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Winter Newsletter

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What are the secrets to radiant looking skin?

It is a great skin care regimen that both treats and minimizes the progression of photoaging.  


Minimizing the damaging effects of the sun is the most important step in preserving the youthful appearance of your skin.  Ultraviolet light is a known carcinogen, and chronic exposure has been linked to the development of skin cancer and photoaging.  There are two main types of ultraviolet light that reach the surface of the earth and they include types A and B. Ultraviolet A light induces oxidative stress to the skin which plays a major role in photoaging.  Ultraviolet B light induces DNA mutations within the skin and is a major contributor to skin cancer development.  Given the deleterious effects of both ultraviolet A and B light, it is important to wear a broad spectrum sunscreen with a minimum SPF of 30.  Even on a cloudy day sunscreen should be applied since 40% of ultraviolet waves can still penetrate through the clouds.  Sunscreen needs to be applied every 2 hours when outdoors and after swimming.  Sunscreens contain either chemical blockers or physical blockers, or a combination of both.  Sunscreens with chemical blockers need to be applied 15 minutes prior to sun exposure.  For those with sensitive skin, sunscreens containing physical blockers such as zinc oxide and titanium dioxide can provide broad spectrumcoverage without the skin irritation.

Doctor’s Favorite: EltaMD (excellent for sensitive, rosacea or acne-prone skin) or Journée by Neocutis (great for mature skin)


Retin-A, also known by its generic name tretinoin, is a vitamin A derivative.  It is a prescription medication that has multiple effects on the skin including normalization of skin differentiation, reduction of acne, and improvement in fine wrinkling, mottled pigmentation, and rough skin texture.

Use: Only a small amount applied as a thin layer to the skin is needed.  The cream should only be applied at night, since the sunlight deactivates the medication.  If you are using the cream for the first time, begin applying the medication once every other night and then increase to nightly as tolerated in 2-4 weeks.

Side Effects: Retin-A may cause increased dryness, flaking, redness, and irritation.  This can be reduced by applying the medication as a thin layer to a dry face (at least 10 minutes after washing) and using a non-comedogenic moisturizer.

Antioxidant Serum

Reactive oxidizing species are byproducts of various chemical reactions that take place within our body including the skin.  Ultraviolet light induces oxidative stress contributing to photoaging and photocarcinogenesis.  Studies have shown the benefits of topical antioxidants in protecting the skin from the oxidative effects of the sun.  Antioxidant serums should be applied before and used as a supplement to daily sunscreen use. Some sunscreens such as Journée already include antioxidants.

Doctor’s Favorite: RéActive or Journée by Neocutis, C E Ferulic or Phloretin CF by SkinCeuticals


The type of cleanser to use depends on the oiliness of the skin and whether one is afflicted by skin problems such as acne, rosacea, or sensitive skin.  If the skin is naturally dry, easily irritated, or affected by rosacea, one should use gentle soapless cleansers such as Cetaphil Gentle Cleanser, Cerave Hydrating Cleanser, or Neutrogena Ultra-Hydrating Cleanser.  Foaming cleansers are a better option for those with oily skin.  If you have acne-prone skin, medicated facial washes with benzoyl peroxide, salicyclic acid, glycolic acid, or sulfur-sulfacetamide are appropriate options.   Face washes with glycolic acid (i.e. Glytone) offer the added benefit of improving skin texture and evening pigment irregularities which are helpful in those with aging and photodamaged skin, however, they can be irritating in those with sensitive skin.

Facial Moisturizers

The purpose of a moisturizer is mostly to hydrate the skin.  Ceramides or hyuloronic acid are natural water-binding factors that are produced by the skin.  With time, the concentration of these factors decrease making our skin look and feel more dry. Added growth factors in moisturizing creams also help in signaling normal turnover and replication of the skin cells.

Doctor’s Favorite: BioCream (dry to normal or mature skin) or BioGel (normal to oily or acne-prone skin) by Neocutis  

Eye Creams

Eyelids can be affected by the appearance of fine lines, puffiness, and dark circles.  Creams containing caffeine can reduce puffiness and dark circles through its vasocontrictive properties.  Fine lines can be improved with the use of creams containing water-binding factors such a hyaluronic acid which plump up the skin.

Doctor’s FavoriteLumière by Neocutis

Sun Saftey

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What’s the best way to protect yourself from the sun’s harmful ultraviolet rays (UVR), given that we need to work, travel, and sometimes play outside? Clothing is the most basic and generally the best means of sun protection. Not all clothing is equal, however, and some of it isn’t actually very good at protecting us. So, what makes a piece of clothing sun-safe?

