Translational Science Dermatology Lecture Series from George Washington School of Medicine and Health Sciences

This ongoing evidence-based series from George Washington University, hosted by Adam Friedman, MD is comprised of expert guest lectures designed to provide dermatologists and residents with access to the latest bench-to-bedside research and practical pearls.

Archived CME: Natural Ingredients in Skin Care - The Basic Science of Natural Ingredients

Considering the increased rise in the interest in complementary and alternative therapies for dermatologic conditions it is imperative that the dermatologist remain knowledgeable regarding the research into the mechanisms and biochemistry of natural ingredients in order to properly advise patients about the efficacy of natural ingredients.

Archived CME: Natural Ingredients in Skin Care - Safety and Efficacy of Colloidal Oatmeal in Treating Eczema

Complementary and alternative therapeutic options are topics on the forefront for dermatologic practitioners and dermatologic patients alike. Today's health-conscious dermatologic patient is searching for natural ingredients that are gentler on their skin yet provide solutions to common skin disorders.

Archived CME: Natural Ingredients in Skin Care - Cosmetic Benefits of Natural Ingredients in Skin and Hair

Today's health-conscious dermatologic patient is searching for natural ingredients that are gentler on their skin yet provide solutions to common skin disorders such as; hyperpigmentation, eczema, acne, psoriasis, rosacea, photodamage and fine lines and wrinkles.

Using Cleocine with Topical Steroids for Lip Lickers Dermatitis: A Sure Recipe for Improving Patient Outcomes presented by Adam Friedman, MD, FAAD

In terms of treating Lip Lickers Dermatitis, use Cleocine in addition to your topical steroid to calm inflammation as Cleocine absolutely tastes terrible. If he parents apply this with the topical steroid, the kids will not only improve in terms of irritation, but they will also limit the amount they lick around their lips.

Oral Contraceptives and Spirinolactone for Women with Acne presented by the late Alan R. Shalita, MD

Unfortunately many dermatologists appear to be uncomfortable with hormonal therapy for treating acne patients. We are commonly seeing adult women with acne, which is sometimes referred to as adult acne, and not infrequently they'll have hormonal problems. One of the ways to detect that is by doing an endocrinological analysis.

Looking for Multiple Causal Agents When Treating Female-Pattern Hair Loss: It Can Only Benefit You and Your Patients presented by Amy McMichael, MD

The thing about hair disorders that I think is really different and something that a lot of dermatologists don't get in the early years of their practice is that they can occur really more than one at a time.

Using Antibiotics to Control Inflammation in CCCA Patients presented by Andrew F. Alexis, MD, MPH, FAAD

One of the most common conditions that I treat on a daily basis is Central centrifugal cicatricial alopecia, or CCCA, which is a primary cicatricial alopecia that's predominantly lymphocytic. Lymphocytic inflammation is a key component in the pathogenesis of the disease. So, that being said, our treatments are anti-inflammatory and, anecdotally, the use of doxycycline and other tetracyclic antiobiotics for their anti-inflammatory effect has been useful.

How Important Are Before-and-After Photographs in Your Practice?: Very presented by Deborah S. Sarnoff, MD, FAAD, FACP

I try to instill in all my residents that the most important instrument I rely on pre-operatively, is the camera — not the scalpel! When I first started in dermatology, all we had were Polaroids for the chart and Kodachromes for presentations. Today's residents are so lucky to have iPads, iPhones, digital cameras and sophisticated imaging technology, such as the Visia CR, Vectra, etc.

Diversity in Your Practice: It's Just Good Business! presented by Eliot F. Battle, Jr., MD

Increase your patient base to include everybody, including from Caucasians, through Asians, through Pacific Asians, which are Indians to Latin to African Americans. Everybody should be able to come to your practice and be treated safely. So, it's crucial to learn how to treat everyone in a safe and effective way.

Developing Rapport with Your Patients: Don't Underestimate the Importance of Touch presented by Erin Gilbert, MD, PhD

I think the value of touch is underestimated and undervalued. When I inject my patients, whether it's Botulinum toxin or a filler, I spend a good five minutes after I inject applying arnica to my patients. And, the reason I do that is because the relationship between patient and doctor really needs to be based on trust and I think touch is an important part of that.

