November 2017 Briefing - Cosmetic Surgery

Here are what the editors at HealthDay consider to be the most important developments in Cosmetic Surgery for November 2017. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

No Difference for Standard, High-Pulse Picosecond Laser Treatment

THURSDAY, Nov. 30, 2017 (HealthDay News) -- There is no significant difference between standard and high-pulse coverage with picosecond laser treatment for wrinkles and acne scarring, according to a study published online Nov. 15 in Lasers in Surgery and Medicine.

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Patients Often Uncomfortable With Overlapping Surgeries

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- On average, patients are neutral toward or uncomfortable with concurrent or overlapping surgical procedures, according to a study published in the Nov. 15 issue of The Journal of Bone & Joint Surgery.

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Clinician Denial of Patient Requests Impacts Satisfaction

TUESDAY, Nov. 28, 2017 (HealthDay News) -- Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician, according to a study published online Nov. 27 in JAMA Internal Medicine.

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Value-Based Payment Modifier Not Tied to Practice Performance

TUESDAY, Nov. 28, 2017 (HealthDay News) -- The Value-Based Payment Modifier (VM) is not associated with performance differences between practices serving higher-risk and lower-risk patients, according to a study published online Nov. 28 in the Annals of Internal Medicine.

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New Workflows Have Potential to Address Provider Burnout

MONDAY, Nov. 27, 2017 (HealthDay News) -- New solutions are needed to address burnout among health care team members, yet, in a catch-22 situation for health industry leaders, change fatigue contributes to burnout, according to a Vocera Communications report entitled In Pursuit of Resilience, Well-Being, and Joy in Healthcare.

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Essay Adds to Discourse on Impact of Suggestive Jokes

MONDAY, Nov. 27, 2017 (HealthDay News) -- Seemingly benign, recurring patterns of joking around a single theme (joke cycles) can contribute to humorizing and legitimizing sexual misconduct, according to an essay published online Nov. 12 in Communication and Critical/Cultural Studies.

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Longer Follow-Up Bodes Well for Filler in Periorbital Hollows

MONDAY, Nov. 27, 2017 (HealthDay News) -- Hyaluronic acid gel fillers of the periorbital region are well tolerated over five years of follow-up, according to a study published online Nov. 11 in the Journal of Cosmetic Dermatology.

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Female Physicians' Spouses More Likely to Work

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Spouses of female physicians are on average more educated and work more hours outside the home than spouses of male physicians, according to a research letter published online Nov. 21 in the Annals of Internal Medicine.

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Plasma Rich in Growth Factors May Promote Hair Regeneration

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Plasma rich in growth factors (PRGF) can minimize postsurgical follicle loss and promote hair regeneration in patients undergoing follicular unit extraction technique (FUE) for hair loss, according to a study published online Oct. 26 in the Journal of Cosmetic Dermatology.

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Doubts Raised About Use of Products Containing Oxybenzone

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Use of oxybenzone (Benzophenone-3) in sunscreen and personal care products should be minimized due to its dermatological and environmental toxicity, according to a review published online Oct. 31 in the Journal of Cosmetic Dermatology.

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High Costs Associated With Physician Burnout, Attrition

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Physicians who are experiencing burnout are more than twice as likely to leave their organization within two years, and this is associated with significant economic costs, according to a report from the American Medical Association.

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Simple Checklist Can Identify Useful Clinical Practice Guidelines

FRIDAY, Nov. 17, 2017 (HealthDay News) -- A simple, easy-to-use checklist, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST), can identify useful clinical practice guidelines, according to a study published in the September/October issue of the Annals of Family Medicine.

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Many Health Care Providers Work While Sick

FRIDAY, Nov. 17, 2017 (HealthDay News) -- More than 40 percent of health care personnel (HCP) with influenza-like illness (ILI) work while ill, according to a study published in the November issue of the American Journal of Infection Control.

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Force Analysis May Help Distinguish Surgeon Skill Level

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Force-sensing bipolar forceps and force analysis may help differentiate surgeon skill level, according to a study published online Nov. 15 in JAMA Surgery.

