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Cosmetic Dermatology PRINCIPLES AND PRACTICE SECOND EDITION LESLIE BAUMANN, MD Author and Editor Director, University of Miami Cosmetic Medicine and Research Institute Professor of Dermatology University of Miami Miami Beach, FL SOGOLSAGHARI, MD Associate Editor Department of Dermatology University of Miami Miami, FL Private Practice Los Angeles, CA EDMUND WEISBERG, MS Managing Editor Center for Clinical Epidemiology and Biostatistics University of Pennsylvania School of Medicine Philadelphia, PA New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto Copyright © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. 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Dedication This book is dedicated to the three men in my life: Roger Alexander Baumann Thank you for encouraging me and being there to help me with all the technology and business aspects of my life. Your never- ending support has kept me sane over the years. Most of all, my thanks for dragging me out of the mud when times were tough like a good cutting horse does! You are an ideal husband, father, and friend. Here’s to another 20 years together! Robert Edward Baumann I am so proud of what a good person you are growing up to be. You are kind, have a great sense of humor, and have a love for others that is truly refreshing. You have many talents, one of which is making me feel very special and proud to have you as a son. Keep up the good work! Maximilian Carl Baumann When this book comes out, you will be 7 years old. It is hard to believe that you are growing up so fast; however, you will always be my baby. I am very proud of what a great student and person you are. I am so happy to have someone in the family who is so much like me and loves to read as much as I do. Never stop snuggling! Roger, Robert and Max, You all brighten my life, remind me of what is important, and make it all worthwhile. Thank you for loving me! This page intentionally left blank CONTENTS C O Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix 13 Skin Pigmentation and Pigmentation N T E Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 N T Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii Leslie Baumann and Sogol Saghari S 14 Skin of Color . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Section 1. Basic Concepts of Skin Science Heather Woolery-Lloyd 1 Basic Science of the Epidermis . . . . . . . . . . . . . . . . . . .3 Section 3. Specific Skin Problems Leslie Baumann and Sogol Saghari 15 Acne (Type 1 Sensitive Skin) . . . . . . . . . . . . . . . . . .121 2 Basic Science of the Dermis . . . . . . . . . . . . . . . . . . . . . .8 Leslie Baumann and Jonette Keri Leslie Baumann and Sogol Saghari 16 Rosacea (Type 2 Sensitive Skin) . . . . . . . . . . . . . . .128 3 Fat and the Subcutaneous Layer . . . . . . . . . . . . . . . .14 Sogol Saghari, Jonette Keri, Stuart Shanler and Leslie Baumann Voraphol Vejjabhinanta, Leslie Baumann, Suzan Obagi, and Anita Singh 17 Burning and Stinging Skin (Type 3 4 Immunology of the Skin . . . . . . . . . . . . . . . . . . . . . . . .22 Sensitive Skin) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133 Leslie Baumann H. Ray Jalian and Jenny Kim 18 Contact Dermatitis (Type 4 Sensitive Skin) . . .136 5 Hormones and Aging Skin . . . . . . . . . . . . . . . . . . . . . .29 Sharon E. Jacob Larissa Zaulyanov-Scanlan 6 Photoaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 19 Wrinkled Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .145 Sogol Saghari and Leslie Baumann Leslie Baumann and Sogol Saghari 7 Cigarettes and Aging Skin . . . . . . . . . . . . . . . . . . . . . .42 20 Chemical Peels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148 Leslie Baumann and Sogol Saghari Leslie Baumann and Sogol Saghari 8 Nutrition and the Skin . . . . . . . . . . . . . . . . . . . . . . . . . .45 21 Prevention and Treatment of Bruising . . . . . . . . .163 Susan Schaffer, Sogol Saghari and Leslie Baumann Leslie Baumann Section 4. Cosmetic Procedures Section 2. Skin Types 22 Botulinum Toxin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169 9 The Baumann Skin Typing System . . . . . . . . . . . . .69 Leslie Baumann, Mohamed L. Elsaie and Lisa Grunebaum Leslie Baumann and Edmund Weisberg 23 Dermal Fillers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 10 Oily Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Leslie Baumann, Marianna Blyumin and Sogol Saghari Mohamed L. Elsaie and Leslie Baumann 24 Lasers and Light Devices . . . . . . . . . . . . . . . . . . . . . .212 11 Dry Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Joely Kaufman Leslie Baumann 25 Sclerotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 12 