Why Choose UPF?

To be certain of an item of clothing’s sun-protective ability, the item has to be UPF-tested. ultraviolet protection factor. Choosing a garment with a UPF of 30 or higher means that 1/30th of the UVR is reaching your skin. This is a very small amount, and will most likely be adequate protection against any sun damage. In comparison, a thin white cotton T-shirt probably has a UPF of about 5, which allows 1/5th of the sun’s UV through. Your skin could eventually burn in such ashirt, especially if it was wet. Wet fabrics pull apart, creating larger gaps in the weave for UVR to pass through.

Here are some key tips for buying and staying sun-safe with clothing:

  • Buy garments that fit your lifestyle. You don’t need a heavy work shirt for the beach, but a long-sleeved, tightly woven shirt can be both cool and sun-smart.
  • Look for garments with a UPF of 30 or higher so that you know you’re getting effective sun protection.
  • Choose items that cover more skin. Consider a rashguard or swim shirt instead of standard swim shorts or a bikini. Swim shirts are made of lightweight, elastic materials like spandex, and cover your upper body without weighing you down. You can also have beach towels or sarongs ready for when you leave the water.

Other sun safe tips

  • When outdoors, seek out shaded areas under awnings or trees and minimize your time in the direct sun. A sun umbrella not only protects but keeps you cool!
  • Be aware that UV light can bounce off surfaces such as water,  and glass, hitting your skin twice and increasing the intensity of exposure.
  • Use sunscreen with a sun protection factor (SPF) of 30 or higher every day.

According to the American Academy of Dermatology, anyone can develop skin cancer regardless of age, gender or race. There were 5 million U.S. residents treated for skin cancer last year.So while it is great to spend time outdoors and enjoy the sunshine, it is important to protect your skin from the harmful rays.


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Age and gravity can take a serious toll on our facial appearance, as collagen production slows down and we lose volume and fullness that lend a youthful glow. One of the most common complaints among women (and men) is the appearance of wrinkles and deep folds in the skin, especially around the nose and mouth. Fortunately, there is a range of non-permanent injectables that can restore lost volume while significantly diminishing deep lines and folds.

If you have prominent naso-labial lines (also known as “laugh lines”), there is a brand-new hyaluronic acid dermal filler that has been developed to address this specific problem: Juvederm Vollure XC.  


JUVÉDERM VOLLURE™ XC is the newly FDA approved injectable filler designed to add volume beneath the nasolabial fold (laugh lines) to lift and contour using Vycross technology which creates a more connected gel (firm enough to fill and soft enough for natural movement), to create a more youthful appearance. Its breakthrough is that it’s more natural-looking and lasts a full year longer than other injectables on the market.


A hyaluronic acid gel injection (compatible with the human body as it’s naturally found in almost every single living thing,) acts like an inflated cushion to support facial structures and tissues that may have lost volume or elasticity due to normal aging. It also brings water to the surface of the skin to keep it looking fresh and supple.

What to expect

Before beginning treatment, we will examine the nasolabial area to determine if JUVÉDERM VOLLURE™ XC is right for you. Then we will tailor a treatment designed for your aesthetic goals. One treatment (some patients require a touch-up) is complete in 15-20 minutes. You will likely experience some tenderness, swelling, bruising, or itching for up to 2 weeks.

Possible side effects

The most common side effects include tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. Most side effects were mild or moderate and lasted 14 days or less. One of the risks of using this product is unintentional injection into a blood vessel, and while rare, the complications can be serious and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring. As with all skin-injection procedures, there is a risk of infection.




Botox, Dysport and Xeomin

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Botox, Dysport and Xeomin, “What is the difference between them” and “which is the best one”? These are two questions about facial injectables that commonly get asked.

Botox is a leading cosmetic treatment that drastically reduces the appearance of crow’s feet, lines on the forehead and frown lines.  However, two other companies have entered the market and are having great success as well, Dysport and Xeomin.

All three are effective treatments that originate from the same source bacterium, clostridium botulinum. They are synthesized as botulinum toxin type A, the paralyzing agent or neurotoxin that is administered.
Each injectable temporarily paralyzes the targeted muscle areas on the face to relax and ease out the appearance of wrinkles.

