A rainbow of light is made of many colors. Out of ROYGBIV, blue light is by far my favorite. Blue light is key to photodynamic therapy: a specialized light treatment that treats actinic keratoses (pre-skin cancers), acne, and rejuvinates the skin.
How does this work? First, a chemical called levulan is applied to the skin (most commonly the face, but neck, chest, arms, and hands can also be treated) in the dermatologist's office. This stays on the skin anywhere from 30-60 minutes. Then a U-shaped light, specific for blue light is placed so that it shines on the skin, usually from 8-16 minutes. The levulan is activated by this light, and results in destruction of abnormal cells.
Because the levulan is activated by light, sunlight must be avoided for 48-72 hours after treatment. Redness and some crusting are common after treatment. Once that subsides, the skin is smoother and often younger appearing.
Acne may be treated with the blue light alone, as well, but it may not be quite as effective as when levulan is added. A series of treatments are required. The acne may worsen initially after the first treatment and then improve. It's a great option for those who can't tolerate conventional treatments with oral antibiotics, oral contraceptives, and topical medications.
This treatment can also be performed using intense pulsed light (IPL) rather than blue light. Although an off-label use, it can help "bump up" the improvement seen in fine lines, brown spots, and red spots seen after an IPL treatment. Multiple treatments are still needed.
Photodynamic therapy has many applications for both medical and cosmetic uses. A board certified dermatologist can decide if this treatment is right for you.
Wednesday, November 28, 2012
Monday, November 12, 2012
Winter skin
With falling temperatures comes crisp white snow, the smell of firewood burning, holiday lights, and dry, chapped skin. Coming in from the cold and facing blasting heat doesn't help, either. So what's the best way to keep your skin in top shape?
Ban the fragrance. Great smelling soaps mean dry, irritated skin. Look for cleansers that are fragrance free and for sensitive skin, like cetaphil, cerave, or unscented dove.
Turn down the heat - in the shower, that is. Hot water zaps moisture from skin. Better to take a cooler, shorter shower.
When your skin is still damp from the shower, put on a moisturizing cream - not lotion. Again, no fragrance here either. I like eucerin or cetaphil cream.
Special spots: slather aquaphor on hands and feet before bedtime for extra moisturizing. Glycolic acid creams also help with extra thick rough patches.
And pay attention to clothing, too. Avoid dryer sheets and make sure detergent is also fragrance free. Wool clothing can be irritating to skin.
Remember, even though the weather is cool outside, the sun's rays are still strong. A broad spectrum sunscreen needs to be applied every single day.
Keep your skin healthy and jolly all season long.
Ban the fragrance. Great smelling soaps mean dry, irritated skin. Look for cleansers that are fragrance free and for sensitive skin, like cetaphil, cerave, or unscented dove.
Turn down the heat - in the shower, that is. Hot water zaps moisture from skin. Better to take a cooler, shorter shower.
When your skin is still damp from the shower, put on a moisturizing cream - not lotion. Again, no fragrance here either. I like eucerin or cetaphil cream.
Special spots: slather aquaphor on hands and feet before bedtime for extra moisturizing. Glycolic acid creams also help with extra thick rough patches.
And pay attention to clothing, too. Avoid dryer sheets and make sure detergent is also fragrance free. Wool clothing can be irritating to skin.
Remember, even though the weather is cool outside, the sun's rays are still strong. A broad spectrum sunscreen needs to be applied every single day.
Keep your skin healthy and jolly all season long.
Wednesday, October 24, 2012
Holy Mole-y
Most people have moles. Usually, they look like small, symmetric, round flat or raised spots that are uniform in color. These tend to be normal moles (also called nevi).
But some people have moles that are a little bit different looking. The moles may exhibit what are known as the ABCD's. This stands for:
A: asymmetry - when you draw a line down the middle of the mole, the sides do not match
B: border - the mole is not round; it has an irregular, jagged outline
C: color - there are different shades of brown, tan, black, red in the mole
D: diameter - the mole is larger than 6 mm, the size of a pencil eraser (although they can be smaller)
These moles go by a different name. They are called dysplastic, or atypical, or Clark's nevi. These moles themselves are benign. However, people that have them are at increased risk of developing melanoma, which is the most worrisome type of skin cancer. The more dysplastic nevi someone has, the higher their risk of developing melanoma is.
So what does this mean?
People with dysplastic moles need to be seen more frequently by their dermatologist for full skin exams. They (and everyone else) also need to check their moles for:
E: evolution - the mole is changing - size, color, shape, itching, bleeding, turning black, etc.
This could be a sign of a melanoma and needs to be evaluated right away.
Remember to practice safe sun: wear sunscreen, seek the shade, do not tan outdoors or in tanning booths, and wear sun protective clothing.
But some people have moles that are a little bit different looking. The moles may exhibit what are known as the ABCD's. This stands for:
A: asymmetry - when you draw a line down the middle of the mole, the sides do not match
B: border - the mole is not round; it has an irregular, jagged outline
C: color - there are different shades of brown, tan, black, red in the mole
D: diameter - the mole is larger than 6 mm, the size of a pencil eraser (although they can be smaller)
These moles go by a different name. They are called dysplastic, or atypical, or Clark's nevi. These moles themselves are benign. However, people that have them are at increased risk of developing melanoma, which is the most worrisome type of skin cancer. The more dysplastic nevi someone has, the higher their risk of developing melanoma is.
So what does this mean?
People with dysplastic moles need to be seen more frequently by their dermatologist for full skin exams. They (and everyone else) also need to check their moles for:
E: evolution - the mole is changing - size, color, shape, itching, bleeding, turning black, etc.
This could be a sign of a melanoma and needs to be evaluated right away.
Remember to practice safe sun: wear sunscreen, seek the shade, do not tan outdoors or in tanning booths, and wear sun protective clothing.
Monday, October 22, 2012
Fill 'Er Up
With so many choices for injectable filler (Restylane, Perlane, Juvederm, Belotero, Radiesse, Sculptra) treatments today, it's easy to keep a youthful and natural appearance. But what steps can be taken to ensure these procedures go smoothly with minimal side effects?
Before your treatment:
Bruising is common after treatments. But there are some things that can help minimize it: avoid taking blood thinners such as aspirin, naproxen (Aleeve), ibuprofen (Motrin, Advil), vitamin E supplements, fish oil, garlic tablets, ginko biloba, and ginseng for 7-10 days prior to treatments. Caveat: if a physician has prescribed these for you, do not stop them without checking with the physician first. Arnica tablets, starting on the day of the treatment, may help prevent bruising, as may bromelin (found in pineapples). With the introduction of blunt cannulas, trauma to the skin is minimized and so is bruising. And it goes without saying to have the treatment done with a board certified core physician (dermatologist, plastic surgeon) with cosmetic experience.
