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Robert A. Weiss is an American dermatologist and current president of the American Society for Laser Medicine and Surgery. [1]
Weiss earned his bachelor's degree from Columbia University, after which he obtained his MD from Johns Hopkins University School of Medicine, class of 1978. [2] He did his residency in dermatology at Johns Hopkins, then went on to additional fellowship training in dermatologic research at the National Institutes of Health. Weiss is board certified by the American Board of Dermatology. [2]
Weiss is the director and co-founder of Maryland Laser Skin and Vein in Baltimore, MD. He is a former associate professor of dermatology at Johns Hopkins University, and is currently a clinical associate professor of dermatology at University of Maryland School of Medicine. [3] He has served as treasurer and president of the American Society of Dermatologic Surgery [4] and past president of the American College of Phlebology. [5] He is the current president of the American Society for Laser Medicine and Surgery. In addition, he has served on the Board of Directors for the International Society for Dermatologic Surgery. He is affiliated with the University of Maryland Medical Center.[ citation needed ]
Weiss has appeared on television shows such as 20/20 , The Today Show , and local Baltimore news [6] speaking about dermatologic matters. He has been quoted in Harper's Bazaar , [7] The New York Times , [8] The Baltimore Sun , [9] and other publications. [10] Since 1993, he has served as an associate or contributing editor for the Journal of Dermatologic Surgery. [11] He has also published articles to peer-reviewed journals, as well as authoring medical textbooks, and holds multiple US patents. [12]
Varicose veins, also known as varicoses, are a medical condition in which superficial veins become enlarged and twisted. These veins typically develop in the legs, just under the skin. Varicose veins usually cause few symptoms. However, some individuals may experience fatigue or pain in the area. Complications can include bleeding or superficial thrombophlebitis. Varices in the scrotum are known as a varicocele, while those around the anus are known as hemorrhoids. Due to the various physical, social, and psychological effects of varicose veins, they can negatively affect one's quality of life.
The great saphenous vein is a large, subcutaneous, superficial vein of the leg. It is the longest vein in the body, running along the length of the lower limb, returning blood from the foot, leg and thigh to the deep femoral vein at the femoral triangle.
Stasis dermatitis refers to the skin changes that occur in the leg as a result of "stasis" or blood pooling from insufficient venous return; the alternative name of varicose eczema comes from a common cause of this being varicose veins.
Telangiectasias, also known as spider veins, are small dilated blood vessels that can occur near the surface of the skin or mucous membranes, measuring between 0.5 and 1 millimeter in diameter. These dilated blood vessels can develop anywhere on the body, but are commonly seen on the face around the nose, cheeks and chin. Dilated blood vessels can also develop on the legs, although when they occur on the legs, they often have underlying venous reflux or "hidden varicose veins". When found on the legs, they are found specifically on the upper thigh, below the knee joint and around the ankles.
Endovenous laser treatment (ELT) is a minimally invasive ultrasound-guided technique used for treating varicose veins using laser energy commonly performed by a phlebologist, interventional radiologist or vascular surgeon.
Sclerotherapy is a procedure used to treat blood vessel malformations and also malformations of the lymphatic system. A medicine is injected into the vessels, which makes them shrink. It is used for children and young adults with vascular or lymphatic malformations. In adults, sclerotherapy is often used to treat spider veins, smaller varicose veins, hemorrhoids, and hydroceles.
Polidocanol is a local anaesthetic and antipruritic component of ointments and bath additives. It relieves itching caused by eczema and dry skin. It has also been used to treat varicose veins, hemangiomas, and vascular malformations. It is formed by the ethoxylation of dodecanol.
The small saphenous vein is a relatively large superficial vein of the posterior leg.
The posterior tibial veins are veins of the leg in humans. They drain the posterior compartment of the leg and the plantar surface of the foot to the popliteal vein.