The most common targets are horizontal lines across the forehead and perpendicular frown lines between the brows but many also rely on Botox, Dysport, and Xeomin for crow’s feet, nasal squint lines, lines around the neck, eyebrow lifting, and even profuse underarm sweating and migraines.

When will I see results and how long does it last?

The initial effects of botulinum toxin appear 24-72 hours after injection with a maximum effect occurring at around 1-2 weeks. Temporary muscle paralysis lasts anywhere from 3-6 months, therefore injections must be repeated every 4-6 months to maintain results. If botulinum toxin is used for the treatment of hyperhidrosis, the effects usually last 6-9 months.

What does the treatment feel like? 

During the treatment, a very fine needle is injected into each specific muscle for a few seconds with only the minor discomfort of a tiny pinch.  For ultra-sensitive types, topical anesthetic cream or ice can be applied beforehand if necessary.

What are some possible complications?

  • Bleeding and bruising, temporary redness and swelling, or infection
  • Rare diffusion to other sites resulting in temporary eyelid droop (1-2% of patients and lasts 1-2 weeks), facial droop, lip droop, swallowing or breathing difficulties depending on sites of injection
  • Systemic symptoms of muscle weakness all over the body, spasticity, double or blurred vision, speech difficulty, or loss of bladder control with systemic toxin spread are possible. However, there have NOT been any confirmed serious cases of toxin spread when used for cosmetic purposes.

Understanding The Uses of Fillers

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Understanding The Uses of Fillers

The normal aging process leads to the loss of fat, collagen, and underlying support structures contributing to sagging skin, volume loss, and more prominent wrinkles. Fillers are used to soften lines, replace volume, improve contours, and augment facial features. Fillers are composed of either a naturally derived product such a hyaluronic acid or calcium-based microspheres. The appropriate filler is selected by your dermatologist based on your individual facial assessment and personal cosmetic needs. The filler is often pre-mixed with an anesthetic to provide the patient with the most comfort. It is injected directly into the area necessitating volume replacement. Results are immediate and last anywhere from 6 months to 2 years depending on the product used.

Filler have been used for the correction of the following problem areas:

  • Nasolabial folds (lines extending from the nose to the mouth)
  • Marionette lines (parentheses around the mouth)
  • Smoker’s or lip lines
  • Forehead wrinkles
  • Loss of cheek volume
  • Prominent tear troughs
  • Thin or deflated lips
  • Aged hands

There are many types of filler available, you and your dermatologist will discuss the right ones for the purpose and procedure you are interested in.

Juvederm Voluma  was developed to address concerns with significant volume loss in the cheeks. It is the first and only filler to be FDA-approved for this purpose. The filler is injected into the deeper layers of the dermis in three areas of the cheek: the apex, apple and hollow. Patients will be happy to know that the results can last up to 2 years.

Juvederm XC smooths moderate to severe parentheses lines and wrinkles to create a smoother appearance. Juvederm adds volume to help give you the natural-looking, long lasting results you want.

Juvederm Volbella is the newest product to receive FDA approval. Volbella is designed for lip augmentation and correction of perioral rhytids, wrinkles that form around the mouth. It has also been found to boost fullness in the lips and soften lines. 

Restylane can be used to add volume and fullness to the skin to correct
moderate to severe facial wrinkles and folds, such as the lines from your nose

to the corners of your mouth (nasolabial folds).

Restylane Silk is designed specifically to provide natural-looking results in particular areas by using smaller, smoother particles than those used in other Restylane products.The lips and the lines around the mouth, like other areas of the face, show signs of aging as you get older. This often results in lip thinning, lost shape and an increase in vertical lines above the lip.

Radiesse is a wrinkle filler used to plump the skin. Radiesse is injected through a small needle and placed under the skin. Immediately, this filler works to add volume under the skin and over time, the benefits of Radiese continue by stimulating your body’s own natural collagen. The natural results have been shown to last a year or more in many patients, making the treatment results both immediate and long lasting. 

September Newsletter

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Teen with Acne

Acne is the most common skin condition in the United States, affecting 40-50 million Americans. Acne occurs most often in teens and young adults. Achieving clearer skin is possible with the many advances in treatment.

Older Woman with Clear Skin

Can you imagine healthy, younger looking skin in six to seven days? Well with The Perfect Peel you can have it along with results that last.


Teen with Acne

You take great care of your skin. You wash your face twice a day. You don’t eat chocolate or drink soda. So why do you still have acne?
Although it can be super frustrating acne during the teen years is extremely common. So common that nearly every teenager gets it at some point.

