Leslie S Baumann

• MD
• Researcher at Baumann Cosmetic Dermatology

This chapter discussed how the patient's Baumann Skin Type should be matched to the proper ingredients to maximize patient outcomes.

This book provides a self administered questionnaire to diagnose the skin as one of the 16 Baumann Skin Types. There are 16 corresponding chapters that describe the issues that the Baumann Skin type will face. Each chapter includes ingredients and advice for that particular skin type. This book was a New York Times Bestseller and led to a PBS speci...

This book was inspired by a passion for skin care, science, the history of the cosmeceutical industry, and almost two decades of treating patients with cosmeceutical products. Its goal is to help the reader understand the history of cosmeceutical ingredients, the science behind them, the challenges of using them in a skin care regimen, and learn ho...

The first edition was the first book written on the subject of Cosmetic Dermatology in 2001. The first and second edition are the best selling cosmetic dermatology textbooks in the world. The book is available in 8+ languages. Chapters review everything from cosmeceuticals to lasers, lights, botulinum toxins, hyaluronic acid fillers, and chemical p...

The effects of chronic sun exposure on skin are readily apparent when skin not typically exposed to the sun and skin regularly exposed to the sun are compared. While the sun is not the only aetiological factor in the dynamic process of skin ageing, it is the primary exogenous cause among several internal and environmental elements. Thus, photo-agei...

This is the first and bestselling Cosmetic Dermatology text. It covers Skin types, Skin Care, Skin Conditions that affect appearance, botulinum toxin, dermal fillers, and other procedures. Is the best cosmetic dermatology book for beginners and advanced aesthetic injectors.

Cosmetic dermatology procedures, Skin care, dermal fillers and botulinum toxin procedures. How to run a medical practice

Background: HARC is a soft and flexible hyaluronic acid filler containing lidocaine, manufactured using XpresHAn® technology, restoring natural-looking volume and soft contours. Objectives: To evaluate safety and effectiveness of HARC for cheek augmentation and correction of midface contour deficiencies compared to a control product HAJV (hereaf...

Elastin is the main component of elastic fibers, which provide stretch, recoil, and elasticity to the skin. Normal levels of elastic fiber production, organization, and integration with other cutaneous extracellular matrix proteins, proteoglycans, and glycosaminoglycans are integral to maintaining healthy skin structure, function, and youthful appe...

Background PrabotulinumtoxinA is a 900-kDa botulinum toxin type A produced by Clostridium botulinum. Objectives The authors sought to investigate the safety of prabotulinumtoxinA for treatment of glabellar lines. Methods This was a multicenter, open-label, repeat-dose, 1-year phase II safety study. Adults with moderate to severe glabellar lines a...

Sir Erasmus Wilson was a pioneer in dermatology and one of the most famous doctors in Victorian England. He enjoyed a sterling professional reputation, with one exception. During the 1860’s his name appeared in a wide variety of cosmetic advertisements endorsing commercial products such as Pears soap, which is still marketed today, as well as hair...

Recent epidemiologic evidence suggests an association between olive oil consumption and a lower incidence of cardiovascular disease and certain cancers. The use of topical oil has also been reported in recent years to be effective in treating xerosis, rosacea, psoriasis, atopic dermatitis, contact dermatitis, eczema (including severe hand and foot...

Background: Excess submental fat (SMF) can cause submental fullness resulting in negative perceptions of individuals. However, the impact of SMF on perceptions of social traits has not been well studied. Objective: To characterize the impact of SMF on external value judgments in adults in the United States. Methods: Respondents completed an on...

Background: DaxibotulinumtoxinA for Injection (DAXI) is botulinum toxin Type A formulated with a novel peptide excipient. Two pivotal, single-treatment, placebo-controlled trials demonstrated efficacy and safety for moderate or severe glabellar lines. Objective: To further evaluate DAXI in a large, open-label, repeat-treatment study. Methods:...

The approach to treat photoaging, acne, pigmentary disorders, and other skin cosmetic complaints has expanded beyond a one-stage treatment to now include combined dermatological procedures. And both preparatory cosmetic therapy and posttreatment cosmeceutical therapy are fundamental to improving and maintaining results, preventing further skin dama...

