Mitchell retires but will stay until new CEO is on board

MedRec archival system set for April launch; complements LastWord physician order entry

Dermatology expands outpatient services for skin cancer, aesthetics and rejuvenation services

Books on the desktop: e-Books available through Health Library 

Plastic surgery resident Kim dies in Tahoe ski accident

Blessings

Quality Fair

Brain Class

The Division of Dermatologic Surgery is expanding its skin cancer treatment services as well as its rejuvenation and aesthetic services under new director Hayes B. Gladstone, announced Alfred T. Lane, professor and chair of dermatology.

Gladstone said a Mohs Micrographic Surgery Unit will expand from two to three days per week and more patients will be treated per day.

"In the past several years, the public as well as the medical community has recognized the value of this [Mohs] procedure because it has the highest cure rate for non-melanoma skin cancer and also removes the least amount of skin - very important in a cosmetically sensitive region such as the face," said Gladstone. The technique also can be used for selected cases of early melanoma, he added.

Lane said that new cosmetic services to be added by the Department of Dermatology include:

• Intense pulsed light therapy for photorejuvenation. This treatment is intended to improve the appearance of blood vessels from rosacea, dark spots from sun damage, some tattoos, small leg veins as well as unwanted body hair. It has also been found to decrease facial pore size and improve fine wrinkles.
  
  
• "Unlike laser treatments, there is virtually no downtime, so that a patient could have it done during lunch and go back to work," said Gladstone. Usually five treatments are required for the best results.
  
  
• An erbium laser for wrinkle reduction and a traditional carbon dioxide laser for facial resurfacing can be used selectively and interchangeably to customize patient treatment.
  
  
• Diode laser technology for hair removal and blood vessel removal.
  
  
• Botox for the reduction of facial lines of expression as well as filler substances such as collagen and Gore-Tex to diminish wrinkles or enhance certain facial regions such as the lips.
  
  
• Fat transfer to remove fat from one area and inject it elsewhere, such as to smooth out laugh lines. "Fat transfer has been around a long time, and is enjoying an increased popularity since it uses the patient's own tissue and has virtually no downtime. It is a very versatile procedure and usually after three sessions provides excellent results," noted Gladstone.
  
  
• Additional aesthetic procedures to help lift and recontour the face, neck and other anatomic regions.

In addition to completing a dermatology residency at the University of Washington and a Mohs/cosmetic surgery fellowship at UCLA, Gladstone also has training in surgery and otolaryngology-head and neck surgery at UC-San Francisco and the University of Washington.

For further information, please contact the Dermatology Clinic at (650) 723-6316. Gladstone may be contacted by physicians at 498-4506 or hayes.gladstone@stanford. edu.