The history of surgery in dermatology (“dermatologic surgery”) is rich with significant developments
and advances by multiple individuals. Only a few of these pioneers can be highlighted
in this report because of space limitations. My apologies to colleagues and friends who have
not been included or mentioned in this article. The Timeline: Major milestones in the history of
dermatologic surgery in this article tells some of the story. The biographic pieces on 15
outstanding physicians add additional detail and perspective. Many major developments have
occurred since 2000, but they are beyond the scope of this article.
Semin Cutan Med Surg 31:52-59 © 2012 Elsevier Inc. All rights reserved.
Hyperhidrosis is the production of sweat above and beyond normal physiological needs,
regardless of the ambient temperature, and it affects >4% of the population. In addition, a
poll showed up to 21% of the population is bothered on a daily basis by their amount of
underarm sweating. Despite the large number of patients who suffer from hyperhidrosis,
there are relatively few effective nonsurgical treatment options. A new, nonsurgical, lasting
treatment for axillary hyperhidrosis has now been developed using microwave technology
to eliminate sweat glands.
Semin Cutan Med Surg 32:2-8 © 2013 Frontline Medical Communications
The medical use of radio frequency (RF) is based on an oscillating electrical current forcing collisions between charged molecules and ions, which are then transformed into heat. RF heating occurs irrespective of chromophore or skin type and is not dependent on selective photothermolysis. RF can be delivered using monopolar, bipolar, and unipolar devices, and each method has theoretical limits of depth penetration. A variant of bipolar delivery is fractional RF delivery. In monopolar configurations, RF will penetrate deeply and return via a grounding electrode. Multiple devices are available and are detailed later in the text. RF thermal stimulation is believed to result in a microinflammatory process that promotes new collagen. By manipulating skin cooling, RF can also be used for heating and reduction of fat. Currently, the most common uses of RF-based devices are to noninvasively manage and treat skin tightening of lax skin (including sagging jowls, abdomen, thighs, and arms), as well as wrinkle reduction, cellulite improvement, and body contouring.
Semin Cutan Med Surg 32:9-17 © 2013 Frontline Medical Communications
The Stegman Papers is a biography of Dr. Samuel J. Stegman. The papers were collected by Dr.
Stegman during his lifetime as a dermatologic surgeon and leader. The manuscript includes a time
line of Dr. Stegman’s life and listing of his accomplishments, including significant publications.
Semin Cutan Med Surg 31:60-77 © 2012 Elsevier Inc. All rights reserved.
Modern medical use of injectable soft-tissue augmentation fillers has evolved from the
introduction of bovine collage implants to an array of synthesized materials in the current
domestic and foreign markets. The concept of augmentation has moved from simple lines,
scars, and wrinkles to revolumizing the aging face. A brief overview of the past, present,
and future injectable fillers is presented.
Semin Cutan Med Surg 31:78-87 © 2012 Elsevier Inc. All rights reserved.