Dermatologic Surgery




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Morbidity and Mortality of Melanoma on the Trunk and Extremities Treated With Mohs Surgery Versus Wide Excision: A Systematic Review

Bednar, E. Dimitra MSc*; Zon, Michael BSc*,†; Abu-Hilal, Mohannad MD, MRCP*,‡

doi : 10.1097/DSS.0000000000003250

January 2022 - Volume 48 - Issue 1 - p 1-6

Recommendations for the approved use of Mohs surgery for cutaneous melanoma on the trunk and extremities remain uncertain.

Buy The Package and View The Article Online


The Emerging Field of Regenerative Aesthetics—Where We Are Now

Zarbafian, Misha MD*; Fabi, Sabrina G. MD†,‡; Dayan, Steven MD§; Goldie, Kate MD?

doi : 10.1097/DSS.0000000000003239

January 2022 - Volume 48 - Issue 1 - p 101-108

Regenerative aesthetics is an emerging branch of regenerative medicine with therapies aimed at recapturing youthful structure and function using the body's own systems.

Buy The Package and View The Article Online


Platelet-Rich Plasma in Melasma—A Systematic Review

Sarkar, Rashmi MD, FAMS*; Gupta, Meghna MD, DNB†

doi : 10.1097/DSS.0000000000003266

January 2022 - Volume 48 - Issue 1 - p 131-134

Melasma is a common relapsing hyperpigmentation disorder, which is often difficult to treat. Platelet-rich plasma (PRP) is a novel modality often used to treat acne scars, androgenic alopecia, chronic wounds, and skin rejuvenation. Recently, it has had a promising role in the treatment of melasma.

Buy The Package and View The Article Online


Functional Surgery for Subungual Melanoma: Surgical Tips Based on Histological Analysis of 21 Cadavers

Kim, Byung Jun MD*; Kim, Jinhyun MD*; Hu, Julong MD*; Kwak, Yoonjin MD, PhD†; Kwon, Sung Tack MD, PhD*

doi : 10.1097/DSS.0000000000003232

January 2022 - Volume 48 - Issue 1 - p 7-11

Amputation has been the standard treatment for subungual melanoma. Although there is growing attention toward a more conservative functional surgery, specific operative techniques are not yet available.

Buy The Package and View The Article Online


Rates of Upstaging, Between Diagnosis and Surgery, and Clinical Management of Metastatic Cutaneous Squamous Cell Carcinoma: A Case–Control Study

Costello, Collin M. MD*; Cumsky, Helen J. L. MD*; Severson, Kevin J. BS*,†; Mi, Lanyu MS‡; DiCaudo, David J. MD*,§; Ochoa, Shari A. MD*; Baum, Christian L. MD?; Mangold, Aaron R. MD*

doi : 10.1097/DSS.0000000000003224

January 2022 - Volume 48 - Issue 1 - p 12-16

Cutaneous squamous cell carcinomas (cSCC) have upstage rates of approximately 10.3% to 11.1%. Data are currently limited on the rate of upstaging for metastatic cSCC.

Buy The Package and View The Article Online


Skin Cancer in the Incarcerated Population—A Single-Center Study

Swigert, Anna BS; Majidian, Mandy BA; Chen, Lauren MS; Vick, Garrett MD; Murina, Andrea MD*

doi : 10.1097/DSS.0000000000003247

January 2022 - Volume 48 - Issue 1 - p 17-20

The incarcerated population may have variable access to specialty care that may affect the detection and diagnosis of skin cancer.

Buy The Package and View The Article Online


Merkel Cell Carcinoma: A Bibliometric Analysis of the Top 100 Cited Publications

Russomanno, Kristen MD*,†; Raiker, Rahul BS‡; Pakhchanian, Haig BS§; Deng, Min MD*

doi : 10.1097/DSS.0000000000003251

January 2022 - Volume 48 - Issue 1 - p 22-27

Bibliometric studies provide a quantitative statistical analysis of the published literature within a field of interest and allow for easy identification of the major contributing authors, funding sources, and publication trends within the field. To date, no bibliometric studies have been performed pertaining to Merkel cell carcinoma (MCC).

Buy The Package and View The Article Online


Hutchinson Sign: Biopsy May Assist in Diagnosis of Subungual Melanoma in Situ

Oh, Se Jin MD; Lee, Jongeun MD; Park, Sewon MD; Park, Ji-Hye; Lee, Dongyoun MD, PhD*

doi : 10.1097/DSS.0000000000003233

January 2022 - Volume 48 - Issue 1 - p 28-31

Early and accurate diagnosis of subungual melanoma (SUM) through histopathologic examination is critical, but lack of clinical suspicion leads to delays in diagnosis. Hutchinson sign (HS) can be one of the important clinical indicators for diagnosing SUM.

