Try a new search

Format these results:

Searched for:

person:halee01

in-biosketch:true

Total Results:

67


Laser skin resurfacing, chemical peels, and other cutaneous treatments of the brow and upper lid

Brauer, Jeremy A; Patel, Utpal; Hale, Elizabeth K
The focus of this article is treatments of the brow and upper lid, in the context of appreciating their relationship to the forehead and periorbital complex to best evaluate and treat. This material is focused on treatments designed to stimulate collagen synthesis, as well as improve fine lines, wrinkles, and overall appearance of the skin, by mechanical dermabrasion, application of chemical peels, laser surgery, and treatment with energy devices including radiofrequency and focused ultrasound.
PMID: 23186758
ISSN: 0094-1298
CID: 409942

Investigation into optimal treatment intervals of facial port-wine stains using the pulsed dye laser

Anolik, R; Newlove, T; Weiss, ET; Brightman, L; Hale, EK; Karen, JK; Bernstein, L; Geronemus, RG
BACKGROUND: Port-wine stains (PWS) affect 0.3% to 0.5% of newborns and pulsed dye laser (PDL) remains the treatment of choice. Optimal treatment intervals have not been established. OBJECTIVE: We sought to validate the optimal treatment intervals for the management of facial PWS with PDL. METHODS: In all, 24 infants with facial PWS who received at least 5 treatments with the PDL at 2-, 3-, and 4-week intervals at a private laser and skin surgery center from 2009 to 2010 were identified by a retrospective chart review. Safety and efficacy were compared by blinded investigators. RESULTS: Side effects were equivalent in all interval groups and included only expected short-term erythema, edema, purpura, and mild postinflammatory hyperpigmentation. No patient developed hypopigmentation, scarring, or infection. All interval groups showed 50% to 100% clearance of their PWS after 5 treatments. Complete or near-complete clearance was seen in 6 of 8 (75%) and 7 of 8 (87.5%) patients in the 2- and 3-week interval groups, respectively, as compared with 3 of 8 (37.5%) patients in the 4-week interval group. LIMITATIONS: This was a retrospective chart review from a single institution. Long-term side effects and recurrence rates were not assessed. CONCLUSION: We conclude that PDL treatments at 2-, 3-, and 4-week intervals are effective for the management of facial PWS in infants with minimal short-term side effects. Shorter treatment intervals may allow for relatively more rapid and more effective treatment.
PMID: 22342327
ISSN: 0190-9622
CID: 157591

Ablative Fractional Resurfacing for Involuted Hemangioma Residuum

Brightman, Lori A; Brauer, Jeremy A; Terushkin, Vitaly; Hunzeker, Christopher; Reddy, Kavitha K; Weiss, Elliot T; Karen, Julie K; Hale, Elizabeth K; Anolik, Robert; Bernstein, Leonard; Geronemus, Roy G
BACKGROUND Given the natural tendency for 15% to 40% of infantile hemangiomas to spontaneously involute over time, much debate surrounds the issue of treatment. Until recently, effective therapies to improve the appearance of residual textural skin changes in these patients were lacking. We suggest the use of ablative fractional resurfacing for the treatment of textural skin changes resulting from involuted hemangiomas. OBSERVATIONS All patients treated with an ablative fractional carbon dioxide laser experienced considerable flattening of the fibrofatty residual tissue, with at least 50% to 75% improvement in color, texture, and overall appearance. CONCLUSION While additional future studies are needed, we believe that ablative fractional resurfacing should be considered for the treatment of textural skin changes associated with involuted infantile hemangiomas.
PMID: 22910902
ISSN: 0003-987x
CID: 179394

Successful and rapid treatment of blue and green tattoo pigment with a novel picosecond laser

Brauer, Jeremy A; Reddy, Kavitha K; Anolik, Robert; Weiss, Elliot T; Karen, Julie K; Hale, Elizabeth K; Brightman, Lori A; Bernstein, Leonard; Geronemus, Roy G
BACKGROUND While the understanding and technology of laser tattoo removal has advanced much over the last 5 decades, treatments and results remain far from perfect. With currently available devices, treatment courses are often painful and prolonged with mixed results. We describe the successful and rapid treatment of 12 tattoos containing blue and/or green pigment with a novel, picosecond, 755-nm alexandrite laser. OBSERVATIONS All previously untreated multicolored tattoos as well as tattoos recalcitrant to treatment demonstrated at least 75% clearance of blue and green pigment after 1 or 2 treatments with a novel, picosecond, 755-nm alexandrite laser. More than two-thirds of these tattoos approached closer to 100% clearance. CONCLUSIONS While additional future studies are needed, we believe that this new technology is more effective in targeting blue and green pigment, resulting in expedited clearance with less collateral injury to surrounding tissue.
PMID: 22801616
ISSN: 0003-987x
CID: 174454

Calcium Hydroxylapatite Nodule Resolution After Fractional Carbon Dioxide Laser Therapy

Reddy, KK; Brauer, JA; Anolik, R; Bernstein, L; Brightman, LA; Hale, E; Karen, J; Weiss, E; Geronemus, RG
BACKGROUND: Injection of calcium hydroxylapatite filler may result in nodule formation owing to superficial placement of the filler. Calcium hydroxylapatite nodules are difficult to reverse. Previously reported therapeutic options are limited and include intralesional triamcinolone, massage, needling, and excision, each with inconsistent results or potential for scarring. Observation We have observed complete resolution of calcium hydroxylapatite nodules after a single treatment with fractional carbon dioxide laser. CONCLUSIONS: A single session of fractional carbon dioxide laser treatment may resolve selected cases of calcium hydroxylapatite nodules. The mechanism of action may involve conversion of the product into tricalcium phosphates which dissolve readily. This novel therapeutic technique may enhance treatment options for a difficult clinical problem.
PMID: 22351789
ISSN: 0003-987x
CID: 157590

