Friday, October 7, 2011

Skin recovery: 4 ways to reverse sun damage

You're a pro when it comes to protecting against sun damage. You've got sunscreen on your keychain, in your lip balm, and all over your skin. But you could still have plenty of sun damage left over from your youth. (Remember squirming away from your mom as she tried to coat you with sunblock?)
Unfortunately, sun damage isn't only skin-deep. UV radiation alters the actual DNA of your skin cells, causing lines, wrinkles, discoloration, and even cancer. "There's a meter in your skin. Every minute you're out in the sun, your body registers it," says Neal Schultz, M.D., a cosmetic dermatologist based in New York City and creator of DermTV.com.
But here's a ray of (UV-free) light: You can reverse the damage. "Whenever you start protecting yourself from the sun, you will stop the process of additional damage and start to reverse, to some extent, what you've already accumulated," Schultz says. Throw in this four-step treatment, and you are well on your way to some serious skin recovery.
Step 1: Exfoliate the right way You want to smooth your skin to create brightness and luster, and chemical exfoliation is the best way to do just that, Schultz says. Chemical exfoliation dissolves dead skin cells instead of scrubbing them off (usually unevenly) the way buffers and granule cleansers do.
When choosing a chemical exfoliant, opt for a product with a 5 percent to 8 percent concentration of glycolic acid, like BeautyRX Daily Exfoliating Therapy Serum ($65, drugstore.com). The active ingredient is vital in removing the extra layers of dead cells that are holding all of the brown pigment that has clumped and accumulated over the years. And whichever exfoliant you choose, follow the directions!
Step 2: Beat brown spots The next step is to rid yourself of those brown splotches. While the product you need is commonly called "skin bleach," there's nothing bleachy about it. It will have the end effect of lightening the brown areas of your skin, but it will do so by stopping the skin's uneven production of melanin (brown pigment) that your skin churns out when it tries to fight UV radiation. Look for a bleach, like Murad Age Spot & Pigment Gel ($60, sephora.com) with a 2 percent concentration of hydroquinone (the active ingredient), and apply it two to three times a day on the darkened areas.
Bonus points If you followed step 1 before jumping to step 2 — exfoliation actually helps the hydroquinone work better by allowing it to better penetrate the skin.

Step 3: Burn no more To maintain your improvement, use sunscreen every day to prevent additional damage. New FDA recommendations emphasize using sunscreen labeled as broad spectrum (meaning it protects against both UVA and UVB rays) with SPF values of 15 or higher. While new sunscreen label regulations won't take full effect until summer 2012, some are already broad-spectrum now. Try MDSolarSciences Mineral Screen Gel ($30, mdsolarsciences.com). To maximize the sunscreen's protection, apply it 30 minutes before exposure and reapply at least every two hours. "The amount of sunscreen that you need to use for your entire body, assuming you're at the beach and you're just wearing a bathing suit, is about an ounce in order to get the actual SPF value," Schultz says. Not too good at ounces? It's a shot glass's worth.

 To view this article in full visit: http://www.msnbc.msn.com/id/44092172/ns/health-skin_and_beauty/#.To8RG7JCA9E

Wednesday, September 28, 2011

Is a Liquid Face Lift Right for Me?

Is a Liquid Face Lift for Me?

Liquid Face Lift procedures have been making a noticeable impact in aesthetic medicine during the past few years. A liquid face lift can help many individuals who are concerned with any one of a variety of Liquid Face Lift Tips issues, as well as providing an alternative for a traditional surgical face lift in a number of instances.
Perhaps you are considering cosmetic surgery.

Something to consider when contemplating surgery is that a liquid face lift has benefits that can't be found with surgery, such as restoring natural facial contours and volume. (A growing number of cosmetic surgeons are augmenting surgery with liquid face lift products to restore natural 3-dimensional contours to the face.) Also, a liquid face lift is typically more subtle than surgery. An increasing number of individuals are trying liquid facelift procedures before traditional face lift procedures.
Maybe you are considering sticking with lotions and other skin care products.