Buy The Package and View The Article Online


Skin Cancer Risk Perception and Tanning Bed Use: A Population-Based Survey to Identify Persons at Risk for Melanoma in Olmsted County, Minnesota

Barbosa, Naiara S. MD*; Yost, Kathleen J. PhD†; Petterson, Tanya M. MS†; Mara, Kristin C.†; Brewer, Jerry D. MD, MS*

doi : 10.1097/DSS.0000000000003277

January 2022 - Volume 48 - Issue 1 - p 34-38

Cutaneous melanoma is strongly associated with tanning bed use.

Buy The Package and View The Article Online


Upper Margin of the Forehead Flap and Its Correlation With Aesthetic Results in Nasal Reconstruction in Fitzpatrick Skin Type III and IV Chinese

Yen, Cheng-I MD*; Yeow, Jenny Yun-Jen MD†; Chang, Chun-Shin MD*; Hsiao, Yen-Chang MD*

doi : 10.1097/DSS.0000000000003225

January 2022 - Volume 48 - Issue 1 - p 39-42

The forehead flap is one of the most commonly used methods for nose reconstruction.

Buy The Package and View The Article Online


Immunostained Frozen Sections Vs Traditional Permanent Paraffin Sections for Lentigo Maligna Treated With Mohs Micrographic Surgery

Punchihewa, Nisal MD*; Odhavji, Sonya BAppSc (MedSci) Histology*; Upjohn, Edward MBBS (Hons), MMed, FACD, FACMS*; Bekhor, Philip MBBS, FACD*,†

doi : 10.1097/DSS.0000000000003280

January 2022 - Volume 48 - Issue 1 - p 43-46

Mohs micrographic surgery (MMS) has risen in popularity as a management option for treating lentigo maligna (LM) because of its ability to accurately detect subclinical spread while conserving tissue. The primary concern for opponents of MMS in melanoma remains the difficulty associated with interpretation of frozen sections compared with traditional paraffin sections; this has been made easier with the advent of immunostaining.

Buy The Package and View The Article Online


Management of Transected Invasive Melanoma: A Single Institution Retrospective Review

Duncan, James Robert MD*; Beal, Lauren L. BA†; Daugherty, Andrew MD*; Elston, Carly MD‡; Contreras, Carlo MD*; Phillips, Carlton Blake MD*; Huang, Conway MD*

doi : 10.1097/DSS.0000000000003283

January 2022 - Volume 48 - Issue 1 - p 47-50

Deep transection of invasive melanoma precludes accurate measurement of Breslow depth, which may affect tumor staging.

Buy The Package and View The Article Online


Determination of Margins for Tumor Clearance in Dermatofibrosarcoma Protuberans: A Single-Center Study of 222 Cases Treated With Modified Mohs Surgery

Serra-Guillén, Carlos MD*; Llombart, Beatriz MD*; Nagore, Eduardo MD*,†; Guillén, Carlos MD*; Sanmartín, Onofre MD*,†

doi : 10.1097/DSS.0000000000003269

January 2022 - Volume 48 - Issue 1 - p 51-56

Dermatofibrosarcoma protuberans (DFSP) is an invasive skin tumor traditionally associated with very high recurrence rates when treated with conventional surgery (CS).

Buy The Package and View The Article Online


Actinic Keratosis Color and Its Associations: A Retrospective Photographic, Dermoscopic, and Histologic Evaluation

Labadie, Jessica G. MD*; Compres, Elsy MD*; Sunshine, Joel C. MD, PhD*,†; Alam, Murad MD, MSCI, MBA*; Gerami, Pedram MD*,†; Harikumar, Vishnu MD*; Poon, Emily PhD*; Arndt, Kenneth A. MD‡,?; Dover, Jeffrey S. MD, FRCPC‡,§,?

doi : 10.1097/DSS.0000000000003281

January 2022 - Volume 48 - Issue 1 - p 57-60

Actinic keratoses (AKs) have been described with varying color and morphology; however, no reports have demonstrated associations between color, vasculature, and inflammation. In this retrospective study, we analyze the clinical, dermoscopic, and histopathologic features of AKs to elucidate this relationship.

Buy The Package and View The Article Online


Inferiorly Based Rotation Flaps for Infraorbital Cheek Defects

Donigan, Jessica M. MD*; Taylor, Oliver MD†; Greif, Charlotte BS‡; Srivastava, Divya MD‡; Nijhawan, Rajiv I. MD‡

doi : 10.1097/DSS.0000000000003273

January 2022 - Volume 48 - Issue 1 - p 61-66

The infraorbital cheek is a common location for cutaneous malignancy and thus surgical defects. Reconstruction in this region must maintain nearby free margins to ensure optimal cosmetic and functional outcomes. Large defects may require a flap using lateral or inferior tissue reservoirs.

Buy The Package and View The Article Online


Bleomycin Electrosclerotherapy Treatment in the Management of Vascular Malformations

Kostusiak, Milosz MBBS, MRCS, BSc; Murugan, Srinivasen MBBS, FRCS (Glasgow); Muir, Tobian MBChB, MMed (Plast Surg)*

doi : 10.1097/DSS.0000000000003220

January 2022 - Volume 48 - Issue 1 - p 67-71

Intralesional injection of a sclerosing agent is a standard treatment for vascular malformations, but many repeat treatments are often required to achieve a response. The temporary application of an electrical field to the treated area increases cellular membrane permeability and therefore augments drug delivery.