Sensitive Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Larissa Zaulyanov-Scanlan Leslie Baumann vii 26 Facial Scar Revision . . . . . . . . . . . . . . . . . . . . . . . . . . . .227 34 Antioxidants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .292 Suzan Obagi and Angela S. Casey Leslie Baumann and Inja Bogdan Allemann 35 Anti-inflammatory Agents . . . . . . . . . . . . . . . . . . . . .312 Section 5. Skin Care Mari Paz Castanedo-Tardan and Leslie Baumann 27 Starting a Skin Care Product Line . . . . . . . . . . . . . .237 36 Fragrance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .325 Leslie Baumann Edmund Weisberg and Leslie Baumann 28 Cosmetic and Drug Regulation . . . . . . . . . . . . . . . .241 37 Preservatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .329 Edmund Weisberg and Leslie Baumann Edmund Weisberg and Leslie Baumann 29 Sunscreens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245 Leslie Baumann, Nidhi Avashia and Section 6. Other Mari Paz Castanedo-Tardan 38 Bioengineering of the Skin . . . . . . . . . . . . . . . . . . . .335 30 Retinoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .256 Leslie Baumann and Mari Paz Castanedo-Tardan C Leslie Baumann and Sogol Saghari O 39 Scales Used to Classify Skin . . . . . . . . . . . . . . . . . . .342 NT 31 Cleansing Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .263 Mari Paz Castanedo-Tardan and Leslie Baumann E N Kumar Subramanyan and K.P. Ananth T 40 The Psychosocial Aspects of Cosmetic S 32 Moisturizing Agents . . . . . . . . . . . . . . . . . . . . . . . . . . .273 Dermatology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .347 Leslie Baumann Edmund Weisberg 33 Depigmenting Agents . . . . . . . . . . . . . . . . . . . . . . . . .279 Leslie Baumann and Inja Bogdan Allemann Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .357 viii CONTRIBUTORS C O N Inja Bogdan Allemann,MD Mohamed L.Elsaie,MD,MBA Jonette Keri,MD,PhD T R Cosmetic Dermatology Fellow, Cosmetic Dermatology Fellow, Assistant Professor, Miller School of IB Department of Dermatology and Department of Dermatology and Medicine, University of Miami, U T Cutaneous Surgery, Miller School Cutaneous Surgery, Miller School of Miami, Florida; O R of Medicine, University of Miami, Medicine, University of Miami, Miami, Chief, Dermatology Service, Miami VA S Miami, Florida; Dermatologic Florida; Department of Dermatology Hospital, Miami, Florida Clinic, University Hospital of and Venereology, National Research Chapters 15 and 16 Zurich Center, Cairo, Egypt Zurich, Switzerland Chapters 10 and 22 Jenny Kim,MD,PhD Chapters 33 and 34 Associate Professor, Department of Lisa Danielle Grunebaum,MD Medicine and Division of K.P.Ananth Assistant Professor, Division of Facial Dermatology, David Geffen School Chapter 31 Plastic and Reconstructive Surgery, of Medicine at UCLA, Los Angeles, Department of Otolaryngology and California Head and Neck Surgery, University Chapter 4 Nidhi J.Avashia,BS of Miami, Miami, Florida Miller School of Medicine, University Chapter 22 Suzan Obagi,MD of Miami, Miami, Florida Assistant Professor of Dermatology, Chapter 29 Sharon E.Jacob,MD Director, The Cosmetic Surgery and Assistant Professor, Divisions of Skin Health Center, University of Marianna L.Blyumin,MD Medicine and Pediatrics Pittsburgh Medical Center, Dermatology Resident, Department of (Dermatology), University of Pittsburgh, Pennsylvania Dermatology and Cutaneous California, San Diego, San Diego, Chapters 3 and 26 Surgery, Miller School of Medicine, California University of Miami, Miami, Chapter 18 Sogol Saghari,MD Florida Department of Dermatology, Chapter 23 H.Ray Jalian,MD University of Miami, Miami, Florida; Resident Physician, Department of Private Practice, Los Angeles, Angela S.Casey,MD Medicine, Division of Dermatology, California Assistant Professor, Dermatology and David Geffen School of Medicine at Chapters 1, 2, 7, 13, 16, 19, 20, 21, 23, Mohs Surgery, University of Vermont UCLA, Los Angeles, California and 30 College of Medicine, Fletcher Allen Chapter 4 Health Care, Burlington, Vermont Susan Schaffer,RN Chapter 26 Joely Kaufman,MD University of Miami, Cosmetic Assistant Professor, Department of Medicine and Research Institute, Maria Paz Castanedo-Tardan,MD Dermatology and Cutaneous Surgery Miami Beach, Florida Department of Dermatology and and Director of Laser and Light Chapter 21 Cutaneous Surgery, Miller School of Therapy, University of Miamia Medicine, University of Miami Cosmetic Medicine and Research Stuart Daniel Shanler,MD,FACMS Miami, Florida Institute, Miami, Florida Private Practice, New York, New York Chapters 29, 35, 38, and 39 Chapter 24 Chapter 16 ix
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