Evidence-Based Approaches to Selecting Fillers: Science – A Proven Winner over Instincts presented by Hema Sundaram, MD, FAAD

Looking back over the last year, one of the really big things has been touched me in my clinical practice and also in my teaching is the move to evidence-based approach to the selection of fillers. We're no longer just relying on our empiric experiences when we inject various products, but we are looking increasingly towards the science – towards rheology which is the study of flow-related properties, and also towards a greater understanding of neo-collagenesis for some of these products.

Letting Your Patients Have the Final Say on Surgery: They’ll Feel Better and So Will You presented by Leon Kircik, MD

Anytime you do a procedure, be it Moh's micrographic surgery or anything else, give the patient a chance – maybe not a full consult – but give them a chance to think about it, if they really want to do the procedure or not. If possible, let them go home and think about it. Let them discuss it with their family, and then let them come back and tell you, yes, they really want to do it.

Reducing Post-Surgical Inflammation and Scarring with Acne Patients: Topical Steroid Gels are a Good Idea presented by Manjula Jegasothy, MD

For acne patients who undergo extractions in your office, either if you perform the extraction yourself or have one of your staff performs the extraction, immediately afterwards, place a drop of topical steroid – Class 1 topical steroid gel – into the open lesion. It will take down the inflammation and make sure that the patient leaves your office in pristine condition. They're not marked up and they’re incredibly happy with your skill of the procedure.

Be Careful: Too Much Botox Is Bad for Anyone presented by Martin Braun, MD

Try to put less Botox in the forehead. Leave that front talus muscle alone. In my opinion, far too many patients are getting far too much Botox in the forehead. It is preventing animation of the forehead and it gives a strange look. A smooth, shiny atrophic forehead never looks good on anyone – male or female.

Ice Cream Before Injectable Procedures: Your Patients Will Love You and It Reduces Bruising, Too presented by Michael Sinclair, MD

Give your patients about 2 tablespoons of the richest chocolate, vanilla, or strawberry ice cream that you can right before you do an injectable procedure. The reason I tell them I do this is that it seems to raise the viscosity of their blood, so it actually tends to reduce bruising. I’m not sure how much it’s actually reducing the bruising, but they patients believe it, they love it, and they’ll come back to you because it differentiates you from the competitors. It doesn’t really matter what brand as long as it ultra-fattening, ultra-rich, and only about 2 tablespoons is all that it takes. You patients will love and they'll come back to you.

Using Field Therapy to Treat Multiple Actinic Keratoses presented by Neil Alan Fenske, MD, FACP

When you see a patient whose got multiple-actinic keratosis, consider using field therapy with one of the many drugs that are available to treat the entire mutated skin as opposed to just the isolated, visible multiple actinic keratosis. This is will ultimately serve you patient best because of all the skin has been damaged by the sun, not just the isolated lesions that you see clinically.

Psychology and Dermatology: Changing the Lives of Our Patients for the Better presented by Richard G. Fried, MD, PhD

In 20 years of experience in psychology and dermatology, probably the single most important thing we give patients is control, hope, demonstrable clinical change. What we’ve found in studies that we’ve done here and throughout the country is we just don’t make people feel better, we actually change the functional level of our patients. Whether it’s treating chronic itch, whether it’s treating beliefs of infestation, whether it’s using fillers – Botox. We generally change physiologically how people feel and function.

Aesthetic Dermatology: Considerations Before Approaching the Male Face presented by Whitney P. Bowe, MD

If you are interested in going into aesthetic dermatology, take some time to study the differences between the male and female face and what is considered attractive. What many dermatologists may not realize is that over 80% of patients studied in clinical trials for fillers and injectables are female. I urge you to appreciate and understand the differences in female and male faces and adjust your technique as necessary.

The Evaluation and Treatment of the Aging Face

Non-Surgical Aesthetic Treatment: Join a live, interactive, 90-minute demonstration on the evaluation and treatment of the aging face using non-surgical aesthetic lasers. The session will be hosted by Dr. Donald Groot and Dr. Richard Green.

The Fern Pattern Technique

A video demonstration of "A Novel Method to Inject Hyaluronic Acid: The Fern Pattern Technique," by Tom van Eijk, MD and Martin Braun, MD.