Buy The Package and View The Article Online


Polidocanol Sclerotherapy in Pyogenic Granulomas

Khurana, Ananta MD; Mathachan, Sinu Rose MD*

doi : 10.1097/DSS.0000000000003308

January 2022 - Volume 48 - Issue 1 - p 72-75

Polidocanol is a safe sclerosing agent with anesthetic properties and minimal skin toxicity.

Buy The Package and View The Article Online


A Randomized, Evaluator-Blind, Split-Face Study Evaluating the Safety and Efficacy of Calcium Hydroxylapatite for Jawline Augmentation

Boen, Monica MD*; Alhaddad, Marwan MD*; Goldman, Mitchel P. MD*,†; Kollipara, Ramya MD*; Hoss, Elika MD*; Wu, Douglas C. MD, PhD*

doi : 10.1097/DSS.0000000000002582

January 2022 - Volume 48 - Issue 1 - p 76-81

Jawline augmentation with calcium hydroxylapatite has not yet been evaluated in a prospective study with a split-face design. This study aims to perform the first randomized controlled, split-face study on the efficacy and safety of calcium hydroxylapatite for jawline augmentation using the needle and cannula technique.

Buy The Package and View The Article Online


Dermal Filler Injections in Patients With Autoimmune and Inflammatory Rheumatic Diseases—The Patients' Perspective

Koren, Amir MD*,†; Sarbagil-Maman, Hagit MD†,‡; Litinsky, Irina MD†,‡; Furer, Victoria MD†,‡; Artzi, Ofir MD*,†

doi : 10.1097/DSS.0000000000002888

January 2022 - Volume 48 - Issue 1 - p 82-86

Injecting dermal fillers in patients with autoimmune inflammatory rheumatic diseases (AIIRDs) is controversial.

Buy The Package and View The Article Online


Efficacy and Safety of a New Resilient Hyaluronic Acid Filler in the Correction of Moderate-to-Severe Dynamic Perioral Rhytides: A 52-Week Prospective, Multicenter, Controlled, Randomized, Evaluator-Blinded Study

Sundaram, Hema MD, FAAD*; Shamban, Ava MD†; Schlessinger, Joel MD‡; Kaufman-Janette, Joely MD§; Joseph, John H. MD?; Lupin, Mark MD, FRCP, FAAD¶; Draelos, Zoe MD**; Carey, Wayne MD, FRCP, FAAD††; Smith, Stacy MD‡‡; Eaton, Laura RN, BSN§§

doi : 10.1097/DSS.0000000000003238

January 2022 - Volume 48 - Issue 1 - p 87-93

The perioral region is highly mobile and subject to multifactorial changes during aging. Resilient Hyaluronic Acid Redensity (RHAR), an RHA filler, was developed with the aim of optimizing outcomes in dynamic facial areas.

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Forehead Movement Discrepancies After Botulinum Toxin Injections: A Review of Etiology, Correction, and Prevention

Walker, Bridget MD*; Hand, Matthew MD†,‡; Chesnut, Cameron MD†,‡

doi : 10.1097/DSS.0000000000003218

January 2022 - Volume 48 - Issue 1 - p 94-100

Forehead rhytides are a popular target for botulinum toxin injections, but neuromodulation of the frontalis can be fraught with complications because of its anatomic complexity and integral role in brow position and expressivity.

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Study of a 532/1064 Fractional Picosecond Laser for Facial Rejuvenation

Ross, Edward V. MD*; Tidwell, William J. MD*; Guss, Lark MD*; Sutton, Adam V. MD*

doi : 10.1097/DSS.0000000000003229

January 2022 - Volume 48 - Issue 1 - p 109-113

Picosecond (ps) fractional lasers create small wounds, presumably by laser-induced optical breakdown. We studied a ps fractional laser in the treatment of wrinkles and mottled pigment.

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Combination of Full-Field and Fractional Erbium: YAG Laser for Nonhealing Wounds

Caliskan, Ercan MD; Botsali, Aysenur MD*

doi : 10.1097/DSS.0000000000003292

January 2022 - Volume 48 - Issue 1 - p 114-119

To evaluate the outcomes of a heterogeneous group of patients with chronic ulcer receiving a combination regimen of full-field and fractional erbium-doped yttrium aluminum garnet (erbium: YAG) laser applications.

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Evaluation of Device-Based Cutaneous Channels Using Optical Coherence Tomography: Impact for Topical Drug Delivery

Wang, Jordan V. MD, MBE, MBA*; Mehrabi, Joseph N. MS†; Zachary, Christopher B. MBBS, FRCP†; Geronemus, Roy G. MD*

doi : 10.1097/DSS.0000000000003275

January 2022 - Volume 48 - Issue 1 - p 120-125

Topical medications play a large role in the management of cutaneous diseases, but penetration is limited. Device-assisted drug delivery using mechanical destruction, lasers, and other energy-based modalities can increase penetration and absorption through creation of transcutaneous channels.

