On the first day of the American Academy of Dermatology (AAD) annual meeting, I attended a session entitled Controversies in Dermatology, because who doesn't love a good controversy?

One speaker proposed changing the association's name to AADDS, the American Academy of Dermatology and Dermatologic Surgery. Why the change? One of the most salient points had to do with the fact that procedures being performed by a dermatologist aren't protected the way, say, procedures performed by a urologist are. Many medical specialties seem to claim a stake when it comes to treating the skin, and with good reason: dermatological treatments can be highly profitable. It's certainly something that we're seeing more and more in the facial injectable market non-core physicians (i.e., anyone other than dermatologists or plastic surgeons: ob-gyns, general practitioners, dentists, etc) are increasingly offering all manners of fillers and Botox to their patients.

While facial injectables aren't used in surgical procedures per se, some dermatologists seem quite concerned with protecting and entrenching the surgical aspect of their specialty through a change in nomenclature. Entrenching the word "surgery" in the association's name would  help to further solidify the procedures performed by the specialists and would further represent a move away from the seemingly generalization that is occurring with regards to dermatological procedures.

If this morning's session was any indication, the coming four days will be rife with rich debate and varied opinions on all things dermatology. Stay tuned for more updates!

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