No one would criticize a colleague for referring someone to a melanoma, dermatopathology, pediatric, or psoriasis expert. This allows referrals to the best possible dermatologist for care based on the patients’ needs. To have comprehensive knowledge, a dermatologist should test and have extensive experience with every product currently available.ĭon’t condemn those who choose to be the true expert in a particular aspect of dermatology.
An expert is defined as a person who has a comprehensive and authoritative knowledge of or skill in a particular area.
#ROBERT BUKA SKIN#
Does the general dermatologist understand the clinical nuances of each one? Does your patient need a hydrophilic hyaluronic acid (HA) filler for anterior projection? Does your patient need an HA filler that will integrate into the dermis with almost no trace? Should you start with a collagen stimulator, such as poly-l-lactic acid? What is the role of dissolving suspension sutures? Does your patient’s physical activity help guide your decision? Does your patient’s occupation change your treatment plan? At what stage should you add neuromodulators? When should you add technology, such as radiofrequency (RF), ultrasound (US), combined RF with unfocused US, microneedling, RF microneedling, ablative laser, nonablative laser, or hybrid laser? Should skincare be started before the procedure or immediately after the procedure? If before, how long should the skin be prepped with a topical product to optimize results of the recommended procedure? Where do professional grade topicals work better than prescription products? These questions are just a few that a cosmetic dermatologist answers in the span of seconds when he or she examines a patient.Īs with any field that is changing so quickly, not everyone is going to be an expert. There are currently more than 200 fillers being used worldwide, of which 19 are FDA-approved for use in the US.
#ROBERT BUKA HOW TO#
With rapidly evolving technology in the cosmetic space, the true cosmetic expert must understand how to fully utilize and customize a treatment plan for his or her patient.
Today’s patient receives many effective nonsurgical options that delay and/or enhance their surgical options. Similarly, our ability to tighten and lift the face and neck without surgery was limited 20 years ago. For example, while every resident is now tested on various oral and topical inflammatory inhibitors and even gene therapy, these concepts were fictional in 1999. Many things today’s graduating residents take for granted were not available even a few years ago. As a result, some of our board-certified dermatologists have chosen to exclusively practice cosmetic dermatology. In addition to now “routine” Mohs micrographic surgery, liposuction, and in-office mini-face lifts and brow lifts, dermatologists continue to expand nonsurgical rejuvenation capabilities for our patients. Similarly, our capacity for surgical and nonsurgical in-office procedures continues to develop. Our toolbox to treat advanced melanoma and nonmelanoma skin cancer has also grown.
#ROBERT BUKA FULL#
We now routinely prescribe immunologic therapies for debilitating conditions, such as full body psoriasis and severe eczema. Our capabilities as dermatologists have grown tremendously over the past 20 years and continue to evolve.
If we celebrate those who subspecialize in “medical” aspects of dermatology, then we must acknowledge the value of a true cosmetic specialization-for our patients and our specialty. Super Specialization in Dermatology Benefits Us All
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