- Bad Things Happen Sometimes
- News & Trends
- Letter to the Editor: Physician Autonomy: We Must Respect Ourselves
- The Skincare Opportunity: Tips for Integration
- Joining Forces: Working with Non-Aesthetic Providers to Optimize Care
- Workplace Safety: Eight Steps to Take to Ensure Your Office is Safe for Employees and Patients
- Avoiding Complications in Cosmetic Facial Surgery
- Improving Outcomes in Aesthetic Surgery: Get Your Head in the Game
- Dealing with the Difficult Patient: When Bad Patients Happen to Good Doctors
- Editorial Board Forum: Spotting and Avoiding Complications
- Targeting Tattoos
- The Viability of Laser Hair Removal to a Medical-Aesthetic Practice
- Are You Connecting with Your Local Market Audience?
- Nonclinical Staff: Sing the Praises of Your Unsung Heroes
- The Need for Speed: Don’t Give Warm Leads the Cold Shoulder
- For a Lifetime of Success, Focus on Lifetime Value
- What’s New In Retirement Planning?
- How Patient Loyalty Jumped Ship
- Coming & Going
Coming & Going
By: Miles Graivier, MD
New Entrees to non-invasive fat reduction
With the success of non-invasive fat reducers, new technologies and applicators are being developed in rapid-fire succession. Zeltiq, maker of CoolSculpting, has been granted FDA clearance for its CoolMini applicator for smaller areas of treatment, including the submental area. In a 60-patient clinical trial, subjects undergoing one or two treatments to the neck showed 20 percent reduction in fat.
Cynosure has also recently received 510K FDA clearance for its non-invasive, hyperthermic 1060nm laser called SculpSure. The current approval is for non-invasive lipolysis of the flanks with future application for abdominal fat, as well. It is a hands-free device that takes about 25 minutes for treatment with results after one or possibly two treatments.
Other modalities for localized non-invasive lipolysis will probably include injections. Currently approved for injection lipolysis of the submental area, deoxycholic acid (Kybella) would probably be a useful tool to address localized fatty areas of the trunk and extremities. Stay tuned.
Lack of insurance coverage for transgender procedures
More employers and insurance companies are offering insurance coverage for sex reassignment surgeries and hormone therapy related to transgender patients. Variations in coverage vary from genital surgery and breast surgery only, to some FFS, although some insurance companies may deem these “cosmetic.” Even the US government has proposed new rules that would bar insurance companies from categorical denial of benefits. Altogether, this shifts seem to suggest a new “transition” in health insurance.