Articles

Way To Grow

Dermatologist Eric Schweiger, MD, grew his East Coast private practice from one to 40 locations in eight years.
MedEsthetics July/August 2018

When New York City-based dermatologist Eric Schweiger, MD, opened a private practice in midtown Manhattan in 2010, he had no idea it would one day become the first of 40 Schweiger Dermatology Group locations, treating more than 325,000 patients in the last year alone. He credits his fast growth to his patient-centric philosophy, his deep understanding of New York City patients and an entrepreneurial outlook.

Legal Issues: Restrictive Covenants

Restrictive covenants can help protect your business, but they must be reasonable and are not always enforceable.
MedEsthetics July/August 2018 Legal Issues

It is not uncommon for an employee to leave a company and join a competitor’s business or launch their own shop in the same community. As a practice owner in the highly competitive arena of aesthetic medicine, it is understandable that you would want to protect your business against loss of patients, particularly when that loss may come at the hands of an employee who has benefited from hours of training and years of building professional and patient contacts in your facility.

Global Injections

Full-face rejuvenation with injectables offers high patient satisfaction, but requires advanced training and an awareness of risk factors.
MedEsthetics July/August 2018

When medical aesthetic practices first began to use the term “Liquid Facelift” to describe the use of fillers and botulinum toxins for facial rejuvenation, there was some discomfort in the industry. Many practitioners were wary of suggesting that patients could achieve results comparable to a facelift nonsurgically, and the outcomes were not always ideal. But with experience, new indications and improved techniques, outcomes have improved significantly.

Topical Brimonidine Following IPL Offers Same Efficacy With Less Erythema

Reducing redness after IPL

Patients with facial telangiectasia who receive topical brimonidine following IPL treatment experience less postprocedure erythema with no reduction in efficacy. Anne‐Cathrine E. Vissing, Christine Dierickx, Katrine E. Karmisholt and Merete Haedersdal of Denmark, performed a randomized, two-center, single-blinded, split-face trial on 19 patients with facial telangiectasia. The patients were treated with adjuvant brimonidine and air‐cooling on one side of the face and air‐cooling alone (control) on the other.

Practice Management: Extending Care

Oversight requirements and best practices when working with physician extenders.
MedEsthetics May/June 2018

According to the American Association of Physician Assistants, more than 85,000 certified physician assistants (PAs) practice in the United States. That’s more than double the number practicing 10 years ago. The American Association of Nurse Practitioners reports that 192,000 nurse practitioners (NPs) are employed in the U.S., with an additional 14,000 completing their training annually. For many practice owners, such midlevel providers—also referred to as physician extenders (PEs)—help boost their bottom lines while improving patient care.

Newsmakers: Skin of Color Society

A desire to better serve patients of all skin types is fueling impressive growth at the Skin of Color Society.
MedEsthetics May/June 2018 Newsmakers

Skin typing is an important concern for aesthetic practitioners. For years, questions lingered regarding the use of injectables in patients at risk of keloid scarring, and it was only through independent research that these fears were largely laid to rest. Providers also need to look carefully at their settings when treating individuals with darker skin types with laser or energy-based devices due to an increased risk of burning and postprocedure pigmentation problems.

Restoring Growth

The ingredients and science behind growth factor-based topicals.
MedEsthetics May/June 2018

Growth factor-BASED serums and creams have become ubiquitous in topical antiaging skin care. But what these different products contain can vary widely. Some products contain actual growth factors—either animal- or plant-derived—and others use so-called “signaling” ingredients, typically peptides that trigger the cells in a manner similar to naturally occurring growth factors. In all cases, the goal is to combat the changes that occur in aging skin

Legal Issues: Off-Label Uses

Legal, ethical and informed consent considerations when using products off-label.
MedEsthetics May/June 2018

Using pharmaceuticals “off-label”—that is, in ways that are not specified by the United States Food and Drug Administration (FDA)—is technically legal but somewhat controversial in aesthetic medicine. Decisions regarding off-label usage should be based on current standards of care, the best interest of the patient, and your own training and expertise within the medical field. Following are some important points to consider when examining the off-label use of prescription products in your practice.

The Personal Touch

Dermatologist Lily Talakoub, MD, left public health for private practice so she could help patients one-on-one.
MedEsthetics May/June 2018

The desire to treat patients of all ages in a one-on-one setting drew Lily Talakoub, MD, away from a career in public health and to dermatology. “I realized that my true joy in life is being with people and talking to people,” says Dr. Talakoub, who worked for the Office of the U.S. Surgeon General during medical school. “Often you follow a career path and realize that career path is not what you expected it to be. I needed to be around people. Public health was not the right place for me.”

Practice Management: Unwanted Advances

Anti-harassment policies help protect employees—and your practice.
MedEsthetics May/June 2018 Business Consult

Sexually charged comments and behaviors can destroy workplace morale and spark costly lawsuits. As victims of sexual harassment become more willing to speak out, organizations of all sizes are taking steps to address the problem. Practice owners can protect their businesses and employees by instituting policies and procedures that promote a respectful work environment.