What is acne?

Acne is not just pimples, and does not just show up on the face. It can be on the back, shoulders, neck and upper arms as well. Acne can also include:

  • Blackheads (open comedones)
  • Whiteheads (closed comedones)
  • Papules (red bumps)
  • Pustules (red bumps with white centers, what many people call pimples)
  • Cysts
  • Nodules

What causes acne?

Having acne doesn’t mean your skin is dirty, or that you aren’t doing a good job at cleansing your skin. In fact, overzealous cleansing and vigorous scrubbing can make breakouts worse, not better.

Typically, dead skin cells are shed daily. Normal skin also naturally creates sebum, which is a critical oil that helps our skin from drying out. When sebum production is increased during life phases, the extra oil can cause dead cells to stick together, trapping them in pores. Within pores, bacteria have the ultimate environment for multiplying quickly, especially if there is excessive oil. Bacteria and oil within the pore is irritating to surrounding skin and becomes inflamed. This causes inflammatory acne which presents with papules, pustules, nodules and cysts.

How is acne treated?

Dermatologists tailor acne treatments specifically for each patient. To best treat your acne, you may need more than one treatment. This is called combination therapy and may yield the best results. Some of the most common treatments for acne include the use of:

  • Topical retinoid and antibacterial creams or gels
  • Oral Antibiotics
  • Birth control pills and/or spironolactone for females
  • Isotretinoin (previously known as Accutane)
  • Microdermabrasion, chemical peels, or photodynamic therapy

How can acne scaring be treated?

Once your acne is being treated and is under control, we can begin treatment on any acne scars that you may have. Dermatologists use lasers, microdermabrasion and chemical peels along with other procedures like microneedling, fillers and subcision to lessen the appearance of acne scars.
Contact us for a consultation if you are struggling with Acne. We will discuss the correct treatment tailored to your individual needs.

Chemical Peel

Older Woman with Clear Skin

Do you want healthier, younger looking skin? If so the Perfect Derma Peel might just be the peel for you. The Perfect Peel is a revolutionary peel for all skin types and requires no beforehand preparation. Can you imagine healthy, younger looking skin in six to seven days? Well with The Perfect Derma Peel you can have it along with results that last.

The application process only takes 15 minutes to administer. Some patients have reported feeling a slight stinging or tingling sensation which subsides after just a few seconds. Numbing takes place once the first pass of The Perfect Derma Peel is applied. An initial series of 4 chemical peels is performed every 4 weeks to achieve optimal results. The results are maintained with a repeat chemical peel every 3-6 months.

Immediately after the peel has been applied the skin will either appear red, like a sunburn, or darker. Following The Perfect Derma Peel, you will be given an at home treatment pack. This pack contains retinoid acid containing wipes to further the peel along with a soothing moisturizer and mineral-based sunscreen. Day three the peeling will begin. The Perfect Derma Peel home care moisturizer will hydrate the skin reducing the visibility of peeling. By day six or seven the peeling process should be finished and all that is left is the amazing results.

The effects of The Perfect Derma Peel are absolutely amazing and many of these benefits are found following the peel:

  • Improve the overall tone and texture of your skin.
  • Lighten and brighten your skin.
  • Remove or reduce sun damage and age spots.
  • Reduce pore size and soften fine lines and wrinkles.
  • Reduce or eliminate Hyperpigmentation and acne scars.
  • Improve acne skin conditions and Melasma.
  • Stimulate the production of collagen resulting in firmer skin.
  • Slow down the aging process and prevent wrinkles.

The Perfect Derma Peel blends many different types of ingredients, alone each ingredient is powerful but combined they create a powerful compound that creates amazing results. Glutathione, kojic acid, TCA, retinoic acid, salicylic acid, phenol, and a blend of minerals and vitamins, including vitamin C. Kojic acid is a powerful lightening agent and proven to increase collagen and elastin production, resulting in skin that is brighter and tighter. TCA, phenol and retinoic acid reduce wrinkles and correct pigment problems, while salicylic acid exfoliates the skin and reduces inflammation.

We are offer a special from Sept. 1 – Oct. 31
10% off of any microneedling, chemical peeling or microdermabrasion package.

June Newsletter

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Woman Getting Microneedling Procedure

The Secret to Flawless Skin: Microneedling

Woman with Healthy Skin

As spring turns to summer it is important to protect your skin from the sun’s harsh rays.


