Dr. Mark Nestor is an Associate Professor of the Department of Dermatology and Cutaneous Surgery at the University of Miami Leonard Miller School Of Medicine and serves as Director of the Center for Cosmetic Enhancement and Director of the Center for Clinical and Cosmetic Research in Aventura, FL. He is recognized as a world expert in topical pharmaceuticals and cosmeceuticals, cutaneous laser surgery, photodynamic therapy, as well as the use of fillers and toxins in aesthetic medicine. In addition to serving as past President of the American Society for Photodynamic Therapy, the International Society for Cosmetic and Laser Surgeons, and Florida Society of Dermatology and Dermatologic Surgery, Dr. Nestor is also Director of the South Beach Symposium (www.southbeachsymposium.org), held annually in Miami Beach, where presenters and attendees discuss cutting-edge procedures and therapies in both clinical and aesthetic dermatology. Ahead, Dr. Nestor offers perspective on the state of aesthetics practice.

How would you broadly characterize the current landscape of aesthetics from your vantage point as a clinician?

Dermatologists are in the ideal specialty for treatment of the aesthetic patient, according to Dr. Nestor. “Dermatologists see a great number of patients for clinical and surgical dermatology. These patients can be educated regarding the aesthetic skills of the dermatologist, especially for minimally invasive aesthetic procedures,” says Dr. Nestor. “Patients are anxious to have procedures that are less invasive with excellent outcomes,” he continues, adding that dermatologists are the ideal physicians to provide these services.

“Because of the changes in reimbursement and the problems with managed care, it is also an ideal time for dermatologists to begin aesthetic procedures if they are not already practicing aesthetic medicine,” he adds.

Can you reflect on any recent advances in the field of aesthetics that may impact how cosmetic procedures are performed?

From the technological standpoint, there are many new devices and procedures that are very effective and minimally invasive, Dr. Nestor explains. “Fractionated lasers are effective in treatment of wrinkles and acne scars. Ultrasound tightening procedures can be very effective for non-invasive skin tightening, especially of lower and upper face, and low-level laser therapy as well as cryolipolysis can be very effective for minimally invasive body sculpting,” he notes. “Additionally, advances in filler technology as well as new toxins allow dermatologists to combine a variety of treatments for enhanced outcomes with little or no downtime.”

Given your experience and expertise in the field, what are your guiding principles for the practice of aesthetics?

Dr. Nestor feels that one of the most important principles in the practice of aesthetics is medical education. “A physician should be very comfortable with the knowledge they possess as well as their experience before attempting aesthetic procedures on their patients,” says Dr. Nestor. In addition, education in all aspects of medicine—including aesthetics—requires continued engagement of the latest practices in the specialty.

According to Dr. Nestor, “Practical education courses and workshops, such as those offered by the American Academy of Dermatology, the American Society for Dermatologic Surgery, and many other meetings such as South Beach Symposium, offer valuable education as well as practical knowledge to master aesthetic procedures.”