May 2014 Plastic Surgery Practice\r\nDon\u2019t wrinkle, be happy, and other AAD highlights\r\nBy Wendy Lewis, Denise Mann\r\n\r\nFashionistas have fashion week, which takes New York City by storm every February and September. Techies have Austin\u2019s SXSW festival. Comic book junkies have comic.con. And dermatologists and skin care professionals have the American Academy of Dermatology\u2019s (AAD) annual meeting.\r\n\r\nEach year, the meeting brings together the best and brightest skincare specialists to discuss everything from anti-aging fads and possible cellulite cures to skin cancer and eczema.\r\n\r\nThis year\u2019s meeting, held in Denver from March 21st through the 25th, did not disappoint. Thousands of attendees had their pick of cocktail parties for new product launches from high-end cosmetic companies, sessions on the hottest new lasers and the coolest new energy-based body contouring treatments, as well as updates on treating skin cancer and other skin diseases.\r\n\r\nThe anti-aging category took the prize for most fanfare in terms of new treatments and energy-powered devices. Acne remedies and targeted solutions for eyes, scars and stretch marks, sensitive skin conditions, and thinning hair all vied for place and show standing.\r\nWRINKLES, ACNE, AND TAT REGRET\r\nSciton\u00ae\u2019s new Halo\u2122 system, which works with the JOULE\u2122 platform, is touted as world\u2019s first and only hybrid fractional laser, using tunable nonablative and ablative wavelengths at the same time to maximize results and reduce downtime. Another new handpiece designed for the JOULE offers an alternative to microdermabrasion and light chemical peels with the Er:YAG NanoLaser Peel.\r\n\r\nChromogenex\u2122 unveiled a new option for acne laser treatment. The Regenlite\u2122 system offers multiple treatment modes to target all grades of acne, in addition to vascular lesions, like port wine stains, spider veins or rosacea, and skin rejuvenation.Chromogenex also displayed the i-lipo xcell Multi-Platform Body Contour System that combines four technologies for body fat analysis and measurement, laser diode fat reduction, and Infrared Vacuum massage.\r\n\r\nAgnes Ultimate Solution for Acne caught the group\u2019s attention as a selective sebaceous electrothermolysis device. Hailing from Korea, it claims to destroy the sebaceous glands without thermal injury to the epidermis and can also be used for open comedones, pores, and scars.\r\n\r\nWhen it comes to lasers, tattoo removal is the new darling. Until now, people with \u201ctat regret\u201d had limited options if they wanted to get rid of their ink, says M. Christine Lee, MD, MPH, a dermatologist in Walnut Creek, Calif, and an assistant clinical professor in the department of dermatologic surgery at the University of California, San Francisco.\r\n\r\n\u201cOlder lasers could turn rocks into pebbles, but this one turns the pebbles into sawdust,\u201d Lee says of Cynosure\u2019s PicoSure, a federal Food and Drug Administration (FDA)-cleared tattoo-removing laser that can zap away greens, blues, and other hard-to-erase colors in fewer sessions than older lasers.\r\n\r\nPicoSure may be the first of many in this growing category, Lee says. \u201cTattoo-removing lasers in the pipeline will cut the amount of sessions in half for all colors and cut sessions by two-thirds for resistant colors,\u201d she predicts.\r\n\r\nHIT THE REFRESH BUTTON ON HAIR REMOVAL\r\nSyneron also featured new ELOS\u00ae Plus large applicators for faster skin rejuvenation and hair removal. Cutera\u00ae unveiled two new platforms at the meeting. Excel HR\u2122 is an FDA-cleared hair-removal laser with dual wavelengths (755 nm\/1064 nm) that features sapphire contact cooling for enhanced patient safety, efficacy, and comfort. Its new enlighten\u2122 system was debuted, featuring dual wavelengths (532 nm\/1064 nm) plus picosecond and nanosecond pulse durations to remove a wide range of tattoo colors and inks. It has received the European CE Mark and is currently pending FDA clearance.\r\n\r\nLumenis\u00ae showed its new LightSheer\u00ae INFINITY\u2122 and LightSheer\u00ae DESIRE\u2122 hair removal systems, touted to be faster than other systems and based on its proprietary HIT\u2122 (High-Speed Integrated Technology) and ChillTip\u2122 technologies for enhanced efficacy and patient comfort.\r\n\r\nOn the home care front, the new FDA-cleared Silk\u2019n Flash&Go 5K from Silk\u2019n Solutions features 5,000 pulses and a large treatment spot size of 4 cm, for quicker results and increased efficacy. The Luxx Lifetime Cartridge features 120,000 pulses of HPL for unlimited usage.\r\nEYE OF THE NEEDLES\r\nMany exhibitors showcased the benefits of microneedling systems and innovative delivery systems for neurotoxins, fillers, and topical agents.\r\n\r\nAquavit Pharmaceuticals launched its first product, AQUAGOLD\u00ae fine touch\u2122 direct dermal application technology. This innovative device incorporates microneedles to deliver a substantial volume of medication directly into the dermis in a pain-free and nontraumatic way. It can be used to treat areas of the face, hands, chest and elsewhere on the body.\r\n\r\nFrom EndyMed\u00ae we saw the Intensif handpiece for fractional microneedle RF skin remodeling that allows for three times the heating volume per pulse. The system was designed to deliver a uniform distribution of energy, resulting in volumetric heating of the dermis to facilitate skin remodeling.\r\n\r\nPollogen\u00ae Ltd also launched its newly FDA-cleared Imogen\u00ae system in the US, which uses VoluDerm technology for ablation and resurfacing. It targets the mid-dermis with micro-pins and radio frequency to increase Hyaluronic acid, collagen, and elastin production for wrinkle reduction and long-lasting dermal volumizing.\r\n\r\n\r\nMOLE MAPPING\r\nAAD is always buzzing with updates on mole mapping and dermatoscopy software. DermSpectra LLC launched the DermSpectra\u2122 Automated Total Body Imaging System, a unique imaging platform that captures high-definition total skin and body images and electronically documents them to track skin cancers, eczema, psoriasis, and other skin and body conditions over time. It takes about\u00a010 minutes to scan the entire body through a carefully designed series of specific positions. DermSpectra is in Beta now and will be available in 2015.\r\n\r\nExperts also hammered home the importance of hitting psoriatic arthritis and psoriasis early and hard to stave off joint damage as well as the risk for heart disease, diabetes, and stroke that tends to travel with inflammatory skin and joint disease.\r\n\r\nThere was also reason to be optimistic about treating skin cancer, says Delphine J. Lee, MD, PhD, a dermatologist and professor of immunology and the director of the Carolyn Dirks and Brett Dougherty Laboratory for Cancer Research and the department of translational immunology at John Wayne Cancer Institute at Providence Saint John\u2019s Health in Santa Monica, Calif. \u201cWe are better than ever at treating melanoma,\u201d the potentially fatal form of skin cancer, she says. \u201cIt\u2019s a great time for cancer research. We are learning so much.\u201d\r\n\r\nWendy Lewis is president of Wendy Lewis & Co Ltd, Global Aesthetics Consultancy, \u2028 www.wendylewisco.com, founder\/editor in chief of beautyinthebag.com, and a contributing editor to Plastic Surgery Practice. She can be reached at email@example.com. Denise Mann is the editor of Plastic Surgery Practice. She can be reached at firstname.lastname@example.org.\r\n\r\nOriginal citation for this article: The skin and aesthetics. Plastic Surgery Practice. 2014 May; 34.