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Comparison of Long-Term Effectiveness and Safety of Microwave and Surgery in the Treatment of Axillary Osmidrosis: A Single-Center Retrospective Study

Chen, Si-Qi MD; Wang, Ting-Ting EdD; Zhou, Yuan PhD; Li, Wei PhD; Man, Xiao-Yong PhD*

doi : 10.1097/DSS.0000000000003276

January 2022 - Volume 48 - Issue 1 - p 126-130

A microwave-based device is a newly developed method for treating axillary osmidrosis. Few studies have compared the difference between microwave therapy and subcutaneous curettage for axillary osmidrosis.

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Commentary Skin Cancer in the Incarcerated Population—A Single Center Study

Gladstone, Hayes B. MD

doi : 10.1097/DSS.0000000000003318

January 2022 - Volume 48 - Issue 1 - p 21

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Commentary on Hutchinson Sign: Biopsy May Assist in Diagnosis of Subungual Melanoma in Situ

Rubin, Adam I. MD*; Richert, Bertrand MD, PhD†; Haneke, Eckart MD, PhD‡

doi : 10.1097/DSS.0000000000003317

January 2022 - Volume 48 - Issue 1 - p 32-33

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Combination Nasal Sidewall and Alar Defects

Golda, Nicholas MD; Saco, Michael MD*

doi : 10.1097/DSS.0000000000002214

January 2022 - Volume 48 - Issue 1 - p 135-137

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Reconstruction of a Composite Medial Cheek Defect

Blumenthal, Laura MD; Cohen, Brandon MD; Chow, Steven MD, MS*

doi : 10.1097/DSS.0000000000002826

January 2022 - Volume 48 - Issue 1 - p 139-141

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Delayed Granulomatous Reaction After Eyebrow Microblading

Leight-Dunn, Hayley MD*; Lemly, Vanessa BA*; Chapas, Anne MD*

doi : 10.1097/DSS.0000000000003236

January 2022 - Volume 48 - Issue 1 - p 142-143

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Soft Tissue Chondroma: A Possible Diagnosis of Single-Digit Nail Clubbing

Xue, Siliang MD*; Chen, Yusha MM*; Haneke, Eckart MD, PhD†

doi : 10.1097/DSS.0000000000003295

January 2022 - Volume 48 - Issue 1 - p 143-144

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Perioperative Management of Biologics: To Have or to Hold

Ederle, Amanda MD*; Harrell, Katelin MD†; Collins, Lindsey MD†

doi : 10.1097/DSS.0000000000003290

January 2022 - Volume 48 - Issue 1 - p 145-146

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Carbon Dioxide Laser Treatment in Hailey–Hailey Disease

García-Zamora, Elena*; López-Estebaranz, José Luis*; Dradi, Giulia Greta*; Álvarez-Fernández, José Gregorio*

doi : 10.1097/DSS.0000000000003296

January 2022 - Volume 48 - Issue 1 - p 146-148

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Superficial Temporal Artery Pseudoaneurysm After Botulinum Toxin Injection

Martin, Elise D. MD*; Wernikoff, Stuart Y. MD*; Bernard, Joe D. Jr MD*,†; Munavalli, Girish S. MD, MHS, FACMS*,‡

doi : 10.1097/DSS.0000000000003312

January 2022 - Volume 48 - Issue 1 - p 149-150

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Axillary Web Syndrome Complicating Dermatologic Surgery

Lim, Shi Yu Derek MRCP (UK)*; Cheng, Wei Na Suzanne MRCP (UK)*

doi : 10.1097/DSS.0000000000003313

January 2022 - Volume 48 - Issue 1 - p 150-152

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Eight-Year Postmarket Safety Surveillance of Delayed Complications With a Flexible Lip Filler

Cohen, Joel L. MD*,†; Hicks, Jessica PhD‡; Nogueira, Alessandra MD‡; Andriopoulos, Bill PhD§

doi : 10.1097/DSS.0000000000003302

January 2022 - Volume 48 - Issue 1 - p 152-153

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Acoustic Shockwave Therapy as an Adjunct to Picosecond Laser for Multicolored Tattoo Removal

Sodha, Pooja MD*; Wang, Jordan V. MD, MBE, MBA†; Friedman, Paul M. MD†,‡

doi : 10.1097/DSS.0000000000003303

January 2022 - Volume 48 - Issue 1 - p 153-155

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Utility of Optical Imaging in a Patient With Recurrent, Multifocal Hydroxyurea–Associated Basal Cell Carcinoma

Rubin, Alexandra MBS*,†; Haroon, Attiya MD PhD*; Rao, Babar K. MD*,†; Firoz, Bahar F. MD, MPH*

doi : 10.1097/DSS.0000000000003279

January 2022 - Volume 48 - Issue 1 - p 155-156

Buy The Package and View The Article Online


Morbidity and Mortality of Melanoma on the Trunk and Extremities Treated With Mohs Surgery Versus Wide Excision: A Systematic Review

Bednar, E. Dimitra MSc*; Zon, Michael BSc*,†; Abu-Hilal, Mohannad MD, MRCP*,‡

doi : 10.1097/DSS.0000000000003250

January 2022 - Volume 48 - Issue 1 - p 1-6

Recommendations for the approved use of Mohs surgery for cutaneous melanoma on the trunk and extremities remain uncertain.