As compared with the potential for a liquid face lift, over-the-counter creams, ointments and other remedies rarely provide any meaningful lift, volume or contouring of facial features. (However, some topical applications can help slow facial features from needing a liquid face lift, and a few over the counter products - and several medical grade products - can enhance the endurance of liquid face lift procedures. Ask your physician.) Skin care products treat the skin from the outside and liquid face lift products treat the skin from the inside. The right mix of treatment regimens can be very complementary to maintain natural facial contours for a lifetime.
However, a liquid face lift is not for everyone.

Patients who have medical histories with hypersensitivity to medicines or foreign objects, certain types of cardiovascular disease, neuromuscular disorders, or other severe health issues, should consult their doctor before undergoing any of the procedures mentioned on this Liquid Face Lift Tips web site. A liquid face lift procedure also might not provide the type of dramatic improvement that some individuals need or desire. For those individuals, plastic surgery might be the best solution.

Another thing to consider is that most liquid face lift procedures don't provide permanent results, so an individual will need to have periodic touch up treatments over time to maintain the desired outcome. That said, if an individual maintains results with touch up treatments before the products have completely dissipated from the body, then over time the patient may need far less product and experience gradually longer intervals between touch up treatments.
So, you may be wondering what you should do.

You want the downturned corners of the mouth lifted for a friendlier smile - you want to look more rested and energetic - you don't like the bags, dark circles or sunkenness under the eyes - you want your upper eye lids and brows more open, alluring and vibrant - you wish your jowls weren't so noticeable - you wish you had some of the natural curves and dimensions that have flattened or squared over time - you want less wrinkles -or- maybe you want a general overhaul. But, you are worried about expense, or safety, or whether you should just go ahead and invest in cosmetic surgery…or maybe you should just stick with creams and ointments…. Here is a suggestion.

Most individuals considering a liquid face lift procedure have multiple concerns and desires. Many experienced liquid face lift physicians will suggest you start with one concern or desire. Correct or improve that single concern. Then maintain it regularly for a period of time. If you - like many individuals - begin to need less product, begin to experience longer intervals between touch ups, and you are happy with the outcome, then try a second area, and so forth.

To learn more about the Liquid Face Lift Association visit: http://www.liquidfacelift.com/index.asp

To speak with our offices about liquid face lift procedures visit www.drskellchock.com

Wednesday, September 21, 2011

Keep it simple when it comes to skin care

 

The array is dizzying. Dozens of face-washing "enhancers" are being touted in the fall fashion mags as vital for the nightly cleaning ritual: pre-wash makeup removers, post-wash scrubbing pads, exfoliating gels, toners to restore pH balance and on and on.

What's a woman to do?
Just find yourself a good gentle face soap, dermatologists say. If you have reasonably normal skin, use the product twice a day, apply moisturizer after you've washed (one with sunscreen in the mornings) and ignore all those other things, they say."You don't need 25 products to have good, clean skin," says dermatologist Karen Nern of Vail Dermatology in Edwards and Basalt, Colo. "Cleansing your face is not complicated."
Indeed, the avalanche of pre- and post-face-washing products entering the post-summer marketplace sometimes troubles dermatologists. Most are a waste of money for relatively normal skin, and some people "can do too much with too many products and irritate their skin," Nern says.
"It's really best, for skin, to keep it simple," says dermatologist Meryl Blecker Joerg of Advanced Dermatology and the Center for Laser and Cosmetic Surgery, with locations in New York and New Jersey.
The terms "soap" and "cleanser" are used interchangeably, but some "cleansers" contain things docs don't like, and some soaps aren't right, either. Face-cleaning products dermatologists prefer range from bars (they love Dove, Purpose and Cetaphil) to gels to liquids. Whatever the form, the products must be formulated for the face, not the body, and shouldn't contain deodorant, antiseptics or, ideally, fragrance. They shouldn't have scrubbing grains/grit or other popular additives.

Good non-bar options are foaming and non-foaming; neither is necessarily superior (though non-foaming is regarded as milder and may be easier on especially sensitive skin, Joerg says).

Wednesday, September 7, 2011

Dr. Laura Skellchock featured on AlwaysNewYou.com

Plastic Surgery

How To Prepare For Your Next Plastic Surgeon Appointment

Get the most out of your next plastic surgeon or dermatologist appointment by preparing yourself ahead of time.  Read the following advice from our experts on how to make the most of your next visit!


