Skin damage, resulting from surgery, trauma, acne scarring, or excessive skin exposure, often pro... more Skin damage, resulting from surgery, trauma, acne scarring, or excessive skin exposure, often prompts patients to seek medical advice. Nowadays, even expected signs of aging, such as rhytides and “age spots,” can be distressing enough to lead patients to inquire about treatment. Traditional treatment modalities include the use of topical retinoids, bleaching agents, chemical peels, microdermabrasion, and lasers. With the recent advances in technology, lasers and light sources have now become the technique of choice for skin resurfacing. Conventional lasers, like the carbon dioxide (CO2) or erbium:yttrium aluminum garnet (Er:YAG), are ablative and thus remove the entire epidermis and portions of the dermis during treatment. Consequently, results are impressive, but there is a great degree of associated postoperative morbidity. Patients are often advised to expect 1–2 weeks of “downtime” in order to recover from the swelling, oozing, crusting, and discomfort that results from the procedure [1] (V/B).
Attempts at counteracting the signs of aging, such as redundant facial and neck skin, have become... more Attempts at counteracting the signs of aging, such as redundant facial and neck skin, have become increasingly popular. Traditionally, surgery was the sole treatment for skin laxity. However, with the recent advances in technology, conditions that once required major surgical intervention no longer do so. Devices like nonablative lasers (long pulse 1,064 nm Nd:YAG), have been initiated instead. Primarily created for skin resurfacing with a reduced posttreatment recovery time, these devices also exhibited improvement in skin laxity. Unfortunately, this benefit was modest at best, and thus radiofrequency (RF), infrared, and ultrasound devices were introduced for nonablative tissue tightening via volumetric heating of the deep dermis.
Studies using a 755 nm picosecond laser with a focus lens array have been reported to be effectiv... more Studies using a 755 nm picosecond laser with a focus lens array have been reported to be effective for facial wrinkles and pigmentation. This study reports the safety and efficacy using a shorter interval of 2-3 weeks between treatments. Nineteen female subjects and one male subject, primarily Fitzpatrick skin types II and III (one skin type I), who had mild to moderate wrinkles and sun-induced pigmentation were enrolled and treated using the 755 nm PicoSure Laser with focus lens array. The skin was cleansed then wiped with an alcohol wipe prior to treatment. Lidocaine 30% ointment and/or forced air cooling could be used to increase subject comfort. Adjacent pulses, with minimal overlap (10% or less), were delivered to the full face. Subjects received four treatments, performed at 2-3 week intervals. The laser energy used was 0.71 J/cm 2. The physician administered 3-7 passes with an average total of 6,253 pulses per treatment. Follow-up visits occurred at 1 and 3 months post-last treatment at which the physician scored satisfaction and improvement and subjects scored satisfaction and likelihood to recommend to others. The most common side effects were mild swelling, pain, redness, and crusting, most of which subsided within hours of the treatment, with the latest resolving within 48 hours. This is similar to a previous reported study (Weiss et al. ASLMS 2015) where treatments were performed every 6 weeks with side effects resolving within 24 hours. At the 1 and 3 month follow-up visits, 94% (n ¼ 19) and 93% (n ¼ 15) of subjects scored themselves as satisfied or extremely satisfied with their overall results and 81% and 93% were likely to recommend the treatment based on global assessment, respectively. The treating physician was satisfied with 93% of subject's overall results. Three blinded evaluators were able to correctly identify the baseline from post-treatment photographs in 77% of the subjects at the 1 month follow-up and 69% of the subjects at the 3 month follow-up, on average. The average treatment pain score was 4.2 on a 1-10 scale. A compressed treatment interval expedites results without increasing side effects and resulted in a high physician and subject satisfaction rate. Lasers Surg. Med.
Cosmetic and laser procedures are increasingly popular among patients and are skills in which der... more Cosmetic and laser procedures are increasingly popular among patients and are skills in which dermatologists are regarded as well trained. Most dermatology residents intend to incorporate cosmetic procedures into their practice and prefer to learn such procedures during residency through direct patient care. However, there are notable challenges in optimizing how residents are trained in cosmetic and laser dermatology. To address these barriers and elevate the practice of cosmetic dermatology in academic medicine, the Association of Academic Cosmetic Dermatology (AACD) was founded in 2021 as the lead professional society for dermatologists who direct the education of resident trainees in cosmetic and laser dermatology. The AACD, a group of board-certified dermatologists who teach cosmetic and laser dermatology to residents, aims to improve cosmetic dermatology education through collaboration, research, and advocacy.
Cosmetic dermatology is a key subspecialty of academic dermatology. As such, academic centers are... more Cosmetic dermatology is a key subspecialty of academic dermatology. As such, academic centers are expected to demonstrate excellence in the teaching of cosmetic dermatology skills to trainees, the clinical delivery of cosmetic dermatology services to patients, and the performance of clinical research that advances knowledge and uncovers new therapies in cosmetic dermatology. The Association of Academic Cosmetic Dermatology (AACD), a newly formed medical professional society, includes as its principal aims the support of all of these areas. AACD is comprised of group of board-certified dermatologists who teach cosmetic and laser dermatology at US dermatology residency programs. An expert panel constituted by the AACD recently convened a workshop to review gaps pertaining to academic cosmetic dermatology. This panel considered needs and potential corrective initiatives in three domains: resident education, patient experience, and clinical research. The work of the panel was used to develop a roadmap, which was adopted by consensus, and which will serve to guide the AACD moving forward.