During treatment:
Topical anesthetic cream is applied 30 minutes before the procedure to numb the skin. Since most fillers are pre-mixed with lidocaine (and the ones that aren't can be mixed in the office), the injections themselves should cause minimal discomfort. Applying ice during and after the procedure helps with discomfort and minimizes swelling. Using smaller needles and injecting more slowly helps as well. Proper placement of the filler and physician massage should prevent lumps from forming.
After treatment:
The arnica can be continued to help reduce bruising. I usually recommend that my patients avoid exercise the day of a filler treatment, to help reduce swelling. Sleeping on two pillows helps, too. It's normal to see some swelling for a few days after treatments, especially following lip injections. It's a good idea to follow up with your physician two weeks after the treatment for an evaluation. If there are any concerns, always call your physician. My patients have my cell phone number so that they can reach me anytime.
Even though minor side effects can't always be completely avoided, with a little care and planning, they can be minimized. A little bit of filler can make a big impact - with little to no downtime!
Before your treatment:
Bruising is common after treatments. But there are some things that can help minimize it: avoid taking blood thinners such as aspirin, naproxen (Aleeve), ibuprofen (Motrin, Advil), vitamin E supplements, fish oil, garlic tablets, ginko biloba, and ginseng for 7-10 days prior to treatments. Caveat: if a physician has prescribed these for you, do not stop them without checking with the physician first. Arnica tablets, starting on the day of the treatment, may help prevent bruising, as may bromelin (found in pineapples). With the introduction of blunt cannulas, trauma to the skin is minimized and so is bruising. And it goes without saying to have the treatment done with a board certified core physician (dermatologist, plastic surgeon) with cosmetic experience.
During treatment:
Topical anesthetic cream is applied 30 minutes before the procedure to numb the skin. Since most fillers are pre-mixed with lidocaine (and the ones that aren't can be mixed in the office), the injections themselves should cause minimal discomfort. Applying ice during and after the procedure helps with discomfort and minimizes swelling. Using smaller needles and injecting more slowly helps as well. Proper placement of the filler and physician massage should prevent lumps from forming.
After treatment:
The arnica can be continued to help reduce bruising. I usually recommend that my patients avoid exercise the day of a filler treatment, to help reduce swelling. Sleeping on two pillows helps, too. It's normal to see some swelling for a few days after treatments, especially following lip injections. It's a good idea to follow up with your physician two weeks after the treatment for an evaluation. If there are any concerns, always call your physician. My patients have my cell phone number so that they can reach me anytime.
Even though minor side effects can't always be completely avoided, with a little care and planning, they can be minimized. A little bit of filler can make a big impact - with little to no downtime!
Monday, September 24, 2012
Slap it on
We all know that we should use our sunscreens, moisturizers, and retinoids... but exactly how they should be used sometimes is a bit of a mystery. Using too much (or not enough) can lead to less than desirable results.
Step one: alarm goes off. Press snooze. Eventually roll out of bed towards the bathroom.
Step two: wash face - maybe.
Some advocate washing twice a day; morning and night. If you have oily skin, then this may be a good strategy for you. However, for those with skin that tends to be dry and sensitive, overzealous washing may make your skin more dry, and once daily may be better. Use a gentle non-drying cleanser, such as cetaphil. Harsh scrubs with large particles can irritate the skin and strip essential oils, so it's usually better to avoid them. Hand held brushes, such as the Clarsonic, can often be a great tool in cleansing the skin. Pat skin dry gently.
Step three: apply topical medications, if necessary
Now is a good time to apply any prescription topical creams (for acne, rosacea, etc) as directed by your dermatologist. Applying medications before sunscreens and makeup allows the medication to be absorbed into the skin and be more effective.
Strep four: protect - sunblock time!
Use a broad spectrum sunblock that blocks both UVA and UVB rays. Now here's the most important part: the amount necessary for the face is a teaspoon full. Many people use a few small dabs to cover their entire face - this is not enough to truly protect against aging and skin cancer. An SPF 30 is all that is necessary; higher ratings don't offer more protection.
Apply your makeup (and even better if you use a powder makeup like Colorscience that also contains sunblock). Remember to reapply sunscreen if you'll be outdoors for longer periods of time, sweating, or swimming.
Step five: cleanse and repair
In the evening, remove makeup with a gentle remover and gently wash your face. When the skin is damp, apply your retinoid cream. My favorites are Renova, which is available by prescription, or SkinMedica's TriRetinol complex. A small pea sized amount should be used to cover the entire face, avoiding the upper and lower eyelids. Remember, pregnant or nursing women should not use retinoids.
Step six: moisturize and repair
Now's a great time to use an antioxidant and growth factor serum or cream. Apply about 15-20 minutes after retinoids. One caveat: if someone has very sensitive skin, I will often recommend putting moisturizer before retinoid cream, to lessen the effect of the retinoid. Bedtime is a good time to use an eye serum to hydrate the delicate skin under the eyes.
An effective and efficient daily routine is essential to keeping skin healthy and youthful looking, and with a few simple steps, is easy to do!
Step one: alarm goes off. Press snooze. Eventually roll out of bed towards the bathroom.
Step two: wash face - maybe.
Some advocate washing twice a day; morning and night. If you have oily skin, then this may be a good strategy for you. However, for those with skin that tends to be dry and sensitive, overzealous washing may make your skin more dry, and once daily may be better. Use a gentle non-drying cleanser, such as cetaphil. Harsh scrubs with large particles can irritate the skin and strip essential oils, so it's usually better to avoid them. Hand held brushes, such as the Clarsonic, can often be a great tool in cleansing the skin. Pat skin dry gently.
Step three: apply topical medications, if necessary
Now is a good time to apply any prescription topical creams (for acne, rosacea, etc) as directed by your dermatologist. Applying medications before sunscreens and makeup allows the medication to be absorbed into the skin and be more effective.
Strep four: protect - sunblock time!
Use a broad spectrum sunblock that blocks both UVA and UVB rays. Now here's the most important part: the amount necessary for the face is a teaspoon full. Many people use a few small dabs to cover their entire face - this is not enough to truly protect against aging and skin cancer. An SPF 30 is all that is necessary; higher ratings don't offer more protection.
Apply your makeup (and even better if you use a powder makeup like Colorscience that also contains sunblock). Remember to reapply sunscreen if you'll be outdoors for longer periods of time, sweating, or swimming.
Step five: cleanse and repair
In the evening, remove makeup with a gentle remover and gently wash your face. When the skin is damp, apply your retinoid cream. My favorites are Renova, which is available by prescription, or SkinMedica's TriRetinol complex. A small pea sized amount should be used to cover the entire face, avoiding the upper and lower eyelids. Remember, pregnant or nursing women should not use retinoids.
Step six: moisturize and repair
Now's a great time to use an antioxidant and growth factor serum or cream. Apply about 15-20 minutes after retinoids. One caveat: if someone has very sensitive skin, I will often recommend putting moisturizer before retinoid cream, to lessen the effect of the retinoid. Bedtime is a good time to use an eye serum to hydrate the delicate skin under the eyes.