Buy The Package and View The Article Online


The Emerging Field of Regenerative Aesthetics—Where We Are Now

Zarbafian, Misha MD*; Fabi, Sabrina G. MD†,‡; Dayan, Steven MD§; Goldie, Kate MD?

doi : 10.1097/DSS.0000000000003239

January 2022 - Volume 48 - Issue 1 - p 101-108

Regenerative aesthetics is an emerging branch of regenerative medicine with therapies aimed at recapturing youthful structure and function using the body's own systems.

Buy The Package and View The Article Online


Platelet-Rich Plasma in Melasma—A Systematic Review

Sarkar, Rashmi MD, FAMS*; Gupta, Meghna MD, DNB†

doi : 10.1097/DSS.0000000000003266

January 2022 - Volume 48 - Issue 1 - p 131-134

Melasma is a common relapsing hyperpigmentation disorder, which is often difficult to treat. Platelet-rich plasma (PRP) is a novel modality often used to treat acne scars, androgenic alopecia, chronic wounds, and skin rejuvenation. Recently, it has had a promising role in the treatment of melasma.

Buy The Package and View The Article Online


Functional Surgery for Subungual Melanoma: Surgical Tips Based on Histological Analysis of 21 Cadavers

Kim, Byung Jun MD*; Kim, Jinhyun MD*; Hu, Julong MD*; Kwak, Yoonjin MD, PhD†; Kwon, Sung Tack MD, PhD*

doi : 10.1097/DSS.0000000000003232

January 2022 - Volume 48 - Issue 1 - p 7-11

Amputation has been the standard treatment for subungual melanoma. Although there is growing attention toward a more conservative functional surgery, specific operative techniques are not yet available.

Buy The Package and View The Article Online


Rates of Upstaging, Between Diagnosis and Surgery, and Clinical Management of Metastatic Cutaneous Squamous Cell Carcinoma: A Case–Control Study

Costello, Collin M. MD*; Cumsky, Helen J. L. MD*; Severson, Kevin J. BS*,†; Mi, Lanyu MS‡; DiCaudo, David J. MD*,§; Ochoa, Shari A. MD*; Baum, Christian L. MD?; Mangold, Aaron R. MD*

doi : 10.1097/DSS.0000000000003224

January 2022 - Volume 48 - Issue 1 - p 12-16

Cutaneous squamous cell carcinomas (cSCC) have upstage rates of approximately 10.3% to 11.1%. Data are currently limited on the rate of upstaging for metastatic cSCC.

Buy The Package and View The Article Online


Skin Cancer in the Incarcerated Population—A Single-Center Study

Swigert, Anna BS; Majidian, Mandy BA; Chen, Lauren MS; Vick, Garrett MD; Murina, Andrea MD*

doi : 10.1097/DSS.0000000000003247

January 2022 - Volume 48 - Issue 1 - p 17-20

The incarcerated population may have variable access to specialty care that may affect the detection and diagnosis of skin cancer.

Buy The Package and View The Article Online


Merkel Cell Carcinoma: A Bibliometric Analysis of the Top 100 Cited Publications

Russomanno, Kristen MD*,†; Raiker, Rahul BS‡; Pakhchanian, Haig BS§; Deng, Min MD*

doi : 10.1097/DSS.0000000000003251

January 2022 - Volume 48 - Issue 1 - p 22-27

Bibliometric studies provide a quantitative statistical analysis of the published literature within a field of interest and allow for easy identification of the major contributing authors, funding sources, and publication trends within the field. To date, no bibliometric studies have been performed pertaining to Merkel cell carcinoma (MCC).

Buy The Package and View The Article Online


Hutchinson Sign: Biopsy May Assist in Diagnosis of Subungual Melanoma in Situ

Oh, Se Jin MD; Lee, Jongeun MD; Park, Sewon MD; Park, Ji-Hye; Lee, Dongyoun MD, PhD*

doi : 10.1097/DSS.0000000000003233

January 2022 - Volume 48 - Issue 1 - p 28-31

Early and accurate diagnosis of subungual melanoma (SUM) through histopathologic examination is critical, but lack of clinical suspicion leads to delays in diagnosis. Hutchinson sign (HS) can be one of the important clinical indicators for diagnosing SUM.

