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October 1984

Cosmetic (?) Surgery-Reply

Author Affiliations

350 Parnassus Ave San Francisco, CA 94117

Arch Dermatol. 1984;120(10):1279. doi:10.1001/archderm.1984.01650460019003

In Reply.—  Dr Chernosky makes an excellent point. In our review article1 and our book by the same title,2 we discussed conditions that are usually considered "cosmetic" but sometimes are indeed "medical," such as intradermal nevi, telangiectasias, and the severe hypertrophic and fibrotic scarring of postconglobate acne. On the other hand, there are conditions discussed that are usually "medical" and only secondarily cosmetic. These include the management of such conditions such as painful or keloidal scarring, syringomata, and sebaceous hyperplasia. However, the tenor of the entire article was that of cosmetic dermatologic surgery procedures.There is and always will be a need to explain and justify to third-party carriers and malpractice carriers exactly what each procedure represents. Some blepharoplasties are necessary to correct loss of upper lateral vision. However, most blepharoplasties are for cosmesis. There are flaps and grafts that are for reconstruction after the removal of a malignant neoplasm.

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