Pub Date : 2026-02-01Epub Date: 2025-07-22DOI: 10.1097/DSS.0000000000004789
Seo Won Cho, Emily E Limmer, Sino Mehrmal, Stanislav N Tolkachjov
{"title":"Acral Melanoma Recurrence Versus Postgraft Pigmentation in a Darker Skin Patient.","authors":"Seo Won Cho, Emily E Limmer, Sino Mehrmal, Stanislav N Tolkachjov","doi":"10.1097/DSS.0000000000004789","DOIUrl":"10.1097/DSS.0000000000004789","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"184-187"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-07-22DOI: 10.1097/DSS.0000000000004779
Erik J Stratman, Julie V Schaffer, Stanley J Miller, David M Allen, Christopher K Bichakjian, Jerry D Brewer, Allison T Vidimos, Randall K Roenigk
{"title":"Cosmetic and Surgical Dermatology Learning Needs Identified Through Continuing Certification Program Assessments of the American Board of Dermatology.","authors":"Erik J Stratman, Julie V Schaffer, Stanley J Miller, David M Allen, Christopher K Bichakjian, Jerry D Brewer, Allison T Vidimos, Randall K Roenigk","doi":"10.1097/DSS.0000000000004779","DOIUrl":"10.1097/DSS.0000000000004779","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"202-204"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-07-29DOI: 10.1097/DSS.0000000000004783
Ya-Kun Hu, Jin-Jun Shi, Qian-Ya Su, Fei Wang
{"title":"Comparing the Efficacy of Microneedle Radiofrequency and Fractional CO 2 Laser Treatments for Atrophic Acne Scarring: A Randomized, Split-Face, Controlled Trial.","authors":"Ya-Kun Hu, Jin-Jun Shi, Qian-Ya Su, Fei Wang","doi":"10.1097/DSS.0000000000004783","DOIUrl":"10.1097/DSS.0000000000004783","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"195-197"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-08-18DOI: 10.1097/DSS.0000000000004815
Shanelle M Briggs, Katherine G Thompson, Julia M Kasprzak, Daniel R Knabel, Melanie A Clark
{"title":"\"Raising the Base\" for Second Intention Alar Defects.","authors":"Shanelle M Briggs, Katherine G Thompson, Julia M Kasprzak, Daniel R Knabel, Melanie A Clark","doi":"10.1097/DSS.0000000000004815","DOIUrl":"10.1097/DSS.0000000000004815","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"190-192"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144871927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2024-12-16DOI: 10.1097/DSS.0000000000004523
Ziv Schwartz, Leonard H Goldberg, Maria Sarah Sophie Bovenberg, Paige Hoyer Williams
{"title":"Reconstruction of a Large Defect on the Malar Cheek With Limited Adjacent Tissue Laxity.","authors":"Ziv Schwartz, Leonard H Goldberg, Maria Sarah Sophie Bovenberg, Paige Hoyer Williams","doi":"10.1097/DSS.0000000000004523","DOIUrl":"10.1097/DSS.0000000000004523","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"173-175"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-07-02DOI: 10.1097/DSS.0000000000004556
Qian Wang, Jianqiong Huang, Jing Liu, Junliang Wu
<p><strong>Background: </strong>Body Dysmorphic Disorder (BDD) is a debilitating psychiatric condition characterized by obsessive concern over perceived physical flaws, which significantly impair daily functioning. While cognitive behavioral therapy (CBT) is considered the standard treatment, the comparative effectiveness of various psychotherapeutic interventions for BDD remains unclear.</p><p><strong>Objective: </strong>This study aims to systematically review and perform a network meta-analysis (NMA) of different psychotherapies for treating BDD, evaluating their relative efficacy.</p><p><strong>Methods: </strong>A systematic search was conducted across PubMed, EMBASE, Cochrane Library, and Web of Science to identify randomized controlled trials (RCTs) assessing psychotherapeutic interventions for BDD. The search was updated to October 2024. The main interventions evaluated were CBT, Digital Cognitive Behavioral Therapy (Digital CBT), Cognitive Therapy (CT), Supportive Psychotherapy (SPT), Anxiety Management (AM), Interpretation Bias Modification (IBM), and Progressive Muscle Relaxation (PMR). Waiting List Control (WLC) groups were used as comparators. The primary outcome was the reduction in BDD symptom severity, assessed using the Yale-Brown Obsessive-Compulsive Scale modified for BDD and the Brown Assessment of Beliefs Scale. Two independent reviewers screened studies, extracted data, and assessed the risk of bias using the Cochrane Risk of Bias tool. A Bayesian NMA was used to compare the interventions, considering both direct and indirect evidence. Mean differences with 95% credible intervals (CrI) were reported, and Surface Under the Cumulative Ranking (SUCRA) probabilities were used to rank treatment effectiveness. Forest and funnel plots were generated to visualize results and assess publication bias.