Ilya Petrou, M.D.
How to prepare for duty as an expert witness in a medical trial
Being an expert witness in a medical legal battle could be a challenging experience for any physician who volunteers for this duty. Knowing the facts of the case in great detail and remaining truthful and ethical throughout the procedure are two principles that a physician must follow in order to complete the task with integrity and reputation intact, according to two physicians familiar with the process.
Facial rejuvenation efforts may need to go no more than skin deep
Diluting HA fillers and preparing customized mixed filler treatments for patients is one of the next frontiers in facial rejuvenation, says Steven Fagien, M.D., Aesthetic Eyelid Plastic Surgery, Boca Raton, Fla. One of the areas that has been ignored in facial rejuvenation treatments is the skin itself, he says.
Fibrin glue remains practical tool in facelift surgery
Though it has gained a bad reputation in the past because of surgical complications associated with its use, fibrin glue remains a very practical and useful tool in cosmetic surgery, particularly in facelift surgery. When used appropriately and in the right quantities, fibrin glue can help optimize surgical results without the worry of complications, according to Clark O. Taylor, M.D.
Newly approved Belotero filler appears to rival leading dermal products, clinician says
Recently approved by the Food and Drug Administration, Belotero Balance (Merz) appears to rival other longer-standing dermal fillers in efficacy and safety, offering physicians and their patients a new treatment option for the aesthetic correction of moderate to severe facial wrinkles and folds, says Derek H. Jones, M.D.
Cosmetic physician outlines basics of hyaluronic acid and other popular fillers
Knowing the specific characteristics of a filler and the potential complications that can arise and how to deal with those complications is crucial in performing effective and safe filler procedures, says Joseph E. Hkeik, M.B.B.S., F.R.A.C.G.P., F.F.M.A.C.C.S., D.P.D.
Creating quality clinical photography takes only some skill in standardization
A picture speaks a thousand words. As such, the before- and-after images used in clinical photography can be a powerful marketing tool for cosmetic physicians who use the pictures to promote their practice and trade. There is much need for improvement in the art of clinical photography, however, and one of the key steps in taking impressive and honest images is to standardize the photography techniques used, says Joe Niamtu III, D.M.D., F.A.A.C.S.
Hyaluronic acid selection involves understanding patients' needs
Selecting the right hyaluronic acid (HA) filler for a particular cosmetic indication can be a daunting task, particularly when myriad brand names comprise essentially the same type of product, one physician says.
Fat grafting can provide better facial rejuvenation than fillers, surgeon says
Synthetic fillers are more popular than ever in aesthetic medicine, but one cosmetic surgeon believes they are being overused — and even misused — for indications where other techniques such as fat grafting would serve the patient better.
Research allows better understanding of botulinum toxins' efficacy, onset of action
The basic parameters that are said to differentiate neurotoxins from one another include onset of action, time to maximum take and longevity of effect, all of which can vary depending on the individual dose and dilution of a given product. And newer products try to differentiate themselves further by claiming to contain pure toxin, free of complexing proteins that may be safer, says Michael H. Gold, M.D.
In the case of new-age facelift procedures, less is definitely not more, one surgeon says
There is an ever-growing popularity among physicians and their patients in the use of minimally invasive facelift surgery techniques. However, these supposedly new and innovative techniques will often prove to be insufficient in achieving comprehensive and lasting results in patients. In fact, one surgeon says the majority of patients would benefit most from traditional facelift procedures.

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