An effective and efficient daily routine is essential to keeping skin healthy and youthful looking, and with a few simple steps, is easy to do!
Wednesday, August 29, 2012
Molluscum: We ain't talking Escargot
School's back in session. Time for kids to run around outside, share toys and good times with friends, and - wait, what's that little white bump on Junior's cute little belly? Hold on, what are ALL those little bumps on his belly, and armpit, and arm?
The dermatologist confirms it: Junior has molluscum contagiosum. Moll-what?!
Molluscum contagiosum is a common condition caused by a type of virus called a poxvirus. As the name implies, it's contagious. Kids pass it on to each other by direct skin-to-skin contact. Swimming pools are often associated with infection. While any child can get it, kids with eczema or atopic dermatitis are at higher risk, and the mollusum often shows up in the same areas affected by eczema.
How is it treated? Well, sometimes they're not treated at all. Molluscum will often go away on their own, but it may take up to two years. Applying surgical tape daily to the spots has been reported as a successful treatment in some. Other treatments include topical retinoids, scraping (curettage) the lesions, freezing with liquid nitrogen, and applying a topical cream called imiquinod. An often successful treatment is applying cantharadin liquid in the doctor's office, that is then washed off after 4-6 hours. It causes blistering of the molluscum and then resolution. It's up to the doctor and the parents to decide which treatment plan would be best.
Oh, look, Junior's smiling again. Oh, he's laughing, how cute. Wait, what's on the roof of his mouth? Hand, foot, and what?!
The dermatologist confirms it: Junior has molluscum contagiosum. Moll-what?!
Molluscum contagiosum is a common condition caused by a type of virus called a poxvirus. As the name implies, it's contagious. Kids pass it on to each other by direct skin-to-skin contact. Swimming pools are often associated with infection. While any child can get it, kids with eczema or atopic dermatitis are at higher risk, and the mollusum often shows up in the same areas affected by eczema.
How is it treated? Well, sometimes they're not treated at all. Molluscum will often go away on their own, but it may take up to two years. Applying surgical tape daily to the spots has been reported as a successful treatment in some. Other treatments include topical retinoids, scraping (curettage) the lesions, freezing with liquid nitrogen, and applying a topical cream called imiquinod. An often successful treatment is applying cantharadin liquid in the doctor's office, that is then washed off after 4-6 hours. It causes blistering of the molluscum and then resolution. It's up to the doctor and the parents to decide which treatment plan would be best.
Oh, look, Junior's smiling again. Oh, he's laughing, how cute. Wait, what's on the roof of his mouth? Hand, foot, and what?!
Thursday, August 23, 2012
That tricky sun
Ah, the sun. While it's essential for life on earth, too much of it is not a good thing. We all know we should wear sunscreen and avoid too much exposure - but the specific reasons why aren't always so clear.
The biggie is skin cancer. Damage from ultraviolet light causes mutations in cells, which leads to skin cancers such as basal cell carcinoma and squamous cell carcinoma. Sunburns and tanning also increase the risk of developing melanoma, the most worrisome type of skin cancer.
And if that's not enough to make you reach for your tube of sunblock, let's talk about the havoc that the sun wreaks on beauty and youth. Ultraviolet light accelerates aging. Period.
Specifically, wrinkles, brown spots, and broken blood vessels (telangiectasias). Pre-existing pigment on the face gets darker with sun exposure. Exposure to the sun can also cause loss of pigment, which often shows up as little white spots on the arms and legs.
Although there are topical treatments, like bleaching creams and retinoids, as well as lasers, to correct these issues, if the skin is still exposed to the sun, they will recur.
So what's a South Florida lover to do? I've said it before, and I'll say it again... Sunblock, sun protective clothing, and avoiding the sun during peak hours is key. For overall skin health, protect your precious skin!
The biggie is skin cancer. Damage from ultraviolet light causes mutations in cells, which leads to skin cancers such as basal cell carcinoma and squamous cell carcinoma. Sunburns and tanning also increase the risk of developing melanoma, the most worrisome type of skin cancer.
And if that's not enough to make you reach for your tube of sunblock, let's talk about the havoc that the sun wreaks on beauty and youth. Ultraviolet light accelerates aging. Period.
Specifically, wrinkles, brown spots, and broken blood vessels (telangiectasias). Pre-existing pigment on the face gets darker with sun exposure. Exposure to the sun can also cause loss of pigment, which often shows up as little white spots on the arms and legs.
Although there are topical treatments, like bleaching creams and retinoids, as well as lasers, to correct these issues, if the skin is still exposed to the sun, they will recur.
So what's a South Florida lover to do? I've said it before, and I'll say it again... Sunblock, sun protective clothing, and avoiding the sun during peak hours is key. For overall skin health, protect your precious skin!
Monday, August 6, 2012
The Windows to the Soul
They say the eyes are the windows to the soul. Sometimes the window treatments need a little refreshing...
Lines around the eyes
Crow's feet result from squinting and repeated muscle movement. The most effective treatment for Crow's feet is botulinum toxin: Botox, Dysport, or Xeomin. For finer textural lines, a moisturizing eye cream, such as the TNS Illuminating eye cream, can help. Renova, a mild prescription retinoid, is often very effective but should be used sparingly. For lots of lines, fractional resurfacing with a laser like the Active FX can be very effective.
Hollows and Loose skin
Your two year old is only partly to blame. Hyaluronic acid fillers (Juvederm or Restylane) can be injected in the tear trough area to rejuvinate the contour under the eyes. A small amount should be used, as this is a delicate area. Loose skin around the eyes may be tightened with a radiofrequency treatment like Thermage or Exilis.
Dark circles
These usually result from broken blood vessels under the eyes, genetics, and allergies. If seasonal allergies are an issue, a daily antihistamine may be beneficial. Broken blood vessels may be corrected with a vascular laser.
Sparse lashes
Yes, there is a miracle-gro for lashes, and it's called Latisse. This FDA approved medication can increase the volume and length of lashes in about 6-8 weeks.
Little tricks for poofs
Applying cold moisturizer helps to relieve puffiness under the eyes. Sleeping on more than one pillow and avoiding foods high in salt help, too.
Usually, a combination of treatments are needed to make your eyes sparkle.
Lines around the eyes
Crow's feet result from squinting and repeated muscle movement. The most effective treatment for Crow's feet is botulinum toxin: Botox, Dysport, or Xeomin. For finer textural lines, a moisturizing eye cream, such as the TNS Illuminating eye cream, can help. Renova, a mild prescription retinoid, is often very effective but should be used sparingly. For lots of lines, fractional resurfacing with a laser like the Active FX can be very effective.