Background: Primary axillary hyperhidrosis has limited noninvasive, effective, and well-tolerated treatment options. Objective: To evaluate the topical treatment of axillary hyperhidrosis with the novel anticholinergic sofpironium bromide. Methods: A phase II, multicenter, randomized, controlled, double-blinded study. Participants were randomi...

Background: Many noncollagen dermal fillers (NCDFs) have been approved by the FDA and are currently the second-most performed noninvasive cosmetic procedure. Objective: To summarize and compare the clinical trials reviewed by the United States FDA in the approval of NCDFs. Methods: The FDA Premarket Approval (PMA) site was queried, and the yea...

Background: The aesthetic use of botulinum toxins is widely accepted in routine treatment of glabellar lines. Objective: To strengthen existing efficacy and safety data, and examine subject satisfaction concerning abobotulinumtoxinA (ABO) treatment for moderate to severe glabellar lines. Materials and methods: A 150-day prospective, single-dos...

Objective: To study the safety, efficacy, optimal volume, and longevity of an injectable hyaluronic acid (HA) gel dermal filler to treat facial temporal fossa fat loss. Methods and materials: This open-label, single-site, 12-month study used 20 mg/mL HA gel to correct volume loss in both temples in 30 subjects. Touch-ups were allowed at week 2. At...

Background: Rosacea is a chronic dermatologic condition with limited treatment options. Methods: Data were pooled from two identically designed phase 3 trials. Patients with moderate to severe persistent erythema of rosacea were randomized to receive oxymetazoline cream 1.0% or vehicle once daily for 29 days and were followed for 28 days posttreatm...

Background: Satisfaction with discrete facial areas influences self-perceptions of attractiveness, self-esteem, and quality of life. Currently, there is a lack of understanding of how the submental area impacts feelings and behaviors. Objective: To characterize the effects of submental fat (SMF) on feelings/emotions and actions/behavior among ad...

Skin aging is caused by DNA damage in nuclei and mitochondria, inflammation, glycation, decreased function of keratinocytes and fibroblasts and breakdown of heparan sulfate, hyaluronic acid, collagen, and elastin. Identifying patients at an increased risk of skin aging using a standardized methodology to diagnose the Baumann Skin Type will allow do...

Background: Approved topical treatments for seborrheic keratoses (SKs) are an unmet need. Objective: To evaluate the safety/efficacy of 40% hydrogen peroxide topical solution (HP40) versus vehicle (VEH) for the treatment of SKs (A-101-SEBK). Methods: 937 patients with 4 SKs (≥1 lesion each on face and trunk/extremity) were randomized 1:1 to HP...

Rosacea is a chronic dermatologic condition with limited treatment options, particularly for persistent erythema. This pivotal phase 3 study evaluated oxymetazoline, an a1A-adrenoceptor agonist, for the treatment of moderate to severe persistent erythema of rosacea. Eligible patients were randomly assigned 1:1 to receive oxymetazoline cream 1.0% or...

Background: Rosacea is a chronic dermatologic condition with limited treatment options. Objective: To evaluate topical oxymetazoline cream 1.0% in patients with moderate to severe persistent erythema of rosacea. Methods: Data were pooled from two identically designed phase 3 trials. Patients were randomized to receive oxymetazoline or vehicle...

Background: Limited treatments are available for persistent erythema of rosacea. Objective: To examine long-term safety and efficacy of oxymetazoline cream 1.0% in rosacea patients with moderate to severe persistent erythema. Methods: Patients applied oxymetazoline once daily for 52 weeks. Safety assessments included treatment-emergent adverse...

Background: Injectable hyaluronic acid is frequently used to correct volume loss in nasolabial folds. Objective: To compare the safety and efficacy of a novel hyaluronic acid gel to a non-animal stabilized hyaluronic acid (Comparator) gel for the correction of nasolabial folds (NLF). Methods: Qualified subjects had NLF with a Wrinkle Severity...

Background: Injectable fillers, such as those containing hyaluronic acid (HA), are increasingly used to smooth age-related facial creases and wrinkles. Objective: To compare efficacy and safety of a HA gel with lidocaine formulated by XpresHAn Technology (HARDL) with a HA gel without lidocaine produced by Hylacross technology (HAJUP) in the trea...