Buy The Package and View The Article Online


Skin Cancer Risk Perception and Tanning Bed Use: A Population-Based Survey to Identify Persons at Risk for Melanoma in Olmsted County, Minnesota

Barbosa, Naiara S. MD*; Yost, Kathleen J. PhD†; Petterson, Tanya M. MS†; Mara, Kristin C.†; Brewer, Jerry D. MD, MS*

doi : 10.1097/DSS.0000000000003277

January 2022 - Volume 48 - Issue 1 - p 34-38

Cutaneous melanoma is strongly associated with tanning bed use.

Buy The Package and View The Article Online


Upper Margin of the Forehead Flap and Its Correlation With Aesthetic Results in Nasal Reconstruction in Fitzpatrick Skin Type III and IV Chinese

Yen, Cheng-I MD*; Yeow, Jenny Yun-Jen MD†; Chang, Chun-Shin MD*; Hsiao, Yen-Chang MD*

doi : 10.1097/DSS.0000000000003225

January 2022 - Volume 48 - Issue 1 - p 39-42

The forehead flap is one of the most commonly used methods for nose reconstruction.

Buy The Package and View The Article Online


Immunostained Frozen Sections Vs Traditional Permanent Paraffin Sections for Lentigo Maligna Treated With Mohs Micrographic Surgery

Punchihewa, Nisal MD*; Odhavji, Sonya BAppSc (MedSci) Histology*; Upjohn, Edward MBBS (Hons), MMed, FACD, FACMS*; Bekhor, Philip MBBS, FACD*,†

doi : 10.1097/DSS.0000000000003280

January 2022 - Volume 48 - Issue 1 - p 43-46

Mohs micrographic surgery (MMS) has risen in popularity as a management option for treating lentigo maligna (LM) because of its ability to accurately detect subclinical spread while conserving tissue. The primary concern for opponents of MMS in melanoma remains the difficulty associated with interpretation of frozen sections compared with traditional paraffin sections; this has been made easier with the advent of immunostaining.

Buy The Package and View The Article Online


Management of Transected Invasive Melanoma: A Single Institution Retrospective Review

Duncan, James Robert MD*; Beal, Lauren L. BA†; Daugherty, Andrew MD*; Elston, Carly MD‡; Contreras, Carlo MD*; Phillips, Carlton Blake MD*; Huang, Conway MD*

doi : 10.1097/DSS.0000000000003283

January 2022 - Volume 48 - Issue 1 - p 47-50

Deep transection of invasive melanoma precludes accurate measurement of Breslow depth, which may affect tumor staging.

Buy The Package and View The Article Online


Determination of Margins for Tumor Clearance in Dermatofibrosarcoma Protuberans: A Single-Center Study of 222 Cases Treated With Modified Mohs Surgery

Serra-Guillén, Carlos MD*; Llombart, Beatriz MD*; Nagore, Eduardo MD*,†; Guillén, Carlos MD*; Sanmartín, Onofre MD*,†

doi : 10.1097/DSS.0000000000003269

January 2022 - Volume 48 - Issue 1 - p 51-56

Dermatofibrosarcoma protuberans (DFSP) is an invasive skin tumor traditionally associated with very high recurrence rates when treated with conventional surgery (CS).

Buy The Package and View The Article Online


Actinic Keratosis Color and Its Associations: A Retrospective Photographic, Dermoscopic, and Histologic Evaluation

Labadie, Jessica G. MD*; Compres, Elsy MD*; Sunshine, Joel C. MD, PhD*,†; Alam, Murad MD, MSCI, MBA*; Gerami, Pedram MD*,†; Harikumar, Vishnu MD*; Poon, Emily PhD*; Arndt, Kenneth A. MD‡,?; Dover, Jeffrey S. MD, FRCPC‡,§,?

doi : 10.1097/DSS.0000000000003281

January 2022 - Volume 48 - Issue 1 - p 57-60

Actinic keratoses (AKs) have been described with varying color and morphology; however, no reports have demonstrated associations between color, vasculature, and inflammation. In this retrospective study, we analyze the clinical, dermoscopic, and histopathologic features of AKs to elucidate this relationship.

Buy The Package and View The Article Online


Inferiorly Based Rotation Flaps for Infraorbital Cheek Defects

Donigan, Jessica M. MD*; Taylor, Oliver MD†; Greif, Charlotte BS‡; Srivastava, Divya MD‡; Nijhawan, Rajiv I. MD‡

doi : 10.1097/DSS.0000000000003273

January 2022 - Volume 48 - Issue 1 - p 61-66

The infraorbital cheek is a common location for cutaneous malignancy and thus surgical defects. Reconstruction in this region must maintain nearby free margins to ensure optimal cosmetic and functional outcomes. Large defects may require a flap using lateral or inferior tissue reservoirs.

Buy The Package and View The Article Online


Bleomycin Electrosclerotherapy Treatment in the Management of Vascular Malformations

Kostusiak, Milosz MBBS, MRCS, BSc; Murugan, Srinivasen MBBS, FRCS (Glasgow); Muir, Tobian MBChB, MMed (Plast Surg)*

doi : 10.1097/DSS.0000000000003220

January 2022 - Volume 48 - Issue 1 - p 67-71

Intralesional injection of a sclerosing agent is a standard treatment for vascular malformations, but many repeat treatments are often required to achieve a response. The temporary application of an electrical field to the treated area increases cellular membrane permeability and therefore augments drug delivery.