Infliximab (remicade) and increased incidence of development of Basal cell carcinoma

Gaines-Cardone, Elizabeth; Hale, Elizabeth K
Immunosuppression is a known risk factor for the development of non-melanoma skin cancers (NMSC). Certain medications that induce immunosuppression, such as tumor necrosis factor-? (TNF-?) inhibitors, are being used more frequently. We report a case of a young, pregnant woman who was treated with infliximab for Crohn's disease, and subsequently experienced a rapid growth of two pre-existing basal cell carcinomas. As use of TNF-? inhibitors increases, it is important to closely monitor patients for the development of NMSC. J Drugs Dermatol. 2012;11(5):655-656.
PMID: 22527438
ISSN: 1545-9616
CID: 167130

Musculoskeletal disorders and ergonomics in dermatologic surgery: a survey of mohs surgeons in 2010

Liang, Christine A; Levine, Vicki J; Dusza, Stephen W; Hale, Elizabeth K; Nehal, Kishwer S
BACKGROUND: Dermatologic surgeons perform numerous procedures that put them at risk of developing work-related musculoskeletal disorders. OBJECTIVE: To study the prevalence of work-related musculoskeletal disorders and role of ergonomics in dermatologic surgery. METHODS AND MATERIALS: A survey study was sent to members of the American College of Mohs Surgery in 2010. The main outcome measures were survey responses relating to surgeon demographics, musculoskeletal symptoms, workstyle habits and attitudes, and ergonomic practices. RESULTS: Ninety percent of respondents reported some type of musculoskeletal symptoms or injuries. The most common complaints were neck, lower back, shoulder, and upper back pain. Most respondents were not using ergonomic modifications in their practice. CONCLUSION: Mohs surgeons have a high prevalence of musculoskeletal disorders. Symptoms present early and persist throughout the careers of Mohs surgeons. The nature of the occupation leaves the surgeon vulnerable to injury. Ergonomic modifications in behavior and workplace are recommended to reduce pain and injury to surgeons.
PMID: 22212027
ISSN: 1076-0512
CID: 157681

JDD: Celebrating 10 Years of Publishing Excellence [Editorial]

Hale, Elizabeth K
ISI:000301315500001
ISSN: 1545-9616
CID: 1878472

Reduction of thickened flap using fractional carbon dioxide laser

Brightman, Lori A; Brauer, Jeremy A; Anolik, Robert; Weiss, Elliot T; Karen, Julie; Chapas, Anne; Hale, Elizabeth; Bernstein, Leonard; Geronemus, Roy G
BACKGROUND AND OBJECTIVE: The paramedian forehead flap is an excellent choice when repairing a large nasal defect. However, even when carefully thinned, the flap may develop a bulky appearance, an ill-fitting contour, or trap door deformity. When on the face, these suboptimal results can be quite distressing. Surgical and non-surgical options for improvement exist. Surgical options include additional debulking and reorientation of the flap. Non-surgical options include intralesional corticosteroids or 5-flourouracil, dermabrasion, and ablative and non-ablative laser resurfacing. Each option has limited benefit as well potential side effects. STUDY DESIGN/MATERIALS AND METHODS: Case report. RESULTS: In this report, we present dramatic improvement of a thickened paramedian forehead flap using the Fraxel Re:pair, a fractional carbon dioxide (CO(2) ) laser (Solta Medical, Inc. Hayward, CA). CONCLUSION: To our knowledge, this is the first case in the literature demonstrating successful reduction of a bulky flap using a fractional ablative laser.
PMID: 22006727
ISSN: 0196-8092
CID: 157592

Procedural dermatology training during dermatology residency: a survey of third-year dermatology residents

Lee, Erica H; Nehal, Kishwer S; Dusza, Stephen W; Hale, Elizabeth K; Levine, Vicki J
BACKGROUND: Given the expanding role of multiple surgical procedures in dermatology, resident training in procedural dermatology must be continually assessed to keep pace with changes in the specialty. OBJECTIVE: We sought to assess the third-year resident experience in procedural dermatology during residency training. METHODS: This survey study was mailed to third-year dermatology residents at 107 Accreditation Council for Graduate Medical Education (ACGME)-approved dermatology residency programs in 2009. RESULTS: A total of 240 residents responded (66%), representing 89% of programs surveyed. Residents assume the role of primary surgeon most commonly in excisional surgery (95%) and flap and graft reconstruction (49%) and least often in Mohs micrographic surgery (18%). In laser and cosmetic procedures, the resident role varies greatly. Residents believed they were most prepared in excisional surgery, botulinum toxin, and laser surgery. Residents believed it was sufficient to have only knowledge of less commonly performed procedures such as hair transplantation, tumescent liposuction, and ambulatory phlebectomy. Of responding residents, 55% were very satisfied with their procedural dermatology training during residency. LIMITATIONS: Individual responses from residents may be biased. Neither residency program nor dermatologic surgery directors were surveyed. CONCLUSION: This survey confirms dermatology residents received broad training in procedural dermatology in 2009, in keeping with ACGME/Residency Review Committee program guidelines. The results provide feedback to dermatology residency programs and are an invaluable tool for assessing, modifying, and strengthening the current procedural dermatology curriculum
PMID: 20888668
ISSN: 1097-6787
CID: 138289