Hollows and Loose skin
Your two year old is only partly to blame. Hyaluronic acid fillers (Juvederm or Restylane) can be injected in the tear trough area to rejuvinate the contour under the eyes. A small amount should be used, as this is a delicate area. Loose skin around the eyes may be tightened with a radiofrequency treatment like Thermage or Exilis.
Dark circles
These usually result from broken blood vessels under the eyes, genetics, and allergies. If seasonal allergies are an issue, a daily antihistamine may be beneficial. Broken blood vessels may be corrected with a vascular laser.
Sparse lashes
Yes, there is a miracle-gro for lashes, and it's called Latisse. This FDA approved medication can increase the volume and length of lashes in about 6-8 weeks.
Little tricks for poofs
Applying cold moisturizer helps to relieve puffiness under the eyes. Sleeping on more than one pillow and avoiding foods high in salt help, too.
Usually, a combination of treatments are needed to make your eyes sparkle.
Monday, July 23, 2012
My favorite filler
People often ask: what's your favorite filler to use?
The simple answer: all of them.
What filler I use depends on a few things: whether the person has had fillers injected before, how much volume the person has lost, what area we are injecting, and how quickly the person wants to see results.
To start, the three main types of fillers I use are the hyaluronic acid fillers (juvederm, restylane, and perlane); calcium hydroxylapatite (radiesse), and poly-L-lactic acid (sculptra).
The hyaluronic acid fillers usually last 9 months- 1 year. They are my filler of choice for lip augmentation and tear troughs (undereye hollows). They are also a great option for people that have never done any fillers before. This group of fillers can be dissolved by an injection of an enzyme called hyaluronidase. Hyaluronic acid can also be used for cheek rejuvination, nasolabial folds, marionette lines, and chin improvement. Care must be taken not to inject too superficially, because they will look blue under the skin.
Calcium hydroxylapatite tends to last about 18 months. This filler is more "substantial" than the hyaluronic acids and tends to give a little more lift. It's a great choice for those who have had fillers injected previously and want something more volumizing and longer lasting. It needs to be injected deeper than the hyaluronic acid fillers. Cheeks and lower face (marionette lines, jawline, chin) can all be reshaped with calcium hydroxylapatite. Results are instantaneous.
Poly-L-lactic acid works differently than the other fillers. It stimulates collagen formation over a series of treatments about 4-6 weeks apart. This treatment works well for hollowed areas, such as the temples, cheeks, and lower face. Because the changes come about slowly, results are gradual and natural. Results can last for 2 years.
Talk to your dermatologist about what filler (or combination of fillers) is right for you. In the right hands, a natural, more youthful look can be easily achieved.
The simple answer: all of them.
What filler I use depends on a few things: whether the person has had fillers injected before, how much volume the person has lost, what area we are injecting, and how quickly the person wants to see results.
To start, the three main types of fillers I use are the hyaluronic acid fillers (juvederm, restylane, and perlane); calcium hydroxylapatite (radiesse), and poly-L-lactic acid (sculptra).
The hyaluronic acid fillers usually last 9 months- 1 year. They are my filler of choice for lip augmentation and tear troughs (undereye hollows). They are also a great option for people that have never done any fillers before. This group of fillers can be dissolved by an injection of an enzyme called hyaluronidase. Hyaluronic acid can also be used for cheek rejuvination, nasolabial folds, marionette lines, and chin improvement. Care must be taken not to inject too superficially, because they will look blue under the skin.
Calcium hydroxylapatite tends to last about 18 months. This filler is more "substantial" than the hyaluronic acids and tends to give a little more lift. It's a great choice for those who have had fillers injected previously and want something more volumizing and longer lasting. It needs to be injected deeper than the hyaluronic acid fillers. Cheeks and lower face (marionette lines, jawline, chin) can all be reshaped with calcium hydroxylapatite. Results are instantaneous.
Poly-L-lactic acid works differently than the other fillers. It stimulates collagen formation over a series of treatments about 4-6 weeks apart. This treatment works well for hollowed areas, such as the temples, cheeks, and lower face. Because the changes come about slowly, results are gradual and natural. Results can last for 2 years.
Talk to your dermatologist about what filler (or combination of fillers) is right for you. In the right hands, a natural, more youthful look can be easily achieved.
Tuesday, July 17, 2012
Those silly derm terms...
Sometimes derm terms are a little confusing...
Ringworm is not from a worm.
You can't contract Lyme disease from margaritas.
Cafe au lait spots are not caused by downing too many mochaccinos.
Molluscum contagiosum has nothing to do with escargot. (Have no idea what that is? Just wait until you have kids!)
Similarly, chickenpox is not from poultry.
Ain't nothing funny about laugh lines. Or frown lines. Or crow's feet - which are not from birds.
Spider veins do not mean arachnids are living on you.
Cherry angiomas can not be purchased in the produce aisle.
I could go on and on...
Ringworm is not from a worm.
You can't contract Lyme disease from margaritas.
Cafe au lait spots are not caused by downing too many mochaccinos.
Molluscum contagiosum has nothing to do with escargot. (Have no idea what that is? Just wait until you have kids!)
Similarly, chickenpox is not from poultry.
Ain't nothing funny about laugh lines. Or frown lines. Or crow's feet - which are not from birds.
Spider veins do not mean arachnids are living on you.
Cherry angiomas can not be purchased in the produce aisle.
I could go on and on...
Monday, July 2, 2012
Botox myths debunked
Hating the lines on your forehead but still hesitating to get Botox? Here's the skinny on one of my favorite beauty treatments.
"I'm afraid I'll look wierd."
With proper technique, a very natural, more youthful result can be achieved. Botox, dysport, and xeomin can smooth the "eleven" lines between the eyebrows, which make people appear angry, even when they're not. It can relax lines across the forehead, as well as crow's feet. It can stop wrinkles on the nose (bunny lines), a dimpled chin (golf ball chin), and tight neck bands. A board certified dermatologist with cosmetic experience has the training necessary for beautiful, natural, "non-wierd" results.
"I don't think it's safe."
Botox has been used in millions of patients for 20 years in the treatment of both medical and cosmetic conditions. While there are certain patients that should not have the treatment (those with an allergy to the product, certain neuromuscular conditions, those pregnant or nursing), when used correctly, it is overall a very safe treatment, with serious side effects being extremely rare.
"I don't want to look worse once it wears off."
The effects of Botox last about three months. It works by temporarily stopping the release of a chemical from nerves called acetylcholine which instructs muscles to contract. After a short period of time, the nerves begin releasing the chemical again, and the muscle will contract, just like they did before. Wrinkles will return to what they were before the treatment.
Botox injections are one of the most popular cosmetic procedures performed worldwide. With no cutting or downtime, a little can go a long way.
"I'm afraid I'll look wierd."
