanism of action, 166 modalities, 167 post-procedure course, procedural technique, risks, 175 sterilization, 177 Endermologie, 28 Environmental aging, Epilation method, 70 Extrinsic aging, F Face lift, 140 Fat-melting injections, 182 Fitzpatrick skin classification, 5, 6 FotoFinder, 5 G 18-gauge BD Nokor needle, 57 Gingival smile/gummy smile (GS), Glabellar lines, 136 Glogau classification, aging skin, 6, 7 Glucocorticoids, 70 GnRH agonists, 70 Griffith s range, skin aging, 8 Gynoid lipodystrophy. See Cellulite H Hair removal methods depilation, 70 electrolysis, epilation method, 70 photoepilation, 71 Handheld liquid nitrogen device, cryosurgery, 148, 149 Hemangioma/hemolymphangioma, 153, 157 Hematomas, 59 Hemosiderosis, 59 Hexsel and Dal Forno cellulite severity scale, 53 Hidradenitis suppurativa, 37 Hirsutism description, 65 diagnostic tests, 68 etiology androgen-secreting tumors, 67 idiopathic, 66 medications, 67 nonclassical 21-hydroxylase deficiency, 67 PCOS, 66 treatment antiandrogens, glucocorticoid monotherapy, 70 GnRH agonists, 70 insulin-lowering drugs, 69 long term hair removal, oral contraceptives, temporary hair removal, 70 topical treatment, 71

4 218 Index Horizontal necklace lines and platysmal bands. See Platysmal muscle Hormonal therapy, 48 Hyperinsulinemia, 39 I Iatrogenic acne, Idiopathic guttate hypomelanosis (IGH), Idiopathic hirsutism, 66 Infantile acne, 35 Infraorbital rhytides, 138 Injectable treatments, for fat deoxycholic acid, detergents and tissue interactions, injection lipolysis, 183 Lipodissolve, 184 lipolysis, Lipostabil, 184 mesotherapy, pharmaceutical lipoplasty, 183 phosphatidylcholine hypothesis, 185 Insulin-lowering drugs, 69 Intense pulsed light (IPL), 80 Intrinsic aging, 208 K Keloids, 153, Keratolytics, 44 L Labial lentiginous macules (LLM), 156 Laser doppler flowmetry (LDF), 26 Laser resurfacing, 211 Lateral eyebrow lift, 138 Levulan, 117 LIPO-102 agents, 183, Liposuction, 29 Local lipodystrophy. See Cellulite Lupus miliaris disseminatus, 41 M Macrolides, 47 Magnetic resonance imaging (MRI) quantitative skin evaluation, 15 subcutaneous septa, in cellulite depressed lesion, 24 Manual lymphatic drainage, Melasma area and severity index (MASI), 8 Mesotherapy cellulite, 29 injectable fat treatments, Mexameter, 16 Microdermabrasion, Minor s test, 9 Mirror imaging software, 11 Modified Fitzpatrick Wrinkle Scale, 8 Moisturizers acne, 44 striae distensae, 79 Moschella, 208 N Nasal tip/repeated nasal flare, 139 Nd:YAG laser, 81 Neck wrinkles, 141 Neonatal acne, Nodular BCC, 126 Noninflammatory acne, 35 Nonmelanoma skin cancer (NMSC), 117, 126 O OMNIA imaging system, 4 5 Open-spray technique, , 154, 159 Oral antibiotics, 47 Oral contraceptives, Oral isotretinoin, 48 Oral lesions, 153, P Papillae adipose, 24 PCOS. See Polycystic ovary syndrome (PCOS) Perioral dermatitis, 41 Perioral rhytides, 140 Photoaging, 206, 209 Photodynamic therapy (PDT) actinic keratosis, 125 advantages, 124 Bowen s disease, 125 contraindications, 121 history of use, 116 indications acne lesions, AK, infective diseases, 120 NMSC, 117 photodamage, 119

5 Index 219 mechanism of action, nodular BCC, 126 patient selection, post-procedure course, 124 procedure technique 5-aminolevulinic acid (ALA), methyl aminolevulinate (MAL), side effects, superficial BCC, 126 Photoepilation, 71 Photographic assessment, 2 5 Photosensitizer agents, PDT, 120 Platysmal muscle, 141 Poikiloderma, 210 Polycystic ovary syndrome (PCOS), 66 Primos measurement, 10 Protoporphyrin IX (PpIX), 116 Pseudofolliculitis, of beard, 41 Q Q-switched ND-YAG laser, 210 Qualitative skin evaluation clinical examination FotoFinder, 5 photographic assessment, 2 5 wood s lamp, 2, 4 skin scales, 5 7 Quantitative reproducible facial image analysis, Quantitative skin evaluation imaging measurement tools biometrical image tools, quantitative reproducible facial image analysis, three-dimensional skin microphotography, 10 skin feature measure tools skin barrier and skin surface parameters, skin elasticity, 18 skin reflectance instruments, Visioscope, 10 R Radiofrequency (RF) cellulite, 28 striae distensae, 81 Reflectance confocal microscopy, 13 Retinoids, 45 Rosacea, 41 S Seborrheic keratoses, 153, , 207 Sebum regulators, 44 Semiquantitative skin evaluation botulinum toxin, 9 cellulite, 9 Likert scale, 7 pigmentary disorders, 8 9 quality of life, 10 skin aging, 8 Seromas, 59 Skin evaluation systems qualitative clinical examination, 2 5 skin scales, 5 7 quantitative imaging measurement tools, skin feature measure tools, semiquantitative (see Semiquantitative skin evaluation) Skin EvidenceTM, 12, 14 Skin laxity, 30 Skin phototype (SPT), 204 Skin remodeling, 210 Skin tightening procedures, 212 Skin-Visiometer, 10 Smokers lines, 140 SmoothShapes, 29 Solar lentigines, 153, 155 Spironolactone, 69 Striae distensae (SD) in adolescence, 76 description, 75 differential diagnosis, in pregnant women, 76 surgical treatments lasers, light devices and radio frequency, microdermabrasion, 82 sand abrasion, 83 serial superficial dermabrasion, 83 Subcision, 82 topical treatments moisturizers, 79 onion extract cream, 80 tretinoin, Striae rubra, 76, 77 Subcision, 29 in cellulite anatomy, 52 classification, complications, contraindications, 54, 55

6 220 Index Subcision (cont.) indications, 54, 55 mechanism of action, 55 patient selection, 54 postoperative recommendations, preoperative recommendations, 56 procedure technique, striae distensae, 82 Sun-damaged skin, 153, Superficial BCC, 126 Superficial dermabrasion, 83 T Telangiectasias, 210 Tensioactives, 43 Tetracycline, 47 Thermography, 26 Three-dimensional skin microphotography, 10 Topical agents, cellulite, 27 Topical PDT. See Photodynamic therapy (PDT) Tretinoin, TriActive, 28 Tristimulus colorimeters, 16 V VelaShape, Venous lake, Visia imaging booth, Visioscan VC 98, 11 Visioscope BW 30, 12 W Wood s lamp, 2, 4