</p><p><strong>Results: </strong>The NMA included 16 RCTs with a total of 914 participants, comparing the efficacy of several psychotherapeutic interventions for BDD. Among these, traditional CBT was the most effective, significantly reducing BDD-YBOCS scores by a mean difference of -9.24 (95% CI: -18.07 to -0.40) compared to WLC. Digital CBT also demonstrated notable efficacy, with a mean difference of -5.89 (95% CI: -20.38 to 8.60) compared to WLC, making it a promising alternative, though slightly less potent than traditional CBT. AM ranked second overall, with a mean difference of -6.52 (95% CI: -27.02 to 13.98) compared to WLC. CT provided moderate benefits, showing a mean difference of -2.29 (95% CI: -15.38 to 10.81) compared to WLC. IBM and PMR showed limited effectiveness, with mean differences of -1.17 (95% CI: -19.66 to 17.32) and -1.00 (95% CI: -27.14 to 25.15) compared to WLC, respectively. SPT led to a moderate reduction in symptoms, with a mean difference of -3.41 (95% CI: -15.86 to 9.05), though it was less effective than CBT-based therapies. SUCRA rankings placed traditional CBT as the most effective treatment (77.9%), foll
{"title":"Efficacy and Comparative Evaluation of Psychotherapeutic Interventions for Body Dysmorphic Disorder: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials.","authors":"Qian Wang, Jianqiong Huang, Jing Liu, Junliang Wu","doi":"10.1097/DSS.0000000000004556","DOIUrl":"10.1097/DSS.0000000000004556","url":null,"abstract":"<p><strong>Background: </strong>Body Dysmorphic Disorder (BDD) is a debilitating psychiatric condition characterized by obsessive concern over perceived physical flaws, which significantly impair daily functioning. While cognitive behavioral therapy (CBT) is considered the standard treatment, the comparative effectiveness of various psychotherapeutic interventions for BDD remains unclear.</p><p><strong>Objective: </strong>This study aims to systematically review and perform a network meta-analysis (NMA) of different psychotherapies for treating BDD, evaluating their relative efficacy.</p><p><strong>Methods: </strong>A systematic search was conducted across PubMed, EMBASE, Cochrane Library, and Web of Science to identify randomized controlled trials (RCTs) assessing psychotherapeutic interventions for BDD. The search was updated to October 2024. The main interventions evaluated were CBT, Digital Cognitive Behavioral Therapy (Digital CBT), Cognitive Therapy (CT), Supportive Psychotherapy (SPT), Anxiety Management (AM), Interpretation Bias Modification (IBM), and Progressive Muscle Relaxation (PMR). Waiting List Control (WLC) groups were used as comparators. The primary outcome was the reduction in BDD symptom severity, assessed using the Yale-Brown Obsessive-Compulsive Scale modified for BDD and the Brown Assessment of Beliefs Scale. Two independent reviewers screened studies, extracted data, and assessed the risk of bias using the Cochrane Risk of Bias tool. A Bayesian NMA was used to compare the interventions, considering both direct and indirect evidence. Mean differences with 95% credible intervals (CrI) were reported, and Surface Under the Cumulative Ranking (SUCRA) probabilities were used to rank treatment effectiveness. Forest and funnel plots were generated to visualize results and assess publication bias.</p><p><strong>Results: </strong>The NMA included 16 RCTs with a total of 914 participants, comparing the efficacy of several psychotherapeutic interventions for BDD. Among these, traditional CBT was the most effective, significantly reducing BDD-YBOCS scores by a mean difference of -9.24 (95% CI: -18.07 to -0.40) compared to WLC. Digital CBT also demonstrated notable efficacy, with a mean difference of -5.89 (95% CI: -20.38 to 8.60) compared to WLC, making it a promising alternative, though slightly less potent than traditional CBT. AM ranked second overall, with a mean difference of -6.52 (95% CI: -27.02 to 13.98) compared to WLC. CT provided moderate benefits, showing a mean difference of -2.29 (95% CI: -15.38 to 10.81) compared to WLC. IBM and PMR showed limited effectiveness, with mean differences of -1.17 (95% CI: -19.66 to 17.32) and -1.00 (95% CI: -27.14 to 25.15) compared to WLC, respectively. SPT led to a moderate reduction in symptoms, with a mean difference of -3.41 (95% CI: -15.86 to 9.05), though it was less effective than CBT-based therapies. SUCRA rankings placed traditional CBT as the most effective treatment (77.9%), foll","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"150-154"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-07-08DOI: 10.1097/DSS.0000000000004763
Tejas P Joshi, Elizabeth A Merlinsky, Anna Catinis, Jennifer S Ranario
Background: Population-based investigations of leiomyosarcoma (LMS) of the skin are limited; many studies of LMS have not stratified results by dermal versus subcutaneous origin of the tumor.