The biology of various skin phenotypes, such as oily, dry, acne-prone, rosacea-prone, dyschromia, and photoaged, affects the interaction and efficacy of cosmeceutical ingredients. This chapter will review how cosmeceuticals influence basic skin biology and how they interact with each other in various patient phenotypes, as characterized by the Baum...

Describes attitudes that subjects had about themselves and how the attitudes corresponded to the presence of chin fat.

Phase 3 data that led to FDA approval of Rhofade for persistent facial erythema

Patients with skin of color have similar skin care needs as lighter-skin patients. However, they are less likely to use sun protection on a daily basis, which leads to an increased risk of dyschromia, skin cancer, and other disorders. This article discusses the importance of a correct and consistent skin care regimen and the various cutaneous issue...

BACKGROUND: Polymethylmethacrylate (PMMA)-collagen [Bellafill] consists of PMMA microspheres suspended in a carrier of bovine collagen gel.1 A Randomized Double-Blind study demonstrated the safety and effectiveness of this product in correcting atrophic acne scars. Results of the 6-month endpoint was previously described in Karnik et al.2 To determ...

Background: A novel device using micro-focused ultrasound with high-resolution ultrasound visualization (MFU-V) produces non-invasive lifting and tightening of lax skin on the face and neck when treatment is delivered at a single focal depth (Ulthera® System; Ulthera, Inc., Mesa, AZ). OBJECTIVE: The following study was performed to test the hypoth...

Background: Duration of esthetic treatments may contribute to subject satisfaction. Objective: Describe response duration with onabotulinumtoxinA in crow's feet lines (CFL) and the association of duration with perception of improvement. Methods: Subjects from 2 double-blind, placebo-controlled trials received onabotulinumtoxinA 24 U in CFL; St...

The Baumann Skin Typing System diagnoses patients as having one of 16 skin types based on their answers to a validated questionnaire [i] known as the Baumann Skin Type Indicator [ii]. The BSTI questionnaire has been tested over the last decade on over 200,000 people of various ages and ethnicities in different geographic locations around the world....

Background: Juvéderm Voluma XC (VYC-20L; hyaluronic acid gel) is approved in the United States for correction of age-related midface volume deficit (MVD). Objective: Assess safety and effectiveness of VYC-20L after repeat treatment. Methods: Subjects with MVD underwent optional repeat treatment 12 to 24 months after initial treatment if correc...

To evaluate long-term efficacy and safety of bimatoprost for treatment of chemotherapy-induced eyelash hypotrichosis. One-year, multicenter, double-masked, parallel-group study. Twenty-one centers in the United States and one center in the United Kingdom. This study randomized (3:1) 130 subjects to bimatoprost 0.03% or vehicle applied topically to...

Discusses how to approach the dermal filler patient. Give guidelines for the consenting process and how to manage patient expectations.

Vitamin C is commonly used to treat aged skin. It has shown regenerative effects on skin wrinkles, texture, strength, and evenness of tone through its roles as an antioxidant, tyrosinase inhibitor, and inducer of collagen synthesis. Available vitamin C formulations on the anti-aging skin care market vary by their pH, packaging, and vehicle, which m...

Over the latter part of the last century, the dry, oily, combination, or sensitive skin-type classifications, which were identified in the early 1900s by cosmetics magnate Helena Rubinstein, have held sway in terms of characterizing the skin. While there have been significant innovations and even more substantial growth in the skin care product mar...

Background: High-intensity focused ultrasound (HIFU) is a noninvasive alternative to traditional invasive body sculpting procedures. Objective: To assess the effectiveness and tolerability of HIFU treatment using high and low fluence settings with 2 treatment techniques, grid repeat (GR) and site repeat (SR). Materials and methods: Two multice...

Acne scarring remains a stubborn clinical problem. Few treatments have been shown to be definitely effective for this problem. Polymethylmethacrylate (PMMA) microspheres in collagen (ArteFill, Suneva Medical Inc, Santa Barbara, CA) have shown long-term benefit for nasolabial fold treatment. A pilot study has shown benefit for PMMA-collagen in atrop...

Topical skin care regimens are a mainstay treatment for aging skin. All patients seeking skin rejuvenation can benefit from this low-risk intervention. This article reviews available nonprescription topical treatments for rejuvenation including moisturizers, antioxidants, retinols, and sunscreen.

