Dr. Pozner and I have just returned from the 67th annual American Academy of Dermatology (AAD) meeting in San Francisco and what a meeting it was. Over 18,000 people attended the meeting that dealt with all aspects of dermatology. It should come as no surprise that among the most exciting aspects of the meeting was the ever changing world of cosmetic dermatology.
Fat removal and body contouring are exciting new topics as is the evolving world of photodynamic therapy. Cryolipolysis by Zeltiq continues to show enormous interest. This totally non-invasive method of melting fat is currently undergoing FDA trials, but has just received regulatory approval in Europe, as Dr. Pozner reported below this post. Presentations showed remarkable melting of love handles simply by selectively applying “cold” to the areas of fat. This approach added to other future methods of non-invasive body contouring by UltraShape and Liposonix (now owned by Medicis the company that sells the Restylane wrinkle filer) only add to the excitement.
Photodynamic therapy (PDT) also was another exciting area of discussion. This approach of applying a medication to the skin that is then activated by a laser or light source has been used for years to treat pre-skin cancers. More recently the technique has been shown to promote better skin quality and lead to improvement in acne. What is most exciting was the suggestion that newer PDT approaches currently being studied may ultimately lead to a cure for acne and better ways to remove unwanted hair. Stay tuned!
David J. Goldberg, MD
Skin Laser and Surgery Specialists of NY/NJ
Sanctuary Medical Aesthetic Center
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
Tuesday, March 10, 2009
Monday, March 9, 2009
Fat Wars: Zeltiq update from American Academy of Dermatology Meetings

Update on the fat wars - Zeltiq (www.zeltiq.com) - has a unique system for fat removal through cryolipolysis that we've blogged about a few times.
I just learned that it received its CE mark, which is the European equivalent to FDA approval. They are now able to sell the device in Europe. The FDA's studies are ongoing, however.
Thanks for reading,
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
Friday, March 6, 2009
American Academy of Dermatology meeting starting up
Well, its meeting season again and our team is headed to the annual American Academy of Dermatology meeting in San Francisco.
It should prove interesting and we will be posting about new technology and the latest developments in aesthetic medicine. Stay posted for latest updates on Smoothshapes, Ulthera, Zeltiq, Ultrashape, Liposonix and all of the upcoming fillers!!!!!
Also, we'll be tweeting anything interesting that comes up, so make sure you add us (see the post below).
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center
Skin Laser Surgery Specialists of NY/NJ
It should prove interesting and we will be posting about new technology and the latest developments in aesthetic medicine. Stay posted for latest updates on Smoothshapes, Ulthera, Zeltiq, Ultrashape, Liposonix and all of the upcoming fillers!!!!!
Also, we'll be tweeting anything interesting that comes up, so make sure you add us (see the post below).
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center
Skin Laser Surgery Specialists of NY/NJ
Thursday, March 5, 2009
Follow us on Twitter!

@jpoznermd
@drgoldberg
We will be using our Twitter accounts to micro-blog about the latest developments in cosmetic surgery, alert readers of noteworthy blog posts, instantly share before/after photos, and to provide a stream of consciousness from conferences, meetings, and procedures.
If you don't know what Twitter is, just visit www.twitter.com, open an account, and begin to answer its eternal question: "What are you doing?"
Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center
Skin Laser Surgery Specialists of NY/NJ
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
Wednesday, March 4, 2009
Guest Blogger: Dr. Julius Few, Chicago
Here I am with Dr. Julius Few at the Brazilian-American meeting in Utah. Yes, we actually went to the meeting. His guest blog follows after the picture.

It was an honor to attend the first American-Brazilian Meeting in Utah. The long weekend was literally perfect, but the content of the meeting was even better. Despite the temptation for participants to go out to nature during the meeting, most waited until the allotted break time because the content was so dynamic.
This meeting represented a unique mix of aesthetic medicine and surgery. I found the focus on how to keep our practices up to date incredibly useful. I believe the focus on non-surgical, laser, and cosmetic medicine very beneficial. Our patients are coming into our offices wanting the state of the art, with the least amount of down time and the most “bang for the buck”. I believe the emphasis on what works in lasers and what doesn’t was very useful-Dr. Pozner and Dr. Dibernardo gave very informative presentations.
I had the honor of participating in a panel focused on aesthetic medicine and the wave of the future. I feel that patients expect a comprehensive approach to their rejuvenation experience and the ability to offer surgical and non surgical options are vital. On a side note, I found the input of our international counterparts very innovative and “out of the box”. I really liked the minimally invasive way to lyse/cut platysmal bands very useful and I give our Brazilian friends a great deal of credit. I can’t believe I did not think of using a suture placed through the skin to cut muscle bands without a scar, an inexpensive surgical wire!
Dr. Julius Few
Few Institute
Chicago, Illinois