With proper technique, a very natural, more youthful result can be achieved. Botox, dysport, and xeomin can smooth the "eleven" lines between the eyebrows, which make people appear angry, even when they're not. It can relax lines across the forehead, as well as crow's feet. It can stop wrinkles on the nose (bunny lines), a dimpled chin (golf ball chin), and tight neck bands. A board certified dermatologist with cosmetic experience has the training necessary for beautiful, natural, "non-wierd" results.
"I don't think it's safe."
Botox has been used in millions of patients for 20 years in the treatment of both medical and cosmetic conditions. While there are certain patients that should not have the treatment (those with an allergy to the product, certain neuromuscular conditions, those pregnant or nursing), when used correctly, it is overall a very safe treatment, with serious side effects being extremely rare.
"I don't want to look worse once it wears off."
The effects of Botox last about three months. It works by temporarily stopping the release of a chemical from nerves called acetylcholine which instructs muscles to contract. After a short period of time, the nerves begin releasing the chemical again, and the muscle will contract, just like they did before. Wrinkles will return to what they were before the treatment.
Botox injections are one of the most popular cosmetic procedures performed worldwide. With no cutting or downtime, a little can go a long way.
Tuesday, June 5, 2012
We all scream for sunscreen
June 18th, the new sunscreen labeling officially goes into effect. So what does this mean?
Sunscreens can only be labeled "broad spectrum" if they pass the FDA's test of protecting against both UVA and UVB rays. UVA rays cause aging (A for aging) of the skin, UVB rays cause burning (B for burning), and both are responsible for skin cancer.
Only sunscreens with an SPF (sun protective factor) of 15 or higher can claim to help reduce the risk of skin cancer and early aging.
Words like "waterproof," "sweatproof" or "sunblock" can not be used on the label.
The FDA must approve if a sunscreen can claim that it protects the skin for more than 2 hours without reapplying.
Hopefully the labeling changes will help to inform consumers and allow them to pick sunscreens with the most protection. But applying sunscreen is just one part of the equation. Sun protective clothing, like hats, and shirts with fabrics designed to provide UPF factors of 50 are important. Avoiding exposure during peak times of the day reduces your risk. Protect your precious skin!
Sunscreens can only be labeled "broad spectrum" if they pass the FDA's test of protecting against both UVA and UVB rays. UVA rays cause aging (A for aging) of the skin, UVB rays cause burning (B for burning), and both are responsible for skin cancer.
Only sunscreens with an SPF (sun protective factor) of 15 or higher can claim to help reduce the risk of skin cancer and early aging.
Words like "waterproof," "sweatproof" or "sunblock" can not be used on the label.
The FDA must approve if a sunscreen can claim that it protects the skin for more than 2 hours without reapplying.
Hopefully the labeling changes will help to inform consumers and allow them to pick sunscreens with the most protection. But applying sunscreen is just one part of the equation. Sun protective clothing, like hats, and shirts with fabrics designed to provide UPF factors of 50 are important. Avoiding exposure during peak times of the day reduces your risk. Protect your precious skin!
Thursday, May 17, 2012
Bulldogs and shar-peis
There are some that jowls and wrinkles look great on. Bulldogs, for example. Or mastiffs. Their jowls are cute. And who doesn't love a shar-pei's wrinkled fur? Adorable.
But I have never met a woman (or man, for that matter) who loves their jowls or wrinkled neck. For those who are not ready for plastic surgery, Thermage is a great option. Thermage uses radio frequency energy to stimulate collagen and tighten skin. It take about 6 months to see results following a single treatment. There is little to no downtime, and it's noninvasive- no needles or cutting.
In addition to the lower face and neck, Thermage can be performed around the eyes and on the eyelids to tighten loose, wrinkled skin. It can also help tighten loose skin on the abdomen and upper extremities.
Thanks to amazing technology available today, we can keep loose skin where it belongs- on our furry friends!
But I have never met a woman (or man, for that matter) who loves their jowls or wrinkled neck. For those who are not ready for plastic surgery, Thermage is a great option. Thermage uses radio frequency energy to stimulate collagen and tighten skin. It take about 6 months to see results following a single treatment. There is little to no downtime, and it's noninvasive- no needles or cutting.
In addition to the lower face and neck, Thermage can be performed around the eyes and on the eyelids to tighten loose, wrinkled skin. It can also help tighten loose skin on the abdomen and upper extremities.
Thanks to amazing technology available today, we can keep loose skin where it belongs- on our furry friends!
Monday, May 14, 2012
Simple but true!
Sometimes skin care follows the "kiss" principle....
1. Soaking toenails in a mix of white vinegar and water can help improve nail fungus.
2. Duct tape can help warts disappear.
3. Crisco is a great skin moisturizer -especially for those with eczema.
4. Olive oil heals ragged cuticles.
5. Pressure stops bleeding.
6. Vaseline and a band aid heal wounds.
7. And the key to looking young? Sunscreen!
Oh- and laughing often, breathing, eating a healthy diet rich in antioxidants, using a retinoid cream (not if pregnant or nursing), drinking water, exercising, and not sweating the small stuff. And sunscreen!
1. Soaking toenails in a mix of white vinegar and water can help improve nail fungus.
2. Duct tape can help warts disappear.
3. Crisco is a great skin moisturizer -especially for those with eczema.
4. Olive oil heals ragged cuticles.
5. Pressure stops bleeding.
6. Vaseline and a band aid heal wounds.
7. And the key to looking young? Sunscreen!
Oh- and laughing often, breathing, eating a healthy diet rich in antioxidants, using a retinoid cream (not if pregnant or nursing), drinking water, exercising, and not sweating the small stuff. And sunscreen!
Tuesday, May 1, 2012
One less word
I love my job as a dermatologist. But there is nothing I love about having to tell someone that they have melanoma. Despite the good prognosis when caught early, melanoma is a word that no one wants to hear.
So wouldn't it be great if no one had to hear it?
May is Melanoma Awareness month. Do yourself a favor and have your skin examined by a dermatologist. Encourage your friends and family to do the same. Take care of your skin: wear sunscreen, sun protective clothing, and avoid the sun during peak hours. And please, please, don't use tanning beds. According to the Skin Cancer Foundation, indoor UV tanners are 74% more likely to develop melanoma, the deadliest form of skin cancer, than those who have never tanned indoors. That's a big increase. And believe it or not, there are still plenty of people out there using tanning beds, despite all the info about how dangerous they are. Trust me - I see it every day.
So, protect your and your loved one's skin. And let's make that word go away.
So wouldn't it be great if no one had to hear it?
May is Melanoma Awareness month. Do yourself a favor and have your skin examined by a dermatologist. Encourage your friends and family to do the same. Take care of your skin: wear sunscreen, sun protective clothing, and avoid the sun during peak hours. And please, please, don't use tanning beds. According to the Skin Cancer Foundation, indoor UV tanners are 74% more likely to develop melanoma, the deadliest form of skin cancer, than those who have never tanned indoors. That's a big increase. And believe it or not, there are still plenty of people out there using tanning beds, despite all the info about how dangerous they are. Trust me - I see it every day.
