Restorative cosmetic dermatology: Utilizing cosmetic procedures to correct appearance and function in patients with medical dermatologic conditions - Part II. Condition-specific applications.

Abstract

Restorative cosmetic dermatology applies aesthetic interventions to improve both appearance and function in patients with underlying dermatologic disease. These individuals often present with sequelae such as fibrosis, erythema, pigmentary alteration, atrophy, alopecia, asymmetry, or bulky tissue overgrowth-findings that may impair physical function and cause significant psychosocial distress. Cosmetic procedures include a range of procedures, such as injectables, lasers, energy-based devices, hair transplantation, liposuction, and lifting procedures, can be used safely and effectively in this population. This article outlines a practical approach to restorative procedures, with emphasis on principles of treatment selection, levels of evidence, and procedural precautions in this population. Although most interventions remain off-label or underreported, emerging literature and real-world experience support their efficacy and safety in carefully selected patients.