It was an honor to attend the first American-Brazilian Meeting in Utah. The long weekend was literally perfect, but the content of the meeting was even better. Despite the temptation for participants to go out to nature during the meeting, most waited until the allotted break time because the content was so dynamic.
This meeting represented a unique mix of aesthetic medicine and surgery. I found the focus on how to keep our practices up to date incredibly useful. I believe the focus on non-surgical, laser, and cosmetic medicine very beneficial. Our patients are coming into our offices wanting the state of the art, with the least amount of down time and the most “bang for the buck”. I believe the emphasis on what works in lasers and what doesn’t was very useful-Dr. Pozner and Dr. Dibernardo gave very informative presentations.
I had the honor of participating in a panel focused on aesthetic medicine and the wave of the future. I feel that patients expect a comprehensive approach to their rejuvenation experience and the ability to offer surgical and non surgical options are vital. On a side note, I found the input of our international counterparts very innovative and “out of the box”. I really liked the minimally invasive way to lyse/cut platysmal bands very useful and I give our Brazilian friends a great deal of credit. I can’t believe I did not think of using a suture placed through the skin to cut muscle bands without a scar, an inexpensive surgical wire!
Dr. Julius Few
Few Institute
Chicago, Illinois
Dr. Pozner to be on The Doctors
It was announced today on CBS' The Doctors that I will be performing a tummy tuck (aka abdominoplasty) on Pete, a 35-year old man who went from 405 pounds to 248 in six months.

From the show synopsis:
"Weighing 405 pounds and wearing size 58 pants just seven months ago, Pete lost 50 pounds by just changing his diet and exercising more often... But his friends weren't satisfied and offered Pete $15,000 to lose 100 additional pounds in six months. By sticking to a rigorous workout regimen and a healthy diet that included berries, egg whites, oatmeal and sweet potatoes, the pounds melted away for Pete so quickly that his friends tried to sabotage him by sending him pizzas and putting donuts in his gym bag! Pete fought off the temptations and kept losing the weight. "
He has to lose another 50-60 pounds in order for the surgery to make sense, and we'll keep you posted on how it goes and when he will return to the Doctors. Thank you to everyone who called the office after hearing about us today!
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center
Skin Laser Surgery Specialists of NY/NJ

From the show synopsis:
"Weighing 405 pounds and wearing size 58 pants just seven months ago, Pete lost 50 pounds by just changing his diet and exercising more often... But his friends weren't satisfied and offered Pete $15,000 to lose 100 additional pounds in six months. By sticking to a rigorous workout regimen and a healthy diet that included berries, egg whites, oatmeal and sweet potatoes, the pounds melted away for Pete so quickly that his friends tried to sabotage him by sending him pizzas and putting donuts in his gym bag! Pete fought off the temptations and kept losing the weight. "
He has to lose another 50-60 pounds in order for the surgery to make sense, and we'll keep you posted on how it goes and when he will return to the Doctors. Thank you to everyone who called the office after hearing about us today!
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center
Skin Laser Surgery Specialists of NY/NJ
Monday, March 2, 2009
Guest Blog: Dr. Diane Duncan on RFAL assisted liposuction
I just returned from the inaugural Brazilian-American meeting of plastic surgeons held last week by the ASAPS and ISAPS in beautiful Park City, Utah. The meeting was fantastic and melded some terrific techniques and presentation from both Brazilian and American physicians. This meeting was the brainchild of Renato Saltz, MD, an internationally respected plastic surgeon in Salt Lake City by way of Brazil.

One of the best presentations was by Diane Duncan, MD(pictured above), a leading plastic surgeon from Colorado who presented her data on Invasix, with whom she's been doing clinical trials for their RF liposuction/skin retraction device. On their website, it is billed as the first "RFAL," or Radio Frequency Assisted Liposuction device. What follows is a guest post by Dr. Duncan:
"One of the most exciting new technologies we have come across is made by a new Israeli company Invasix. Their device is a radiofrequency modulated liposuction and skin retraction device, currently being reviewed by the FDA for approval.
I have been doing some phase III clinical trials. This device is used internally during liposuction and caused unidirectional heating of the skin. The heating is more uniform than can be achieved with laser liposuction and quicker. The device also can control the amount of skin heating by decreasing energy when the skin achieves the correct temperature. This machine seems to offer a real advantage in obtaining localized skin surface area reduction without skin excision.
Many patients that we would have previously treated with an abdominoplasty may achieve excellent results with radiofrequency assisted liposuction alone. The next study will be a split abdomen study, comparing traditional liposuction to the radiofrequency modality. A 3-D CAD system will be used to measure both volumetric and skin surface area changes."
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
Dr. David J. Godlberg
Sanctuary Medical Aesthetic Center
Skin Laser Surgery Specialists of NY/NJ