So, protect your and your loved one's skin. And let's make that word go away.
Thursday, April 5, 2012
The war against dark patches
It's a common problem many women (and men) battle everyday - melasma. These brown patches usually show up on the forehead, cheeks, upper lip, and chin area. Women tend to be affected more often than men. No one knows exactly what causes it, but we do know that there are certain factors that seem to trigger the increase in pigmentation. Sun exposure and estrogen are the two biggies. Birth control pills, hormone replacement therapy, and pregnancy (in which case it is called chloasma, or the mask of pregnancy) rev up melanocytes to produce more melanin, which is responsible for pigment in the skin.
Melasma is a difficult condition to treat. Like many other conditions in dermatology (psoriasis, eczema, acne) there is no cure. A combination of topical medications and procedures are used to improve it, but results need to be maintained. The single most important factor is sun exposure. People with melasma MUST protect their skin from the sun. Sun avoidance, suncreen, sun protective clothing: the whole nine yards.
The gold standard in topical treatments is the lightening cream hydroquinone. This can be prescribed by a dermatologist and should be used under their supervision. A very rare complication of this cream is a condition called ochronosis, which results in darkening of the skin. Fortunately, this is not common. There are many other topical treatments available that do not contain hydroquinone. These are often used as well to treat melasma. These creams contain lightening ingredients such as azaleic acid, kojic acid, licorice, lignin peroxidase, etc. One of my favorite non-hydroquinone containing creams is Elure. It contains lignin peroxidase, a natural extract derived from a tree fungus. Retinoids can help lighten dark spots as well. If the treatments are irritating, a topical cortisone is sometimes used.
In addition to topical treatments, light chemical peels can be performed in the doctor's office. However, care must be taken to avoid hyperpigmentation (darkening of areas). The Fraxel Dual Re:Store has been shown to be very effective for brown spots on the face and can improve melasma.
Just as exercise and diet are used to help maintain a healthy weight, strict sun protection and various dermatologist-prescribed treatments can help maintain skin.
Melasma is a difficult condition to treat. Like many other conditions in dermatology (psoriasis, eczema, acne) there is no cure. A combination of topical medications and procedures are used to improve it, but results need to be maintained. The single most important factor is sun exposure. People with melasma MUST protect their skin from the sun. Sun avoidance, suncreen, sun protective clothing: the whole nine yards.
The gold standard in topical treatments is the lightening cream hydroquinone. This can be prescribed by a dermatologist and should be used under their supervision. A very rare complication of this cream is a condition called ochronosis, which results in darkening of the skin. Fortunately, this is not common. There are many other topical treatments available that do not contain hydroquinone. These are often used as well to treat melasma. These creams contain lightening ingredients such as azaleic acid, kojic acid, licorice, lignin peroxidase, etc. One of my favorite non-hydroquinone containing creams is Elure. It contains lignin peroxidase, a natural extract derived from a tree fungus. Retinoids can help lighten dark spots as well. If the treatments are irritating, a topical cortisone is sometimes used.
In addition to topical treatments, light chemical peels can be performed in the doctor's office. However, care must be taken to avoid hyperpigmentation (darkening of areas). The Fraxel Dual Re:Store has been shown to be very effective for brown spots on the face and can improve melasma.
Just as exercise and diet are used to help maintain a healthy weight, strict sun protection and various dermatologist-prescribed treatments can help maintain skin.
Monday, April 2, 2012
What's New
I recently attended the annual American Academy of Dermatology meeting in San Diego. About 10,000 dermatologists from around the world attended the meeting, where the newest technologies in dermatology were presented. I love these meetings: not only do I get to see old friends, but I stay up to date on the latest and greatest in my field. So what's new on the horizon?
New injectables:
You've probably heard of facial contouring with fat, as well as injectables like Restylane, Juvederm, Radiesse, and Sculptra. Well, now there's a new player on the field - and it's completely unique. Laviv (azficel-T) is the first and only FDA-approved therapy that uses your own collagen-producing cells (fibroblasts) to improve the look of smile lines. How does it work? The dermatologist takes three small samples of skin from behind the ear. The skin samples are then sent to a laboratory, where fibroblast cells (cells that make collagen in the skin) are expanded to create your Laviv. Three months later, it is sent back to the dermatologist, who injects Laviv over three treatment sessions. South Beach Dermatology is a Laviv certified facility. Check out http://www.mylaviv.com/getting-laviv.aspx for more info.
New fat fighting treatment:
It's an age old battle: man (woman) versus fat. There's liposuction, laser-assisted liposuction, cryolipolysis (using cold to destroy fat), and now: Liposonix. Liposonix is a non-surgical, non-invasive treatment that uses high frequency focused ultrasound (HIFU) to destory fat cells. There are no incisions or needles. It's performed in the office as a one hour treatment to the abdomen and love handles. Results typically take about 8-12 weeks, and on average, an one inch reduction is seen from the waist area. Liposonix will be available at Horwitz Dermatology next month. Check out http://www.liposonix.com/ for more info.
New product:
CeraVe SA Renewing Lotion combines the great moisturizing (ceramides, hyaluronic acid) power of CeraVe with salicylic acid. It's great for keratosis pilaris: those rough bumps on the back of the arms. Dry, thick, cracked heels? Try this out!
I love sharing the newest treatments in derm with all of you. Stay tuned for more!
New injectables:
You've probably heard of facial contouring with fat, as well as injectables like Restylane, Juvederm, Radiesse, and Sculptra. Well, now there's a new player on the field - and it's completely unique. Laviv (azficel-T) is the first and only FDA-approved therapy that uses your own collagen-producing cells (fibroblasts) to improve the look of smile lines. How does it work? The dermatologist takes three small samples of skin from behind the ear. The skin samples are then sent to a laboratory, where fibroblast cells (cells that make collagen in the skin) are expanded to create your Laviv. Three months later, it is sent back to the dermatologist, who injects Laviv over three treatment sessions. South Beach Dermatology is a Laviv certified facility. Check out http://www.mylaviv.com/getting-laviv.aspx for more info.
New fat fighting treatment:
It's an age old battle: man (woman) versus fat. There's liposuction, laser-assisted liposuction, cryolipolysis (using cold to destroy fat), and now: Liposonix. Liposonix is a non-surgical, non-invasive treatment that uses high frequency focused ultrasound (HIFU) to destory fat cells. There are no incisions or needles. It's performed in the office as a one hour treatment to the abdomen and love handles. Results typically take about 8-12 weeks, and on average, an one inch reduction is seen from the waist area. Liposonix will be available at Horwitz Dermatology next month. Check out http://www.liposonix.com/ for more info.
New product:
CeraVe SA Renewing Lotion combines the great moisturizing (ceramides, hyaluronic acid) power of CeraVe with salicylic acid. It's great for keratosis pilaris: those rough bumps on the back of the arms. Dry, thick, cracked heels? Try this out!
