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Expert Analyses of the following article:

As Doctors Cater to Looks, Skin Patients Wait

Source: www.nytimes.com
September 11, 2008
beauty salon or clinic?
Author: GLG Expert Contributor
yes dermats are putting too much emphasis on cosmetology.There are reasons for this change.First and foremost it pays more to do botox.One botox procedure pays them equivaent of 20 consultations and repeated procedures brings more revenue. but clinical dermatology is ignored by most young dermatologists.Laser procedures also gives good returns and LASER companies are after such doctors. peels,microdermabrasion...
August 7, 2008
I totally agree with the fact that currently the dermataologists are avoiding the skin cancer patients in favor of the filler and Botox cleients. If howver the third party insurers would compensate the physicians for their skin lesion removals properly this might not be occuring a sit is.
Author: GLG Expert Contributor
There is more to esthetics than just the use of   lasers and fillers...and a well trained plastic surgeon can give a far broader number of options to the patient than a  family physician or gynecologist If the derms want to do this skin rejuvenation....who is to treat rosacea,acne skin cancer and melanoma..... From an overall safety standpoint,the public is being put at risk by seeking...
August 7, 2008
why not do cosmetic surgery/procedures? why not get paid?
Author: GLG Expert Contributor
without question, medicine has changed.  dermatologists and plastic surgeons can make considerably more money, and be paid in cash by catering to "cosmetic" patients.  No wonder fewer and fewer surgeons/dermatologists are interested in treating skin cancers, scars, lacerations etc.  Why get paid  25 cents on the dollar when you can get fee for service with patients interested in...
August 6, 2008
as medicine becomes an expected no cost right it looses value & reimbursement
Author: GLG Expert Contributor
With excellent patient satisfaction, ease of use and excellent cash based reimbursement, there is a rapidly growing aesthetic & skin care business to dermatologic practice.  This has clearly impacted access to care by patients with skin disease in my area.  Perhaps a better question is why should we expect otherwise?
August 5, 2008
IT'S A SHAME!
Author: GLG Expert Contributor
Skin care encompasses cosmetic procedures.  But those cosmetic procedures should not take priority over the medical conditions - especially since dermatologists are uniquely qualified to treat them.  I didn't go to medical school, a residency in medicine, and a fellowship in dermatology to be an aesthetician!  All dermatologists must prioritize and do what is BEST FOR THE PATIENT.
August 4, 2008
there are some, but basics in dermatology are why we are good at the cosmetics
Author: GLG Expert Contributor
1. Dermatologists need to keep the basics in dermatology2. The net return on cosmetics is much better than the net return3. It is important to create a balance that gives an opportunity for dermatology patients while treating cosmetics.4.It may be that many dermatologists are still new in cosmetics.5. It is helpful to have the patients understand the the cosmetics is a progressive expertise from the...
Sunil DhawanAugust 1, 2008
Will access to dermatology care suffer with increased cosmetic procedures ?
Author: Sunil Dhawan, MD, Clinical Assistant Professor of Dermatology, Stanford University
 This article is important in that it describes a growing trend among dermatologists to offer a higher level of "customer service" for their cash paying cosmetic patients. This has contributed in a small way to the long waits for non cosmetic dermatology patients to be able to see a dermatologist. A larger cause of the long waits is the small number of dermatologists being trained, and many...
July 31, 2008
who's to blame?
Author: GLG Expert Contributor
As a solo dermatologist who has been in practice for 34 years, I think some dermatologist have been forced to consecrate  on cosmetic issues of patients due to the low reimbursements of insurance companies.  I chose a different path in 1985.  I opted not to participate in managed care plans, my office runs on the old fashion fee for service principals.  Patients know they will...
July 31, 2008
Skin Quality is an important consideration in Aging
Author: GLG Expert Contributor
Skin roughness, redness, and hyperpigmention are the 3 cosmetic uglies of the aging skin. Patients with skin problems do see facial plastic surgeons early and more serious problems are dealt with earlier.  Dry, scalely, hyperpigmented skin gives away the age quickly. Redness is often caused by a common inherited skin condition called acne rosacea
Robert FrankJuly 31, 2008
Dermatologists? I worry more about the Family practitioners, Ob-Gyns, and Internists...
Author: Robert Frank, Owner, Aria Cosmetic and Reconstructive Surgery
As insurance reimbursements decline, everyone suddenly thinks they're a cosmetic surgeon.

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