Journal of Clinical and Aesthetic Dermatology

APR 2017

An evidence-based, peer-reviewed journal for practicing clinicians in the field of dermatology

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11 11 vol. 10, no. 4 • April 2017 • jcadonline.com JCAD journal of clinical and aesthetic dermatology April 2017 • Volume 10 • Number 4 EDITORIAL MESSAGE Welcome to the April 2017 issue of JCAD . This month, we lead with "Treatment of Seborrheic Dermatitis Using a Novel Herbal-based Cream," by Barak-Shinar et al. The objective of this study was to determine the safety and efficacy of a barrier-based, nonsteroidal cream incorporating herbal extracts as a treatment for facial seborrheic dermatitis. The authors found that the herbal-based face cream significantly improved all evaluated parameters of seborrheic dermatitis when compared to baseline Next, we present another original research article titled, "Body Contouring and Skin Tightening Using a Unique Novel Multisource Radiofrequency Energy Delivery Method," by Rousseaux and Robson. In this paper, the authors' data show that the handpiece examined provides high efficacy in skin tightening and body contouring after 5 to 8 painless treatments, and patient subjective questionnaires show very high satisfaction rates. In "Comparative Study of Compounded Anesthetic Benzocaine/Lidocaine/ Tetracaine (BLT) Cream with and without Abrasive Particles," by Boonsiri et al, the authors compared the use of BLT cream with and without abrasive particles to see which type of cream is more effective in reducing discomfort during cosmetic dermatologic procedures, specifically procedures using hyaluronic acid injectables. In "A Review of the Global Guidelines on Surgical Margins for Nonmelanoma Skin Cancers," by Nahhas et al, the authors compared the consistency in global recommendations for surgical excision margins for basal cell carcinoma, cutaneous squamous cell carcinoma, dermatofibrosarcoma protuberans, and Merkel cell carcinoma. After their evaluation, the authors concluded that although guidelines exist, there is a need for international collaboration and consensus to determine a more unified and evidence-based approach to surgical excision as a treatment for nonmelanoma skin cancer. Next, we present, "Triple Hedgehog Pathway Inhibition for Basal Cell Carcinoma," by Yang and Dinehart. In this case, the authors report the successful treatment of a 71-year-old man with advanced basal cell carcinoma using the combination of vismodegib, itraconazole, and imiquimod, each of which inhibits a different part of the hedgehog pathway. Lastly, we present "Vulvar Asymmetry Due to Silicone Migration and Granulomatous Immune Response Following Injection for Buttock Augmentation," by Harker et al. After discussion of treatment options, the 34-year-old patient elected intralesional triamcinolone injections and minocycline therapy as initial treatment. The patient reported mild improvement after one month of therapy, and treatment with intralesional triamcinolone plus oral minocycline was continued. Additionally, don't miss this month's online-only exclusive content at www.jcadonline.com (topics include Microsclerotherapy Complications and Managing Patient Expectations). James Q. Del Rosso, DO, FAOCD Editor-in-Chief, Clinical Dermatology The Journal of Clinical and Aesthetic Dermatology Wm. Philip Werschler, MD, FAAD, FAACS Editor-in-Chief, Aesthetic Dermatology The Journal of Clinical and Aesthetic Dermatology Seemal R. Desai, MD, FAAD Associate Editor The Journal of Clinical and Aesthetic Dermatology

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