Venous ulcer is defined by the American Venous Forum as "a full-thickness defect of skin, most frequently in the ankle region, that fails to heal spontaneously and is sustained by chronic venous disease, based on venous duplex ultrasound testing." Venous ulcers are wounds that are thought to occur due to improper functioning of venous valves, usually of the legs. They are an important cause of chronic wounds, affecting 1% of the population. Venous ulcers develop mostly along the medial distal leg, and can be painful with negative effects on quality of life.
Radiofrequency ablation (RFA), also called fulguration, is a medical procedure in which part of the electrical conduction system of the heart, tumor or other dysfunctional tissue is ablated using the heat generated from medium frequency alternating current. RFA is generally conducted in the outpatient setting, using either local anesthetics or conscious sedation anesthesia. When it is delivered via catheter, it is called radiofrequency catheter ablation.
Ambulatory phlebectomy is a minisurgical treatment for superficial varicose veins and so-called side branches.
Chronic venous insufficiency (CVI) is a medical condition in which blood pools in the veins, straining the walls of the vein. The most common cause of CVI is superficial venous reflux which is a treatable condition. As functional venous valves are required to provide for efficient blood return from the lower extremities, this condition typically affects the legs. If the impaired vein function causes significant symptoms, such as swelling and ulcer formation, it is referred to as chronic venous disease. It is sometimes called chronic peripheral venous insufficiency and should not be confused with post-thrombotic syndrome in which the deep veins have been damaged by previous deep vein thrombosis.
Tumescent anesthesia is a surgical technique for delivery of local anesthesia. It also makes the target tissue firm and turgid from absorbed water, which can aid certain procedures. It was originally devised for use in liposuction, but has since been applied to other surgical situations, including plastic surgery, burn care, and vascular surgery. It is a relatively safe way to achieve extensive regional anesthesia of skin and subcutaneous tissue with a high total dose but a low risk of systemic toxicity. The subcutaneous infiltration of a large volume of very dilute lidocaine and epinephrine causes the targeted tissue to become swollen and firm, or tumescent, and permits otherwise painful procedures to be performed on patients without subjecting them to the inherent risks of general anesthesia, and with reduced blood loss due to the vasoconstriction induced by epinephrine.
Aescin or escin is a mixture of saponins with anti-inflammatory, vasoconstrictor and vasoprotective effects found in Aesculus hippocastanum. Aescin is the main active component in horse chestnut, and is responsible for most of its medicinal properties. The main active compound of aescin is β-aescin, although the mixture also contains various other components including α-aescin, protoescigenin, barringtogenol, cryptoescin and benzopyrones.
Liposuction, or simply lipo, is a type of fat-removal procedure used in plastic surgery. Evidence does not support an effect on weight beyond a couple of months and does not appear to affect obesity-related problems. In the United States, liposuction is the most common cosmetic surgery.
Klippel–Trénaunay syndrome, formerly Klippel–Trénaunay–Weber syndrome and sometimes angioosteohypertrophy syndrome and hemangiectatic hypertrophy, is a rare congenital medical condition in which blood vessels and/or lymph vessels fail to form properly. The three main features are nevus flammeus, venous and lymphatic malformations, and soft-tissue hypertrophy of the affected limb. It is similar to, though distinctly separate from, the less common Parkes Weber syndrome.
Laser medicine consists in the use of lasers in medical diagnosis, treatments, or therapies, such as laser photodynamic therapy, photorejuvenation, and laser surgery.
Mitchel P Goldman, is an American dermatologic surgeon, cosmetic surgeon, dermatologist, and phlebologist, and a past president of the American Society for Dermatologic Surgery and the American College of Phlebology.
The sapheno-femoral junction (SFJ) is located at the saphenous opening within the groin and formed by the meeting of the great saphenous vein (GSV), common femoral vein and the superficial inguinal veins. It is one of the distinctive points where a superficial vein meets a deep vein and at which incompetent valves may occur.
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