Greg Goodman
President
Australian Society of Cosmetic Dermatologists
Australia
MBBS (Hons), Graddipclinepi, FACD, MD
Australia
Educational Background
1960–1972 Mount Scopus Memorial College
1973–1978 Monash University School of Medicine
Degrees
2009 Doctorate of Medicine awarded December
Appointed Adjunct. Associate Professor, Monash University Clayton Victoria Australia
Publications
1.Salameh F, Shumaker PR, Goodman GJ, Spring LK, Seago M, Alam M, Al-Niaimi F, Cassuto D,
Chan HH, Dierickx C, Donelan M, Gauglitz GG, Haedersdal M, Krakowski AC, Manuskiatti W,
Norbury WB, Ogawa R, Ozog DM, Paasch U, Victor Ross E, Clementoni MT, Waibel J, Bayat A,
Goo BL, Artzi O. Energy-based devices for the treatment of acne scars: 2021 international
consensus recommendations. Lasers Surg Med. 2021 Oct 31. doi: 10.1002/lsm.23484. Epub
ahead of print. PMID: 34719045.
2.Goodman GJ. Commentary on A Neglected Acne Scar Type: Papular Acne Scars and Their
Correlations With Keloid Scars. Dermatol Surg. 2021 Oct 1;47(10):1352-1353. doi:
10.1097/DSS.0000000000003188. PMID: 34559703.
Abstract:
I'm going to discuss the changing of beliefs and how difficult this is by illustrating the problems that a belief in
aspiration as a safety manoeuvre may produce. I will examine 10 commonly held reasons for the practise of
aspiration with the attempt to debunk these concepts. I believe that evidence exists against the concept of
aspiration, but no evidence except for the opinions of practitioners exists for the perpetuation of this practise.
Consensus papers are not evidence if they conflict with known data. False negative aspiration may occur
secondary to the rheology of the product that disallows the flow of blood on aspiration backwards into the
syringe with pull back on the plunger. However even allowing for tricks to circumvent these structural issues
with tissue fillers such as aspiration syringes, special needles, priming with air or saline or changing to
cannula usage, there still exists a central problem the one cannot keep their hands still while performing
either a single handed or double handed aspiration manoeuvre. So, one is never in the same place at the end of
the aspiration manoeuvre as you were at the beginning. Therefore, a belief that you are safe with a negative
aspiration is flawed and staying still to deliver a bolus that may be intravascular is dangerous.
