March 22, 2016, Rolling Meadows,
Ill. – A first-of-its-kind scientific study reveals dermatologists are the
premier innovators in 14 of 18 categories of non-invasive and minimally
invasive cosmetic medical procedures.
The study – Who are the pioneers? A critical analysis of innovation
and expertise in cutaneous non-invasive and minimally invasive cosmetic and
surgical procedures – appears in the March issue of Dermatologic Surgery, the official journal of the American Society
for Dermatologic Surgery.
“This objective study provides powerful new evidence demonstrating
the unmatched contributions dermatologists have made in pioneering and
mastering non-invasive and minimally invasive cosmetic procedures,” said ASDS
President Naomi Lawrence, M.D. “The data reinforce why the public trusts
dermatologists above all others for cosmetic medical guidance.”
As the number of cosmetic medical
procedures increases each year, this unbiased analysis of the medical literature will help
consumers decide which specialist is their best choice for these procedures,
said ASDS member and study lead author Omar A. Ibrahimi, M.D., Ph.D., who
undertook the assignment as an ASDS Board-directed research project.
Ibrahimi said that aggressive marketing has been done by other
specialties in an attempt to position themselves as leaders, and he believes this
new research can counteract such misconceptions.
“The numerous options available
to the lay person seeking non-invasive or minimally invasive cosmetic
treatments can create significant confusion as to which physician specialist
might be the optimal provider of a certain procedure,” said Ibrahimi, who
serves as director of the Connecticut Skin Institute in Stamford, Conn.
study’s data show that dermatologists have performed the overwhelming majority
of innovation and pioneering research for non-invasive and minimally invasive cosmetic
medical and surgical procedures.
scoring systems were used in the study, generating a citations score and a
weighted score. Among the notable results:
- A citation score of 705.33 for dermatology in the use of
botulinum toxin to treat skin aging, more than double the next closest
- A citation score of 1,425 for dermatology in laser hair
removal, with researchers the next highest score at 198.
- A citation score of 1,316.33 for dermatology in chemical
peels, dwarfing the next closest specialty – plastic surgery – which had a
score of 190.
- A citation score of 60 for dermatology in cryolipolysis
followed by researchers at 9.33.
addition, dermatology ranked highest for:
- Calcium hydroxylapatite fillers for rhytides
- Collagen fillers for rhytides
- High-intensity focused ultrasound
- Hyaluronic acid fillers for rhytides
- Laser rejuvenation
- Laser resurfacing
- Laser tattoo removal
- Microfocused ultrasound
- Poly-l lactic acid fillers for rhytides
- Tumescent liposuction
other category winners were neurology for botulinum toxin to treat
hyperhidrosis (dermatology placed second), plastic surgery for hair
transplantation (dermatology placed second), plastic surgery for liposuction
(dermatology placed second but placed first for the less invasive tumescent
liposuction) and vascular surgery for sclerotherapy (dermatology placed third).
Ibrahimi said detailing the leading role dermatology has played in
innovating most of the procedures also demonstrates dermatologists’ ability to
provide superior patient care.
“The more you know and
understand about something, the better it is you can perform that procedure,” he
said. “Because dermatologists have innovated many of these treatments, we’re the
ones at the forefront of knowing the best way to optimize outcomes of the
keep their skills sharp by performing millions of procedures each year. According
to the 2015 ASDS Survey on Dermatologic Procedures, ASDS members performed
about 6.7 million cosmetic medical treatments last year – ranging from neuromodulators
and soft-tissue fillers to laser, light, and energy-based procedures and body
wealth of experience resonates with the public. The 2015 ASDS consumer survey
identified dermatologists as the No. 1 factor influencing consumer decisions to
pursue a cosmetic medical procedure.
said with “an endless buffet” of medical providers looking to perform cosmetic
medical procedures, it is important the public understands the distinct
qualifications dermatologists possess.
“Making sure you see someone
who is highly trained and who is an expert on the procedure that is being
performed is the best thing not only to optimize outcomes but also to make sure
you have a safe treatment,” Ibrahimi said.
About the study
Two scoring systems – a citations score
and weighted score – were applied to each procedure. Keywords using
the Medical Search Headings Database were used to query in the Thomson Reuters
Web of Science Database. The 25 most highly cited studies were sorted and the
authors’ specialties were identified. Each study then was scored using two
systems: a citations score and a weighted score. The full study is available
online at http://journals.lww.com/dermatologicsurgery/Fulltext/2016/03000/Who_are_the_Pioneers__A_Critical_Analysis_of.8.aspx