Attempts at counteracting the signs of aging, such as redundant facial and neck skin, have become... more Attempts at counteracting the signs of aging, such as redundant facial and neck skin, have become increasingly popular. Traditionally, surgery was the sole treatment for skin laxity. However, with the recent advances in technology, conditions that once required major surgical intervention no longer do so. Devices like nonablative lasers (long pulse 1,064 nm Nd:YAG), have been initiated instead. Primarily created for skin resurfacing with a reduced posttreatment recovery time, these devices also exhibited improvement in skin laxity. Unfortunately, this benefit was modest at best, and thus radiofrequency (RF), infrared, and ultrasound devices were introduced for nonablative tissue tightening via volumetric heating of the deep dermis.
Government incentives and mandates to increase the meaningful use of electronic health records (E... more Government incentives and mandates to increase the meaningful use of electronic health records (EHR), with subsequent disincentives by Medicare, have made a significant push for dermatologists to adopt this technology into their practices. EHRs were originally developed for primary care physicians; however, owing to the unique features of dermatology, specialty-specific systems are a must. In this article, we discuss the special needs of dermatologists when choosing an EHR system.
The Journal of clinical and aesthetic dermatology, 2015
In the early 1990s, the biological significance of light-emitting diodes was realized. Since this... more In the early 1990s, the biological significance of light-emitting diodes was realized. Since this discovery, various light sources have been investigated for their cutaneous effects. A Medline search was performed on light-emitting diode lights and their therapeutic effects between 1996 and 2010. Additionally, an open-label, investigator-blinded study was performed using a yellow light-emitting diode device to treat acne, rosacea, photoaging, alopecia areata, and androgenetic alopecia. The authors identified several case-based reports, small case series, and a few randomized controlled trials evaluating the use of four different wavelengths of light-emitting diodes. These devices were classified as red, blue, yellow, or infrared, and covered a wide range of clinical applications. The 21 patients the authors treated had mixed results regarding patient satisfaction and pre- and post-treatment evaluation of improvement in clinical appearance. Review of the literature revealed that diff...
Skin damage, resulting from surgery, trauma, acne scarring, or excessive skin exposure, often pro... more Skin damage, resulting from surgery, trauma, acne scarring, or excessive skin exposure, often prompts patients to seek medical advice. Nowadays, even expected signs of aging, such as rhytides and “age spots,” can be distressing enough to lead patients to inquire about treatment. Traditional treatment modalities include the use of topical retinoids, bleaching agents, chemical peels, microdermabrasion, and lasers. With the recent advances in technology, lasers and light sources have now become the technique of choice for skin resurfacing. Conventional lasers, like the carbon dioxide (CO2) or erbium:yttrium aluminum garnet (Er:YAG), are ablative and thus remove the entire epidermis and portions of the dermis during treatment. Consequently, results are impressive, but there is a great degree of associated postoperative morbidity. Patients are often advised to expect 1–2 weeks of “downtime” in order to recover from the swelling, oozing, crusting, and discomfort that results from the procedure [1] (V/B).
Attempts at counteracting the signs of aging, such as redundant facial and neck skin, have become... more Attempts at counteracting the signs of aging, such as redundant facial and neck skin, have become increasingly popular. Traditionally, surgery was the sole treatment for skin laxity. However, with the recent advances in technology, conditions that once required major surgical intervention no longer do so. Devices like nonablative lasers (long pulse 1,064 nm Nd:YAG), have been initiated instead. Primarily created for skin resurfacing with a reduced posttreatment recovery time, these devices also exhibited improvement in skin laxity. Unfortunately, this benefit was modest at best, and thus radiofrequency (RF), infrared, and ultrasound devices were introduced for nonablative tissue tightening via volumetric heating of the deep dermis.