Always come prepared to discuss your problem areas:
We all know what we don’t like about ourselves, and your dermatologist needs to know what you’re thinking. You may walk in, and unless you speak up, your dermatologist may tell you how to treat those dark circles under your eyes (but hey, I like my eyes!). Give your doctor the insight right up front, “it’s the loose skin around my neck I want to fix.” Cosmetic dermatologists are a wealth of knowledge, and know about numerous treatments to help pretty much anything you want. Without direction, it’s tough to really make use of that wealth of knowledge.


Dr. Laura Skellchock, Integrative Dermatology in Boca Raton

To see this article in full, please visit: http://www.hormones-beauty-health.com/plastic-surgery/how-to-prepare-for-your-next-plastic-surgeon-appointment/

Wednesday, July 13, 2011

Interim Study Results Find Artefill Safe


DANA POINT, CALIF. – The rate of granuloma formation following use of Artefill for the correction of nasolabial folds stands at 0.59%, interim results from a 5-year study have shown.
Dr. Christopher B. Zachary presented 36-month results from the prospective study at the SDEF Summit in Aesthetic Medicine. The study was required by the Food and Drug Administration and is the largest and longest prospective clinical study to date for dermal fillers in the United States and in the European Union, according to Dr. Zachary. 

    
Dr. Christopher B. Zachary
The purpose of the study is to assess the safety of Artefill (Suneva Medical) in 1,008 patients, based on the incidence of anticipated and unanticipated adverse events and serious adverse events, the incidence of granuloma formation, and subjects' assessment of satisfaction.
Patients were treated for the correction of nasolabial folds at baseline. They received two touch-up treatments if needed, said Dr. Zachary, professor and chair of the department of dermatology at the University of California, Irvine. The second clinic visit consisted of a clinical evaluation and photos of the treated site 3 months after the last treatment. 

Patients filled out questionnaires at 6, 12, and 18 months and at 2 and 3 years, and will again do so at years 4 and 5. Adverse events were reported to the site for investigation. Final visits are scheduled for 5 years after the last Artefill treatment. 

The mean age of the 1,008 patients was 54 years, 89% were female, and 88% were white. Most subjects (975) are still in the trial, while 29 have been lost to follow-up or withdrew consent for personal reasons, and four non–treatment-related deaths have occurred. 

A total of 114 adverse events deemed device related have occurred to date, for a rate of 11%. These include local complications such as lumpiness, swelling, and redness. In addition, 11 lesions have been identified and biopsied: 4 were viewed as unremarkable at biopsy, 1 was categorized as a foreign body reaction consistent with implant material, and 6 were granulomas, for a rate of 0.59%. Five granulomas resolved completely and one is responding well to treatment. 

"You might say that the 0.59% incidence of granulomas is a bit high when you consider that the worldwide reported incidence of granulomas after using Artefill is 0.04%," said Dr. Zachary. "If the FDA required an intense 5-year study of all the commonly used filler products, where every adverse event [AE] was reported, then you would expect the overall AE incidence to be significantly higher. So what is the real incidence of AEs in fillers, and does reliance on voluntary reporting give us misleading results?" 

Patient satisfaction scores have remained high over time. For example, at 6 months, 81% reported being "very satisfied" or "satisfied" with the cosmetic results, compared with 79% at 18 months, and 78% at 24 months. 

"I'm not up here promoting the product, but I do think Artefill is very safe," Dr. Zachary said. "In practice, this study demonstrates that the product is probably just as safe as hyaluronic acids. Some of my colleagues hate to hear this, and I am not really a fan of permanent fillers, but if we determine that a company needs to perform a comprehensive 5-year safety study, then we need to sit up and take notice of the results. To do otherwise would be ignorant."

Dr. Zachary disclosed that he has received research support, discounts on devices, and honoraria from numerous laser and device companies, including Suneva Medical. He is a member of Suneva’s scientific advisory board.

By: DOUG BRUNK, Skin & Allergy News Digital Network