Buy The Package and View The Article Online


Polidocanol Sclerotherapy in Pyogenic Granulomas

Khurana, Ananta MD; Mathachan, Sinu Rose MD*

doi : 10.1097/DSS.0000000000003308

January 2022 - Volume 48 - Issue 1 - p 72-75

Polidocanol is a safe sclerosing agent with anesthetic properties and minimal skin toxicity.

Buy The Package and View The Article Online


A Randomized, Evaluator-Blind, Split-Face Study Evaluating the Safety and Efficacy of Calcium Hydroxylapatite for Jawline Augmentation

Boen, Monica MD*; Alhaddad, Marwan MD*; Goldman, Mitchel P. MD*,†; Kollipara, Ramya MD*; Hoss, Elika MD*; Wu, Douglas C. MD, PhD*

doi : 10.1097/DSS.0000000000002582

January 2022 - Volume 48 - Issue 1 - p 76-81

Jawline augmentation with calcium hydroxylapatite has not yet been evaluated in a prospective study with a split-face design. This study aims to perform the first randomized controlled, split-face study on the efficacy and safety of calcium hydroxylapatite for jawline augmentation using the needle and cannula technique.

Buy The Package and View The Article Online


Dermal Filler Injections in Patients With Autoimmune and Inflammatory Rheumatic Diseases—The Patients' Perspective

Koren, Amir MD*,†; Sarbagil-Maman, Hagit MD†,‡; Litinsky, Irina MD†,‡; Furer, Victoria MD†,‡; Artzi, Ofir MD*,†

doi : 10.1097/DSS.0000000000002888

January 2022 - Volume 48 - Issue 1 - p 82-86

Injecting dermal fillers in patients with autoimmune inflammatory rheumatic diseases (AIIRDs) is controversial.

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Efficacy and Safety of a New Resilient Hyaluronic Acid Filler in the Correction of Moderate-to-Severe Dynamic Perioral Rhytides: A 52-Week Prospective, Multicenter, Controlled, Randomized, Evaluator-Blinded Study

Sundaram, Hema MD, FAAD*; Shamban, Ava MD†; Schlessinger, Joel MD‡; Kaufman-Janette, Joely MD§; Joseph, John H. MD?; Lupin, Mark MD, FRCP, FAAD¶; Draelos, Zoe MD**; Carey, Wayne MD, FRCP, FAAD††; Smith, Stacy MD‡‡; Eaton, Laura RN, BSN§§

doi : 10.1097/DSS.0000000000003238

January 2022 - Volume 48 - Issue 1 - p 87-93

The perioral region is highly mobile and subject to multifactorial changes during aging. Resilient Hyaluronic Acid Redensity (RHAR), an RHA filler, was developed with the aim of optimizing outcomes in dynamic facial areas.

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Forehead Movement Discrepancies After Botulinum Toxin Injections: A Review of Etiology, Correction, and Prevention

Walker, Bridget MD*; Hand, Matthew MD†,‡; Chesnut, Cameron MD†,‡

doi : 10.1097/DSS.0000000000003218

January 2022 - Volume 48 - Issue 1 - p 94-100

Forehead rhytides are a popular target for botulinum toxin injections, but neuromodulation of the frontalis can be fraught with complications because of its anatomic complexity and integral role in brow position and expressivity.

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Study of a 532/1064 Fractional Picosecond Laser for Facial Rejuvenation

Ross, Edward V. MD*; Tidwell, William J. MD*; Guss, Lark MD*; Sutton, Adam V. MD*

doi : 10.1097/DSS.0000000000003229

January 2022 - Volume 48 - Issue 1 - p 109-113

Picosecond (ps) fractional lasers create small wounds, presumably by laser-induced optical breakdown. We studied a ps fractional laser in the treatment of wrinkles and mottled pigment.

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Combination of Full-Field and Fractional Erbium: YAG Laser for Nonhealing Wounds

Caliskan, Ercan MD; Botsali, Aysenur MD*

doi : 10.1097/DSS.0000000000003292

January 2022 - Volume 48 - Issue 1 - p 114-119

To evaluate the outcomes of a heterogeneous group of patients with chronic ulcer receiving a combination regimen of full-field and fractional erbium-doped yttrium aluminum garnet (erbium: YAG) laser applications.

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Evaluation of Device-Based Cutaneous Channels Using Optical Coherence Tomography: Impact for Topical Drug Delivery

Wang, Jordan V. MD, MBE, MBA*; Mehrabi, Joseph N. MS†; Zachary, Christopher B. MBBS, FRCP†; Geronemus, Roy G. MD*

doi : 10.1097/DSS.0000000000003275

January 2022 - Volume 48 - Issue 1 - p 120-125

Topical medications play a large role in the management of cutaneous diseases, but penetration is limited. Device-assisted drug delivery using mechanical destruction, lasers, and other energy-based modalities can increase penetration and absorption through creation of transcutaneous channels.