Studies using a 755 nm picosecond laser with a focus lens array have been reported to be effectiv... more Studies using a 755 nm picosecond laser with a focus lens array have been reported to be effective for facial wrinkles and pigmentation. This study reports the safety and efficacy using a shorter interval of 2-3 weeks between treatments. Nineteen female subjects and one male subject, primarily Fitzpatrick skin types II and III (one skin type I), who had mild to moderate wrinkles and sun-induced pigmentation were enrolled and treated using the 755 nm PicoSure Laser with focus lens array. The skin was cleansed then wiped with an alcohol wipe prior to treatment. Lidocaine 30% ointment and/or forced air cooling could be used to increase subject comfort. Adjacent pulses, with minimal overlap (10% or less), were delivered to the full face. Subjects received four treatments, performed at 2-3 week intervals. The laser energy used was 0.71 J/cm 2. The physician administered 3-7 passes with an average total of 6,253 pulses per treatment. Follow-up visits occurred at 1 and 3 months post-last treatment at which the physician scored satisfaction and improvement and subjects scored satisfaction and likelihood to recommend to others. The most common side effects were mild swelling, pain, redness, and crusting, most of which subsided within hours of the treatment, with the latest resolving within 48 hours. This is similar to a previous reported study (Weiss et al. ASLMS 2015) where treatments were performed every 6 weeks with side effects resolving within 24 hours. At the 1 and 3 month follow-up visits, 94% (n ¼ 19) and 93% (n ¼ 15) of subjects scored themselves as satisfied or extremely satisfied with their overall results and 81% and 93% were likely to recommend the treatment based on global assessment, respectively. The treating physician was satisfied with 93% of subject's overall results. Three blinded evaluators were able to correctly identify the baseline from post-treatment photographs in 77% of the subjects at the 1 month follow-up and 69% of the subjects at the 3 month follow-up, on average. The average treatment pain score was 4.2 on a 1-10 scale. A compressed treatment interval expedites results without increasing side effects and resulted in a high physician and subject satisfaction rate. Lasers Surg. Med.
Cosmetic and laser procedures are increasingly popular among patients and are skills in which der... more Cosmetic and laser procedures are increasingly popular among patients and are skills in which dermatologists are regarded as well trained. Most dermatology residents intend to incorporate cosmetic procedures into their practice and prefer to learn such procedures during residency through direct patient care. However, there are notable challenges in optimizing how residents are trained in cosmetic and laser dermatology. To address these barriers and elevate the practice of cosmetic dermatology in academic medicine, the Association of Academic Cosmetic Dermatology (AACD) was founded in 2021 as the lead professional society for dermatologists who direct the education of resident trainees in cosmetic and laser dermatology. The AACD, a group of board-certified dermatologists who teach cosmetic and laser dermatology to residents, aims to improve cosmetic dermatology education through collaboration, research, and advocacy.
Cosmetic dermatology is a key subspecialty of academic dermatology. As such, academic centers are... more Cosmetic dermatology is a key subspecialty of academic dermatology. As such, academic centers are expected to demonstrate excellence in the teaching of cosmetic dermatology skills to trainees, the clinical delivery of cosmetic dermatology services to patients, and the performance of clinical research that advances knowledge and uncovers new therapies in cosmetic dermatology. The Association of Academic Cosmetic Dermatology (AACD), a newly formed medical professional society, includes as its principal aims the support of all of these areas. AACD is comprised of group of board-certified dermatologists who teach cosmetic and laser dermatology at US dermatology residency programs. An expert panel constituted by the AACD recently convened a workshop to review gaps pertaining to academic cosmetic dermatology. This panel considered needs and potential corrective initiatives in three domains: resident education, patient experience, and clinical research. The work of the panel was used to develop a roadmap, which was adopted by consensus, and which will serve to guide the AACD moving forward.
Attempts at counteracting the signs of aging, such as redundant facial and neck skin, have become... more Attempts at counteracting the signs of aging, such as redundant facial and neck skin, have become increasingly popular. Traditionally, surgery was the sole treatment for skin laxity. However, with the recent advances in technology, conditions that once required major surgical intervention no longer do so. Devices like nonablative lasers (long pulse 1,064 nm Nd:YAG), have been initiated instead. Primarily created for skin resurfacing with a reduced posttreatment recovery time, these devices also exhibited improvement in skin laxity. Unfortunately, this benefit was modest at best, and thus radiofrequency (RF), infrared, and ultrasound devices were introduced for nonablative tissue tightening via volumetric heating of the deep dermis.
Government incentives and mandates to increase the meaningful use of electronic health records (E... more Government incentives and mandates to increase the meaningful use of electronic health records (EHR), with subsequent disincentives by Medicare, have made a significant push for dermatologists to adopt this technology into their practices. EHRs were originally developed for primary care physicians; however, owing to the unique features of dermatology, specialty-specific systems are a must. In this article, we discuss the special needs of dermatologists when choosing an EHR system.
The Journal of clinical and aesthetic dermatology, 2015
In the early 1990s, the biological significance of light-emitting diodes was realized. Since this... more In the early 1990s, the biological significance of light-emitting diodes was realized. Since this discovery, various light sources have been investigated for their cutaneous effects. A Medline search was performed on light-emitting diode lights and their therapeutic effects between 1996 and 2010. Additionally, an open-label, investigator-blinded study was performed using a yellow light-emitting diode device to treat acne, rosacea, photoaging, alopecia areata, and androgenetic alopecia. The authors identified several case-based reports, small case series, and a few randomized controlled trials evaluating the use of four different wavelengths of light-emitting diodes. These devices were classified as red, blue, yellow, or infrared, and covered a wide range of clinical applications. The 21 patients the authors treated had mixed results regarding patient satisfaction and pre- and post-treatment evaluation of improvement in clinical appearance. Review of the literature revealed that diff...
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Papers by Shraddha Desai