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The new wave of dermatologists or when the world is theirs

The new wave of dermatologists or when the world is theirs

Dr. Iuliana Bușilă dermatologist specialist doctor

The new wave of dermatologists or when the world is theirs

Dr. Iuliana Bușilă dermatologist specialist doctor

When did you discover your passion for medicine?

My journey to medicine began when I was young … so young I can’t remember exactly when. I knew I wanted to do something to help people, so medicine was the only profession I ever considered. From pediatrics to dermatology, I had to explore a bit before finding the specialty that really called me. I liked the artistic component of aesthetic dermatology and the “detective” aspect of medical dermatology, which is an excellent hybrid between multiple specialties. In addition to tumors, treating various rashes, acne and skin problems, we improve the quality of life. Healthy skin leads to a happier life and I hope patients leave my office happier than when they came in.

Who is the person who inspired your passion for dermatology the most?

I have had the good fortune throughout my life to meet wonderful people, from real mentors to friends and loved ones whom I consider the second family. I currently have the chance to work with Dr. Mihaela Leventer, an important name in dermatology, both in the country and abroad. I consider that he is the doctor who offered new perspectives in the treatment of skin cancers, a doctor permanently open to everything that is new, a friend of patients and an excellent pedagogue of young doctors, who are at the beginning of the road.

During my residency, I trained as a doctor together with Dr. Popescu Ioana, whom I thank for the patience with which he guided me, listened to me and answered any question, even outside the working hours. A serious and dedicated man, who made the years of residency seem like a trip with a friend.

Last but not least, a great imprint in my career was left by professors Aimillios Lallas and Giuseppe Argenziano, who paved the way for dermatoscopy, an important tool in the diagnosis of both skin tumors and many other diseases. They gave me safety in practice, showed me that a doctor’s education never stops, as well as the fact that mistakes are human and can be lessons for both me and my younger colleagues.

Do you consider that in Romania, dermatology is properly represented worldwide? What interventions do you think should be more intensively promoted in Romania?

I believe that Romanian doctors are, above all, excellent clinicians, with a very high capacity to adapt, even working in an environment with limited resources. Romania has been and will remain adequately represented worldwide, by doctors who are actively involved in participation in congresses, conferences and courses, but also by colleagues who have chosen to practice in other countries, not infrequently cited in reference articles. Although it is not an intervention, I believe that the annual monitoring of skin health should be intensely promoted before there is a serious problem that requires treatment and that a routine skin care is needed. One aspect worth emphasizing is that prevention is more important than any intervention.

Are there enough specialization modules in dermatology in Romania? What is the main source of professional information for dermatologists?

Dermatology has become a complex specialization, which harmoniously combines the clinical, surgical and aesthetic part, offering dermatologists diversity, but also the chance to excel in a certain field of interest. In the age of technology, we rely heavily on applications, magazines and online articles, but also specialized groups on social networks, where the latest guidelines and methods of treatment appear and are discussed. Last but not least, our specialization enjoys a wide range of congresses and conferences, both nationally and internationally, oriented towards general dermatology or a certain professional niche, such as oncology, aesthetics, dermatopathology, dermatopediatrics.

Do you consider that the legislation in force protects the doctor sufficiently? Is malpractice properly regulated? What would you change in this direction?

Primum non nocere – something well imprinted on the cerebral cortex of doctors, since college. At the moment, doctors are protected by well-regulated laws, referring here to the law of malpractice. Patients who cross our threshold sign, if they agree with the written ones, the informed consent, after having discussed with their doctor, in which they were previously explained the diagnosis, what is the plan of investigation and treatment, as well as possible side effects and complications that may occur. Every body is unique, for example there are anatomical variations of the normal, which the doctor can not anticipate, so I consider that good communication with the patient is essential.

Instead, I would like to change the way in which the media, trying to make an audience, approach sensitive topics, most of the time unjustly blaming the doctor.

The new wave of dermatologists or when the world is theirs

Dr. Iuliana Bușilă dermatologist specialist doctor

What is the innovative intervention of the moment in dermatology from your point of view?

Dermatology is advancing enormously every year, both in the clinical branches and in aesthetics. In addition to peels, lasers, radiofrequency, fillers, mesotherapy or PRP (vampire therapy), one of my favorite procedures today is microneedling. I was surprised by the diversity of pathologies for which it can be used and I was happy every time to see positive results in diseases with a strong psycho-social impact.

What is the profile of the patient who most often steps on your doorstep?

I work with a wide range of patients and different age groups, from curious young people or those seeking treatment due to the online environment, to adults who want a younger, rested look or want to regain certain features that are they erased over time.

Do you think that the introduction of psychological testing of patients before cosmetic interventions should be mandatory?

The aesthetic patient is complex and must first be understood. We always analyze and listen carefully to what the patient wants, because often the treatment required is not the treatment needed to treat the cause and not the effect of the problem. Personally, I believe that it is not necessary to psychologically test patients before minimally invasive interventions performed in a dermatological office. Being graduates of general medicine, dermatologists can distinguish between a patient with a pathological condition such as dysmorphophobia and a patient who wants to improve their physical appearance. A patient suffering from dysmorphophobia will always have a high degree of distress at the time of examination, and the reasons why the patient states that he is presenting to an aesthetic service are almost imperceptible at the clinical examination. As an aid, aesthetic doctors have at their disposal certain questionnaires that can assess the psychological status of the patient (COPS-Cosmetic Procedure Screening Questionnaire și BDDQ-Body Dysmorphic Disorder Questionnaire).

Which country can be called the general center of global evolution of dermatology?

I think that each country dictates the evolution of a dermatological branch,  

but I can say that there are differences in approach and treatment, althoug the division is more continental, for example we have American guides and European guides. Regarding the aesthetic part, the preferences related to procedures and result differs depending on the country and culture.

The new wave of dermatologists or when the world is theirs

How do you comment on the momentum of the plastic and cosmetic surgery market in Turkey and how do you think we can keep patients in the country?

Probably there was a difference in experience but also in price in certain areas of aesthetics, but in recent years, Romania has developed a lot in this area, currently having specialists in each branch.

I believe that online promotion, before-after pictures, provides accessibility and helps the patient to feel closer to the doctor and decide the place, manner and person they trust to perform a treatment or procedure. From my point of view, in aesthetics we need follow-up, so I do not recommend that such procedures be performed in another country, given the difficult degree of patient access to the doctor in case of a complication.

Please share your thoughts with the readers of our magazine.

– Use the cream with protection factor, prevention is always more important than treatment, in antiaging there is no notion of “too early” or “start after the age of 30, 35 years”;

– Use products and procedures appropriate to your age and skin type;

– Inform yourself carefully before choosing a treatment, a clinic or a doctor;

– Always choose quality products for your skin;

– Perform an annual check of your skin health or any changes (lesion that changes shape, color, bleeds or does not heal).

The new wave of dermatologists or when the world is theirs

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