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High Levels of Burnout, Stress for U.S. Surgical Residents

THURSDAY, Nov. 16, 2017 (HealthDay News) -- Surgical residents have high levels of burnout, which is associated with high stress, depression, and suicidal ideation, according to a study published online in the Journal of the American College of Surgeons.

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Health Care Experts in Favor of Patient Contribution to Notes

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Health care experts are supportive of OurNotes, an intervention in which patients and families co-produce medical notes with clinicians, according to a research letter published online Nov. 13 in the Annals of Internal Medicine.

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Surgeons Often Prescribing Too Many Opioids After Rhinoplasty

MONDAY, Nov. 13, 2017 (HealthDay News) -- Patients use a mean of 8.7 of the initially prescribed 20 to 30 hydrocodone-acetaminophen combination tablets after rhinoplasty, according to a study published online Nov. 9 in JAMA Facial Plastic Surgery.

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Addition of Peel to Microneedling Improves Acne Scar Treatment

THURSDAY, Nov. 9, 2017 (HealthDay News) -- The combination of sequential 70 percent glycolic acid peel and microneedling results in better acne scar improvement than microneedling alone, according to a study published online Oct. 26 in the Journal of Cosmetic Dermatology.

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Doctors Have Extra Two Weeks to Preview Performance Data

WEDNESDAY, Nov. 8, 2017 (HealthDay News) -- Physicians have two extra weeks to preview their 2016 performance information as a result of a mistake related to the Centers for Medicare & Medicaid Services' Physician Compare online resource, according to a report published by the American Academy of Family Physicians.

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Increases in U.S. Health Spending Tied to Health Service Price

WEDNESDAY, Nov. 8, 2017 (HealthDay News) -- Factors including increases in health care service price and intensity are associated with increases in U.S. health care spending from 1996 to 2013, according to a study published online Nov. 7 in the Journal of the American Medical Association.

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Liposuction Can Reduce Lymphedema-Related Swelling

THURSDAY, Nov. 2, 2017 (HealthDay News) -- Liposuction may be beneficial for patients with lymphedema, according to a research letter published online Nov. 1 in the New England Journal of Medicine.

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Connective Tissue Disease May Raise Post-Abdominoplasty Risks

THURSDAY, Nov. 2, 2017 (HealthDay News) -- Patients with autoimmune connective tissue diseases (CTDs) undergoing abdominoplasty have increased risk of venous thromboembolism (VTE) events and need for blood transfusions compared to those without CTDs, according to a research letter published online Nov. 1 in JAMA Surgery.

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Driving Impairment Warnings Often Not Given With Rx Meds

THURSDAY, Nov. 2, 2017 (HealthDay News) -- Not all prescription drug users report receiving warnings about driving impairment, according to a study published online Nov. 1 in the Journal of Studies on Alcohol and Drugs.

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CMS Launches Initiative to Examine Impact of Regulations

WEDNESDAY, Nov. 1, 2017 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) has launched an initiative to examine which provider regulations should be discarded or revamped amid concerns that the regulations are reducing the amount of time that physicians spend with patients, according to an article published in Modern Healthcare.

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Immediate Wound Closure After Laser Improves Skin Tightening

WEDNESDAY, Nov. 1, 2017 (HealthDay News) -- Significant skin tightening can be achieved by immediate temporary noninvasive wound closure after short pulse Erbium (Er):YAG fractional ablative laser treatment or after mechanically removing skin with a coring needle, according to an animal study published online Oct. 23 in Lasers in Surgery and Medicine.

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Laser Alone or With Peel Effective for Mixed Melasma

WEDNESDAY, Nov. 1, 2017 (HealthDay News) -- Low-fluence Q-switched Nd-YAG laser alone or with modified Jessner's peel are equally effective regimens for mixed melasma hyperpigmentation, according to a study published online Oct. 22 in the Journal of Cosmetic Dermatology.

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