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    What’s going to be hot in 2018?


    Injectable innovations

    “For 2018, I think what I’m most excited about is innovative uses of some of the injectable products that we alreadyDr. Batra are using in the office. For example, I think microdroplet techniques where you use very minute amounts of neurotoxins, like botulinum toxin, plus small amounts of filler to really attack some of the accordion-like superficial pleats on the skin, [are] going to become more sophisticated and more widely practiced,” says Sonia Batra, M.D., a dermatologist in private practice in Santa Monica, Calif., and a recurring co-host on the talk show The Doctors.

    PRP proliferation

    Dr. Batra predicts dermatologists will increasingly turn to platelet-rich plasma (PRP), which is the harvesting of growth factors from blood and injecting those back into the scalp and skin to enhance hair growth, as well as rejuvenate the skin.

    The dermatologist says she is combining PRP with a number of laser treatments and chemical peels to consolidate downtime and enhance results. 

    Dr. Cohen“With resurfacing procedures, I think adding more concentrated growth factors expedites healing and improves outcomes. For 2018, I think we'll see PRP used on a number of different areas of the body and not strictly the face or scalp. It will also be more widely applied to enhance hair growth in areas other than the scalp, for example, on the eyebrows,” Dr. Batra says.

    Dermatologist Joel L. Cohen, M.D., who practices in Greenwood Village and Lone Tree, Colo., says he has been using PRP for androgenetic alopecia for 16 months and seeing nice results.

    “We waited to start until fall of 2016, as, by that point, I felt that there were some interesting papers with enough patient numbers showing efficacy and safety,” he says. “Aside from PRP for alopecia, we haven't started injecting PRP for facial rejuvenation alone, except in a few cases of infra-orbital hollows, where I had left-over PRP from the patient after applying it to their face post-resurfacing. I think the concept of doing PRP topical post-ablative resurfacing is very appealing to patients who are interested in using their own healing substances to possible synergistically improve their healing time and overall outcomes.”

    While Dr. Cohen says PRP on the face seems to help speed healing, in his experience, “… it sure would be nice to have a split-face clinical trial to evaluate that,” he says.

    Conflicts of interest: Dr. Batra is a medical advisor for Jenu, which is an at-home ultrasound device that increases absorption of product, as well as for Keranique, which is the hair regrowth system for women. She has consulted with ProActive and Neutrogena. Dr. Cohen has served as a consultant and clinical trial participant for Merz, Galderma and Allergan. Dr. Cohen has served as a consultant and clinical trial participant for Merz, Galderma and Allergan.

    NEXT: Trending: Ingredient-aware products

    Lisette Hilton
    Lisette Hilton, president of Words Come Alive, has written about health care, the science and business of medicine, fitness and wellness ...


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