I love sharing the newest treatments in derm with all of you. Stay tuned for more!
Wednesday, February 8, 2012
Just say NO to tanning beds
I've recently been seeing more young patients in my office who have been using tanning beds. They seem almost shocked when I inform them that using tanning beds will cause skin cancer, and is one of the worst things you can do for your skin's health. Despite the increased media attention on the dangers of ultraviolet light exposure, many still think it's "cool" to look tanned. Whether it's from tanning beds or excessive outdoor sun exposure, too much ultraviolet light is harmful and causes skin cancers: basal call carcinoma, squamous cell carcinoma, and melanoma. It's now illegal in some states, such as California, for minors to use tanning beds. Other states are following suit and enforcing regulations. That's a step in the right direction. It's so critical to practice safe sun: broad spectrum sunscreens, sun protective clothing, and avoiding the sun during the peak hours of 10 am - 3 pm.
Here are some facts from my friends at The Skin Cancer Foundation that are important to know. They have an excellent website at www.skincancer.org full of great information.
One person dies of melanoma every hour (every 62 minutes).
Melanoma is the most common form of cancer for young adults 25-29 years old and the second most common form of cancer for young people 15-29 years old.
The survival rate for patients whose melanoma is detected early, before the tumor has penetrated the skin, is about 99 percent.
The last fact is key: early detection is life saving! Remember to see your dermatologist at least once a year for your skin check - or sooner if you've noticed a new or changing spot. You only have one precious skin: protect it!
Here are some facts from my friends at The Skin Cancer Foundation that are important to know. They have an excellent website at www.skincancer.org full of great information.
One person dies of melanoma every hour (every 62 minutes).
Melanoma is the most common form of cancer for young adults 25-29 years old and the second most common form of cancer for young people 15-29 years old.
The survival rate for patients whose melanoma is detected early, before the tumor has penetrated the skin, is about 99 percent.
The last fact is key: early detection is life saving! Remember to see your dermatologist at least once a year for your skin check - or sooner if you've noticed a new or changing spot. You only have one precious skin: protect it!
Wednesday, February 1, 2012
A New Way to Inject Fillers
Same destination, different route: the latest and greatest in facial volumizing is using FDA approved, blunt-tipped DermaSculpt cannulas to inject fillers, rather than sharp needles.
Let me tell you why I like cannulas:
First, because they have a rounded, blunt tip, there is less trauma to tissue and blood vessels, which equals less bruising, less discomfort, and less swelling during and after the procedure. It also means less injections, because the cannula is placed through one point in the skin and can reach multiple areas. For people that want a filler treatment with little downtime, it's a great choice. Restylane, Juvederm, Radiesse, and Sculptra can all be injected with a cannula.
And speaking of fillers, February is a great time to get a treatment. Restylane is approved for lip enhancement - Valentine's Day, anyone? And Medicis is offering rebates on Restylane and Perlane. There's no need to live with hollow cheeks, parenthesis lines around the mouth, thin lips, or saggy jowls. With the advent of great technology, looking natural and refreshed is easier than ever!
Let me tell you why I like cannulas:
First, because they have a rounded, blunt tip, there is less trauma to tissue and blood vessels, which equals less bruising, less discomfort, and less swelling during and after the procedure. It also means less injections, because the cannula is placed through one point in the skin and can reach multiple areas. For people that want a filler treatment with little downtime, it's a great choice. Restylane, Juvederm, Radiesse, and Sculptra can all be injected with a cannula.
And speaking of fillers, February is a great time to get a treatment. Restylane is approved for lip enhancement - Valentine's Day, anyone? And Medicis is offering rebates on Restylane and Perlane. There's no need to live with hollow cheeks, parenthesis lines around the mouth, thin lips, or saggy jowls. With the advent of great technology, looking natural and refreshed is easier than ever!
Wednesday, January 18, 2012
Like mother, like daughter
I gave my daughter a hug the other day, and my hand brushed on the back of her arms. And I felt the bumps. The same bumps that I have on the backs on MY arms. Some call it "chicken skin." Some call it "sandpaper arms." So what's the deal with these little white bumps?
Keratosis Pilaris (KP) is a very common condition that often starts in childhood. Anyone can get it, and it tends to happen more frequently in females. It can be associated with eczema, dry skin, and seasonal allergies (atopic dermatitis), or can be an isolated finding. It's caused by a buildup of keratin in the hair follicles, and is commonly located on the backs of the arms, inner thighs, and cheeks. Sometimes it can be found on the abdomen, back, buttocks, and legs, too. The condition often runs in families.
As keratosis pilaris is a benign condition, no treatment is needed. It usually gets better with age, especially after puberty, but it can persist into adulthood. There is no magic cure for KP. Emollients will often improve texture of the skin. Glycolic acid, lactic acid, and salicylic acid lotions, urea creams, retinoid creams, peels, and microdermabrasion are all treatments that may improve the appearance and feel of the bumps. Picking is not recommended, as it can lead to scarring.
My daughter's got half my genetic makeup- the good, the bad, and the bumpy!
Keratosis Pilaris (KP) is a very common condition that often starts in childhood. Anyone can get it, and it tends to happen more frequently in females. It can be associated with eczema, dry skin, and seasonal allergies (atopic dermatitis), or can be an isolated finding. It's caused by a buildup of keratin in the hair follicles, and is commonly located on the backs of the arms, inner thighs, and cheeks. Sometimes it can be found on the abdomen, back, buttocks, and legs, too. The condition often runs in families.
As keratosis pilaris is a benign condition, no treatment is needed. It usually gets better with age, especially after puberty, but it can persist into adulthood. There is no magic cure for KP. Emollients will often improve texture of the skin. Glycolic acid, lactic acid, and salicylic acid lotions, urea creams, retinoid creams, peels, and microdermabrasion are all treatments that may improve the appearance and feel of the bumps. Picking is not recommended, as it can lead to scarring.
My daughter's got half my genetic makeup- the good, the bad, and the bumpy!
Monday, January 9, 2012
Scar Secrets
"Will there be a scar, doc?"
Dermatologists all over the nation hear this question on a daily basis. Scars can occur from any injury to the skin, such as: burns, scrapes, cuts, bites, biopsies, surgeries, and more. The deeper the injury, the more of a risk of developing scar tissue. The location of injury also plays a role: the more movement in an area, the more of a chance a thicker or wider scar will develop. Chests, shoulders, and backs are areas more likely to scar. And although it's impossible to completely prevent a scar, there are ways to minimize the appearance of them.
Clean
Wounds should be cleaned with a mild cleanser and water daily. Hydrogen peroxide, alcohol, and iodine can be irritating and may actually slow healing.