Objective: To characterize the incidence, tumor characteristics, and prognostic factors of skin primary LMS.
Methods: Retrospective population-based analysis of the 17 registries of the Surveillance, Epidemiology, and End Results Program (2000-2021).
Results: Dermally-based LMS (dLMS) has an incidence of 0.59 (95% CI, 0.56-0.63) cases per million person-years, whereas subcutis-based LMS (sLMS) has an incidence of 3.87 (95% CI, 3.78-3.96). Dermally-based LMS has a 5-year disease-specific survival (DSS) of 96.8% (95% CI, 95.7-98.0) whereas sLMS has a DSS of 62.9% (95% CI, 61.7-64.2). Advanced age, female sex, head and neck disease, distant stage at diagnosis, and income <$75,000 were associated with worse DSS for dLMS and sLMS. Tumor size and Fédération Nationale des Centres de Lutte Contre le Cancer grade 2/3 were observed to negatively affect DSS for sLMS but not dLMS.
Conclusion: Dermally-based LMS generally has a favorable prognosis, whereas sLMS is characterized by a much more aggressive course. Advanced age, female sex, head and neck disease, and distant stage at diagnosis are high-risk features for both dLMS and sLMS.
{"title":"Incidence, Tumor Characteristics, and Prognostic Factors of Dermal and Subcutaneous Leiomyosarcoma of the Skin: A Retrospective Analysis of the Surveillance, Epidemiology, and End Results Database.","authors":"Tejas P Joshi, Elizabeth A Merlinsky, Anna Catinis, Jennifer S Ranario","doi":"10.1097/DSS.0000000000004763","DOIUrl":"10.1097/DSS.0000000000004763","url":null,"abstract":"<p><strong>Background: </strong>Population-based investigations of leiomyosarcoma (LMS) of the skin are limited; many studies of LMS have not stratified results by dermal versus subcutaneous origin of the tumor.</p><p><strong>Objective: </strong>To characterize the incidence, tumor characteristics, and prognostic factors of skin primary LMS.</p><p><strong>Methods: </strong>Retrospective population-based analysis of the 17 registries of the Surveillance, Epidemiology, and End Results Program (2000-2021).</p><p><strong>Results: </strong>Dermally-based LMS (dLMS) has an incidence of 0.59 (95% CI, 0.56-0.63) cases per million person-years, whereas subcutis-based LMS (sLMS) has an incidence of 3.87 (95% CI, 3.78-3.96). Dermally-based LMS has a 5-year disease-specific survival (DSS) of 96.8% (95% CI, 95.7-98.0) whereas sLMS has a DSS of 62.9% (95% CI, 61.7-64.2). Advanced age, female sex, head and neck disease, distant stage at diagnosis, and income <$75,000 were associated with worse DSS for dLMS and sLMS. Tumor size and Fédération Nationale des Centres de Lutte Contre le Cancer grade 2/3 were observed to negatively affect DSS for sLMS but not dLMS.</p><p><strong>Conclusion: </strong>Dermally-based LMS generally has a favorable prognosis, whereas sLMS is characterized by a much more aggressive course. Advanced age, female sex, head and neck disease, and distant stage at diagnosis are high-risk features for both dLMS and sLMS.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"101-107"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-07-18DOI: 10.1097/DSS.0000000000004786
Morgan E Belina, Rachel A Fayne, Sydney L Proffer, Simon S Yoo
{"title":"Repair of a Nasal Ala Defect With An Antitragus Composite Graft.","authors":"Morgan E Belina, Rachel A Fayne, Sydney L Proffer, Simon S Yoo","doi":"10.1097/DSS.0000000000004786","DOIUrl":"10.1097/DSS.0000000000004786","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"193-195"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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