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    More on Pores, Misleading Before and After Pictures

    Perhaps there was some confusion about my conclusions regarding the treatment of pores in the post Pores: A Tough Problem to Beat. The title itself implies the challenge that we doctors have. Note that in the first paragraph I wrote, “(pores are) ….there for the duration I might add.”

    In the next paragraph, I stated, “…even with the most aggressive and ambitious wrinkle removal process, such as a deep chemical skin peel, or laser, pores are immune to these soldiers.”

    My point was to help the reader understand that, because pores cannot be erased, as can wrinkles, age spots, even some superficial scars, one must be skeptical of any claims that purport to erase pores.

    This was not “a marketing trick to advertise myself and other surgeons.” Just the opposite; I am acting as a consumer advocate, warning against those surgeons who go out on a limb and declare that they can cure the problem. Notice the last paragraph: “My final word of advice is to be aware of pricy high-tech treatments that proclaim they can erase or smooth out pores. There is no magic bullet!” Certainly, I am trying to protect the patient, not promote procedures or specialists who, in fact, do not have an answer to the problem.

    With respect to the subtitle of my blog saying, “He’s here to discuss how to select a cosmetic surgeon”, as you will note when you review my other blog posts, that I do discuss “other issues.” The “much more” is within the territory of this blog post on pores.

    In response to a comment on my Misleading Before and After Photos post: “Why do you continue to read those ‘medical magazines’ if they are so untrustworthy?” I read them because, despite some imperfections, they are still valuable. I have a sense of which articles and presentations are worth digesting, and which are not. They do serve a purpose because physicians need to constantly upgrade their knowledge. I read 10 medical journals and magazines every month.

    With respect to me mentioning my book and that being perceived as a “subtle advertisement cloaked in the appearance of editorial content” perhaps the following will shed light on that.

    First, the book is information and not a product. Yes, every book has an author. And, yes, every book has a sales price. And, for their labor, authors are compensated. Yet, authors of non-fiction works make very little money. I assure you that an author’s motivation for writing a non-fiction book available to the public as a tutorial or educational source, is rarely dollars and cents. Even encyclopedias and dictionaries have authors who are paid for providing information. Non-fiction authors are primarily motivated by wanting to share their knowledge with the public. There is a passion there.

    Fiction writers, such as John Gresham or Danielle Steel write entertainment and can become millionaires. But they are in a different writing arena.

    For those who want information and do not want to pay for it, books such as mine are available at the public library. Or at minimal cost as an electronic version. One need not spend much money to profit from the wisdom contained in the book.

    Finally, please know that royalties earned from the sales of my SECRETS book are donated to childhood leukemia research.

    I thank all of our readers because we here to educate and advise. We value the feedback to understand your concerns and to better understand what issues and subjects to address.

    – Robert Kotler, MD, FACS

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