One of the best presentations was by Diane Duncan, MD(pictured above), a leading plastic surgeon from Colorado who presented her data on Invasix, with whom she's been doing clinical trials for their RF liposuction/skin retraction device. On their website, it is billed as the first "RFAL," or Radio Frequency Assisted Liposuction device. What follows is a guest post by Dr. Duncan:
"One of the most exciting new technologies we have come across is made by a new Israeli company Invasix. Their device is a radiofrequency modulated liposuction and skin retraction device, currently being reviewed by the FDA for approval.
I have been doing some phase III clinical trials. This device is used internally during liposuction and caused unidirectional heating of the skin. The heating is more uniform than can be achieved with laser liposuction and quicker. The device also can control the amount of skin heating by decreasing energy when the skin achieves the correct temperature. This machine seems to offer a real advantage in obtaining localized skin surface area reduction without skin excision.
Many patients that we would have previously treated with an abdominoplasty may achieve excellent results with radiofrequency assisted liposuction alone. The next study will be a split abdomen study, comparing traditional liposuction to the radiofrequency modality. A 3-D CAD system will be used to measure both volumetric and skin surface area changes."
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
Dr. David J. Godlberg
Sanctuary Medical Aesthetic Center
Skin Laser Surgery Specialists of NY/NJ
The importance of LED treatments
Light Emitting Diode (LED) technology is becoming an increasingly more important aspect of many medical and cosmetic treatments. In fact the varied benefits of LED treatments are very analogous to the multiple benefits of Botox® injections. Botox® injections can lead to profound benefits both in neurology and cosmetic medicine. Botox®, as everybody knows, is wonderful in its ability to decrease wrinkles and excess underarm sweating. In addition, Botox® can also markedly improve migraine headaches or the stiffness associated with cerebral palsy or after certain strokes. LED treatments also have found their way into many medical fields
LED treatments are in some ways like laser treatments and in some ways are very different. Just like different lasers emit different colors of light and thus different lasers are used for wrinkles, age spots, acne or spider veins, LED light technology also comes in many different colors. There are LED machines that emit, blue, red, yellow and near-infra-red light. Each different LED has a different effect on different cells and therefore each has potential different uses.
What makes LEDs so very different than lasers is their effect on the skin – they are without any of the heat effect seen with most lasers. Because there is no heat produced from LED machines, treatments are painless and safe for all skin types. In research done in our offices we have shown that blue and red LED treatments can be very effective in treating acne, while red and near-infrared LED treatments are helping in promoting anti-aging of the skin. These studies have now been published in well respected journals.
In addition to the cosmetic skin benefits of LED treatments, recent studies have shown that yellow LED treatment can lessen the severity of a sunburn and now red LED treatment has been shown to decreased the discomfort of radiation therapy following the treatment of breast cancer.
LED treatment currently is, and will continue to be, an important adjunct therapy to many aspects of cosmetic and medical treatment.
David J. Goldberg, MD
Skin Laser and Surgery Specialists NY/NJ
Sanctuary Medical Aesthetic Center
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
LED treatments are in some ways like laser treatments and in some ways are very different. Just like different lasers emit different colors of light and thus different lasers are used for wrinkles, age spots, acne or spider veins, LED light technology also comes in many different colors. There are LED machines that emit, blue, red, yellow and near-infra-red light. Each different LED has a different effect on different cells and therefore each has potential different uses.
What makes LEDs so very different than lasers is their effect on the skin – they are without any of the heat effect seen with most lasers. Because there is no heat produced from LED machines, treatments are painless and safe for all skin types. In research done in our offices we have shown that blue and red LED treatments can be very effective in treating acne, while red and near-infrared LED treatments are helping in promoting anti-aging of the skin. These studies have now been published in well respected journals.
In addition to the cosmetic skin benefits of LED treatments, recent studies have shown that yellow LED treatment can lessen the severity of a sunburn and now red LED treatment has been shown to decreased the discomfort of radiation therapy following the treatment of breast cancer.
LED treatment currently is, and will continue to be, an important adjunct therapy to many aspects of cosmetic and medical treatment.
David J. Goldberg, MD
Skin Laser and Surgery Specialists NY/NJ
Sanctuary Medical Aesthetic Center
Dr. Jason Pozner
Sanctuary Medical Aesthetic Center
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