Duration of Effect of Botox in Crows Feet lines presented at Hawaii Derm meeting 2014

Increased sebum production is a common skin complaint and plays an important role in acne and oily scalp conditions. To choose the correct skin care products, which mostly are marketed for dry, oily or normal skin, the consumer must self assess their skin type. Studies show that individuals incorrectly self assess their sebum secretion levels. In o...

PURPOSE This analysis determined the duration of clinical response to onabotulinumtoxinA treatment of crow’s feet lines (CFL) based on 2 large, double-blind, placebo-controlled phase 3 studies. DESIGN Subjects in studies 1 and 2 had moderate or severe CFL on entry and received 24U onabotulinumtoxinA in CFL. Subjects entering study 2 also had m...

This chapter discusses the importance of diagnosing the Baumann Skin Type and then prescribing an exact regimen that is appropriate for that skin type. The chapter reviews the various ingredients appropriate for each of the skin types. The skin typing system is used exclusively by physicians. More information about adopting the system in your medic...

This study evaluated the tolerance and efficacy of 2 facial skin products in subjects with acne using the following acne treatments: 1) treatment A, a combination of salicylic acid, capryloyl salicylic acid, HEPES, glycolic acid, citric acid, and dioic acid, and 2) treatment B (BenzaClin®, clindamycin 1% and benzoyl peroxide 5% gel). The treatment...

This chapter discussed pre and postoperative skincare to maximize patient outcomes after surgical procedures. It discusses how to diagnose the Baumann Skin Type and prescribe the corresponding skincare regimen. To learn more visit STSFranchise.com.

The dispensing of nonprescription skin products by dermatologists and the performance of ineffective cosmetic procedures are the most controversial subjects associated with the practice of cosmetic dermatology. These topics have been hotly debated within the profession for several decades, with each side presenting cogent arguments. The debate is a...

The amount and complexity of scientific and clinical evidence for aesthetic use of botulinum neurotoxin type A (BoNT-A) has expanded rapidly in recent years, especially for abobotulinumtoxinA, necessitating reassessment of current knowledge about aesthetic use of abobotulinumtoxinA and other BoNT-A preparations. A committee of 13 plastic surgeons,...

Objective: This randomized, controlled, single-blind study evaluated the appearance of new dermal scars after eight weeks of once-daily application of a nonprescription proprietary onion extract gel formulation compared to control (no application scars) in a dermatological surgical setting. Methods: At Visit 1, 44 healthy male and female subject...

Injectable poly-L-lactic acid (PLLA) is indicated in the United States for use in immune-competent patients for correction of shallow-to-deep nasolabial fold contour deficiencies and other facial wrinkles in which a deep dermal grid pattern injection technique is appropriate. It is also indicated for restoration and/or correction of signs of lipoat...

To evaluate the effects of the aroma of essential oil of lavender against placebo on subjects' pain perceptions and levels of anxiety when undergoing elective cosmetic facial injections of botulinum toxin type A (BOTOX(®) COSMETIC) for the correction of glabellar wrinkles. Subjects (N=30) who had not previously received any cosmetic facial injectio...

This is a report of the secondary endpoints, Subject Global Evaluation (overall improvement) and Subject Satisfaction scores, from a study designed to examine the efficacy of injectable poly-L-lactic acid for the correction of nasolabial fold wrinkles over 25 months. A randomized, subject-blinded, parallel-group, multicenter clinical study was cond...

The primary source of fat in the Mediterranean diet, known to be one of the healthiest around the world, olive oil (. Olea europaea) has long been considered one of the most important of the natural essential oils. For millennia, as long as it has been part of the human diet, people have also used olive oil for various non-culinary purposes, includ...

Ideally, topical anesthetics should provide rapid analgesic action without causing toxic blood levels of lidocaine or other side effects. Various formulations of lidocaine as a topical anesthetic have been tested and are currently on the market. Here, the authors report on a topical lidocaine with a novel delivery system that provides a rapid onset...

Dermal gel extra (DGE) is a new, tightly cross-linked hyaluronic acid (HA)-based dermal filler containing lidocaine engineered to resist gel deformation and degradation. To develop a firmer gel product (DGE) and compare the efficacy and safety of DGE with nonanimal stabilized HA (NASHA) for correction of nasolabial folds (NLFs). DGE physical proper...