Cover
Dry or wet? The old school of thought was to let wounds "dry out and form a scab." But research has shown that keeping a wound moist and covered with a band-aid actually greatly improves healing. Aquaphor or petroleum jelly is the best emollient to use. There is no proven advantage to using an antibacterial ointment like neosporin - in fact, many people are allergic to it and develop itchy reactions. Vitamin E oils and herbal oils may also result in allergic reaction, and may in fact slow wound healing.
Protect
Keeping it covered also imparts another advantage: sun protection. Exposing healing wounds to sun may cause them to pigment and appear dark. Once they've healed and are no longer covered, sunscreen can be used.
Take It Easy
Limiting movement can help. Tension causes scars to "spread" or widen. Avoiding lifting heavy objects or twisting motions will improve the appearance.
Fine Details
Scars are composed of collagen. Pressure and massage may prevent, as well as treat, raised or thickened scars. Injections with cortisone, performed in the dermatologist's office, can help to flatten a raised scar (called a keloid). Silicone gels such as biocorneum or mederma (contains onion extract) may further improve the appearance of the scar.
Zap
Finally, laser treatments, such as the intense pulsed light, can be used to lighten the color of the scar. Acne scars or thickened scars may respond well to fractional CO2 lasers, like the Active FX, or fractionated erbium lasers, like the Fraxel Re:Store 1550.
The bottom line? Anytime the skin is cut or injured, there can be a scar. What it ultimately looks like depends on: the depth of the injury, how the person heals, and how it's taken care of.
Dermatologists all over the nation hear this question on a daily basis. Scars can occur from any injury to the skin, such as: burns, scrapes, cuts, bites, biopsies, surgeries, and more. The deeper the injury, the more of a risk of developing scar tissue. The location of injury also plays a role: the more movement in an area, the more of a chance a thicker or wider scar will develop. Chests, shoulders, and backs are areas more likely to scar. And although it's impossible to completely prevent a scar, there are ways to minimize the appearance of them.
Clean
Wounds should be cleaned with a mild cleanser and water daily. Hydrogen peroxide, alcohol, and iodine can be irritating and may actually slow healing.
Cover
Dry or wet? The old school of thought was to let wounds "dry out and form a scab." But research has shown that keeping a wound moist and covered with a band-aid actually greatly improves healing. Aquaphor or petroleum jelly is the best emollient to use. There is no proven advantage to using an antibacterial ointment like neosporin - in fact, many people are allergic to it and develop itchy reactions. Vitamin E oils and herbal oils may also result in allergic reaction, and may in fact slow wound healing.
Protect
Keeping it covered also imparts another advantage: sun protection. Exposing healing wounds to sun may cause them to pigment and appear dark. Once they've healed and are no longer covered, sunscreen can be used.
Take It Easy
Limiting movement can help. Tension causes scars to "spread" or widen. Avoiding lifting heavy objects or twisting motions will improve the appearance.
Fine Details
Scars are composed of collagen. Pressure and massage may prevent, as well as treat, raised or thickened scars. Injections with cortisone, performed in the dermatologist's office, can help to flatten a raised scar (called a keloid). Silicone gels such as biocorneum or mederma (contains onion extract) may further improve the appearance of the scar.
Zap
Finally, laser treatments, such as the intense pulsed light, can be used to lighten the color of the scar. Acne scars or thickened scars may respond well to fractional CO2 lasers, like the Active FX, or fractionated erbium lasers, like the Fraxel Re:Store 1550.
The bottom line? Anytime the skin is cut or injured, there can be a scar. What it ultimately looks like depends on: the depth of the injury, how the person heals, and how it's taken care of.
Tuesday, January 3, 2012
New Year's Resolutions
It's a new year. Time to detox, reflect, and re-new. Many of us make the most common resolutions, such as working out/losing weight, saving money, and working harder. Even though we start out strong in January (check out how many people are at the gym this week), resolve can wane by mid-March. Here are a few resolutions that you actually may enjoy keeping!
Resolution # 1: Drink More Coffee
Hello, Starbucks. Women who drink three cups of caffeinated coffee a day can reduce their risk of basal cell carcinoma by up to 20 percent, compared to those drinking less than a cup monthly. These results are based on a large population study: over 113,000 adults who took part in the U.S. Nurses' Health Study and Health Professionals Follow-Up Study. A lesser decrease in risk was seen among coffee-drinking men.
Resolution #2: Drink Red Wine
This is not permission to finish a bottle of malbec. A small glass of red wine a day contains resveratrol, which is a potent antioxidant found in grapes. Antioxidants fight free radicals in our skin and body, which are harmful and play a role in skin cancer and aging. A moderate amount of alcohol has also been found to be heart-healthy and raises levels of "good" cholesterol, or HDL. Of course, women who are pregnant/nursing or those with medical conditions should not drink alcohol.
Resolution #3: Eat Dark Chocolate
In a recent study, German researchers gave 24 women a half-cup of cocoa enriched with flavonoids daily. After three months, the women's skin was better protected, less red, and had a smooth appearance after exposure to ultraviolet light. The researchers think the flavonoids, which absorb UV light, help protect and increase blood flow to the skin, improving its appearance. Plus dark chocolate contains more of those good antioxidants!
Resolution #4: Wear Your Sunscreen
I have to throw this one in: I've said it before and I'll say it again: sunscreen, sunscreen, sunscreen to prevent skin cancer and the signs of aging. Okay, lecture over.
Happy 2012 and here's to a year of great health and gorgeous skin!
Resolution # 1: Drink More Coffee
Hello, Starbucks. Women who drink three cups of caffeinated coffee a day can reduce their risk of basal cell carcinoma by up to 20 percent, compared to those drinking less than a cup monthly. These results are based on a large population study: over 113,000 adults who took part in the U.S. Nurses' Health Study and Health Professionals Follow-Up Study. A lesser decrease in risk was seen among coffee-drinking men.
Resolution #2: Drink Red Wine
This is not permission to finish a bottle of malbec. A small glass of red wine a day contains resveratrol, which is a potent antioxidant found in grapes. Antioxidants fight free radicals in our skin and body, which are harmful and play a role in skin cancer and aging. A moderate amount of alcohol has also been found to be heart-healthy and raises levels of "good" cholesterol, or HDL. Of course, women who are pregnant/nursing or those with medical conditions should not drink alcohol.
Resolution #3: Eat Dark Chocolate
In a recent study, German researchers gave 24 women a half-cup of cocoa enriched with flavonoids daily. After three months, the women's skin was better protected, less red, and had a smooth appearance after exposure to ultraviolet light. The researchers think the flavonoids, which absorb UV light, help protect and increase blood flow to the skin, improving its appearance. Plus dark chocolate contains more of those good antioxidants!
Resolution #4: Wear Your Sunscreen
I have to throw this one in: I've said it before and I'll say it again: sunscreen, sunscreen, sunscreen to prevent skin cancer and the signs of aging. Okay, lecture over.
Happy 2012 and here's to a year of great health and gorgeous skin!
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