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Comparison of Long-Term Effectiveness and Safety of Microwave and Surgery in the Treatment of Axillary Osmidrosis: A Single-Center Retrospective Study

Chen, Si-Qi MD; Wang, Ting-Ting EdD; Zhou, Yuan PhD; Li, Wei PhD; Man, Xiao-Yong PhD*

doi : 10.1097/DSS.0000000000003276

January 2022 - Volume 48 - Issue 1 - p 126-130

A microwave-based device is a newly developed method for treating axillary osmidrosis. Few studies have compared the difference between microwave therapy and subcutaneous curettage for axillary osmidrosis.

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Commentary Skin Cancer in the Incarcerated Population—A Single Center Study

Gladstone, Hayes B. MD

doi : 10.1097/DSS.0000000000003318

January 2022 - Volume 48 - Issue 1 - p 21

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Commentary on Hutchinson Sign: Biopsy May Assist in Diagnosis of Subungual Melanoma in Situ

Rubin, Adam I. MD*; Richert, Bertrand MD, PhD†; Haneke, Eckart MD, PhD‡

doi : 10.1097/DSS.0000000000003317

January 2022 - Volume 48 - Issue 1 - p 32-33

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Combination Nasal Sidewall and Alar Defects

Golda, Nicholas MD; Saco, Michael MD*

doi : 10.1097/DSS.0000000000002214

January 2022 - Volume 48 - Issue 1 - p 135-137

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Reconstruction of a Composite Medial Cheek Defect

Blumenthal, Laura MD; Cohen, Brandon MD; Chow, Steven MD, MS*

doi : 10.1097/DSS.0000000000002826

January 2022 - Volume 48 - Issue 1 - p 139-141

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Delayed Granulomatous Reaction After Eyebrow Microblading

Leight-Dunn, Hayley MD*; Lemly, Vanessa BA*; Chapas, Anne MD*

doi : 10.1097/DSS.0000000000003236

January 2022 - Volume 48 - Issue 1 - p 142-143

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Soft Tissue Chondroma: A Possible Diagnosis of Single-Digit Nail Clubbing

Xue, Siliang MD*; Chen, Yusha MM*; Haneke, Eckart MD, PhD†

doi : 10.1097/DSS.0000000000003295

January 2022 - Volume 48 - Issue 1 - p 143-144

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Perioperative Management of Biologics: To Have or to Hold

Ederle, Amanda MD*; Harrell, Katelin MD†; Collins, Lindsey MD†

doi : 10.1097/DSS.0000000000003290

January 2022 - Volume 48 - Issue 1 - p 145-146

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Carbon Dioxide Laser Treatment in Hailey–Hailey Disease

García-Zamora, Elena*; López-Estebaranz, José Luis*; Dradi, Giulia Greta*; Álvarez-Fernández, José Gregorio*

doi : 10.1097/DSS.0000000000003296

January 2022 - Volume 48 - Issue 1 - p 146-148

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Superficial Temporal Artery Pseudoaneurysm After Botulinum Toxin Injection

Martin, Elise D. MD*; Wernikoff, Stuart Y. MD*; Bernard, Joe D. Jr MD*,†; Munavalli, Girish S. MD, MHS, FACMS*,‡

doi : 10.1097/DSS.0000000000003312

January 2022 - Volume 48 - Issue 1 - p 149-150

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Axillary Web Syndrome Complicating Dermatologic Surgery

Lim, Shi Yu Derek MRCP (UK)*; Cheng, Wei Na Suzanne MRCP (UK)*

doi : 10.1097/DSS.0000000000003313

January 2022 - Volume 48 - Issue 1 - p 150-152

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Eight-Year Postmarket Safety Surveillance of Delayed Complications With a Flexible Lip Filler

Cohen, Joel L. MD*,†; Hicks, Jessica PhD‡; Nogueira, Alessandra MD‡; Andriopoulos, Bill PhD§

doi : 10.1097/DSS.0000000000003302

January 2022 - Volume 48 - Issue 1 - p 152-153

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Acoustic Shockwave Therapy as an Adjunct to Picosecond Laser for Multicolored Tattoo Removal

Sodha, Pooja MD*; Wang, Jordan V. MD, MBE, MBA†; Friedman, Paul M. MD†,‡

doi : 10.1097/DSS.0000000000003303

January 2022 - Volume 48 - Issue 1 - p 153-155

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Utility of Optical Imaging in a Patient With Recurrent, Multifocal Hydroxyurea–Associated Basal Cell Carcinoma

Rubin, Alexandra MBS*,†; Haroon, Attiya MD PhD*; Rao, Babar K. MD*,†; Firoz, Bahar F. MD, MPH*

doi : 10.1097/DSS.0000000000003279

January 2022 - Volume 48 - Issue 1 - p 155-156

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