Woman Getting Microneedling Procedure

The Secret to Flawless Skin

Commonly referred to as collagen induction therapy, microneedling is used to improve overall complexion and reduce the appearance of fine lines and wrinkles. This is achieved through the creation of microscopic holes in the skin that stimulate a natural healing ability that replaces damaged tissue with new tissue and collagen. The result is a thicker, healthier dermis that significantly reduces the appearance of lines and wrinkles. As an added benefit, microneedling also allows for better absorption of topical gels, resulting in a more effective treatment.

How does it work?

Microneedling is based on the use of tiny needles to create micro punctures, or tiny holes in the skin. The process stimulates your skin’s natural ability to heal itself and in the process produces collagen and elastin.

There is no tissue destruction with the micro needling. The small channels in the epidermis close very quickly and the skin begins a healing response right away. Depending on the depth of the skin defect, you may see only redness or you may experience some pinpoint bleeding which stops almost immediately.

These superficial micro channels also allow for topical gels and creams to be absorbed more effectively into the skin.

Before Treatment Begins

A numbing cream is used on the face prior to treatment. The face will be cleaned off and a serum with moisturizer and growth factors is applied to the skin. The device is passed gently over the skin and settings are adjusted until pinpoint bleeding is noticed.

After Treatment

Immediately after the procedure you will notice redness and minor swelling and a burning sensation typical of a moderate sunburn, this can last up to 3 days. It is important to use a soapless cleanser and a bland moisturizer, typically you can wear makeup on day two of recovery. It is essential to wear a minimum of spf 30 for the week following the procedure.
Sessions are typically repeated every 4-6 weeks and at least 3-5 sessions are recommended to achieve optimal results. Microneedling sessions can be combined with the topical application of growth factors in order to introduce them deeper into the skin.

Watch the full procedure Done by Dr. Patricia Dymek HERE.

The Signs, Symptoms and How to Prevent Skin Cancer

Woman with Healthy Skin

As spring turns to summer and you spend more time outdoors, don’t forget how important it is to protect your skin from the sun’s harsh rays. Skin cancer is the most common type of cancer in both men and women in the United States. According to the American Cancer Society,1 person dies of melanoma every hour. The good news is that skin cancer is one of the most preventable cancers, and it can also be one of the most treatable when detected early.

Types of skin cancer

Skin cancer occurs when mutations form in the DNA of skin cells, causing them to grow out of control. Usually, the damage results from exposure to ultraviolet (UV) radiation, which comes from the sun and artificial rays (tanning beds, sunlamps). Skin cancer most often appears in areas that are exposed to the sun, such as the face, head, neck, hands, lips, ears and scalp. However, the disease can also develop in other areas, such as scars, skin ulcers or in the genital region.

The most common types of skin cancer are basal cell carcinoma, squamous cell carcinoma and melanoma. There are also several very rare types of skin cancer that account for less than 1 percent of all cases, such as merkel cell carcinoma, cutaneous (skin) lymphoma and various types of sarcomas.

Symptoms to look for

Each type of skin cancer is different, and has unique symptoms.

Basal cell carcinomas on the head or neck may first appear as a pale patch of skin or a waxy translucent bump. You may see blood vessels or an indentation in the center of the bump. If the carcinoma develops on the chest it may look like a brownish scar or flesh-colored lesion. As the cancer develops, it may bleed, ooze or become crusty in some areas.

Squamous cell carcinomas may develop as a firm lump on the skin, and may be rough on the surface, unlike the smooth and pearly appearance of a basal cell carcinoma. If a nodule doesn’t form, the cancer may develop as a reddish, scaly patch.

Melanoma signs include new spots on the skin, or a change in size, shape or color of an existing mole.

Follow the ABCD rule for spotting melanoma:

  • Asymmetry: A mole that has an irregular shape or two different looking halves.
  • Border: Irregular, blurred, rough or notched edges.
  • Color: Most moles are an even color, such as brown, black, tan or pink. Look for changes in the shade or distribution of color throughout.
  • Diameter: Moles larger than ¼ inch (6 mm, the size of a pencil eraser) across may be suspect, although some melanomas may be smaller than this.

Most moles are benign and will not need treatment. Take note of the above possible signs of skin cancer, and get to know your body. If you observe noticeable changes in your skin or see any of the above symptoms, consult your dermatologist.

Early detection and prevention

When detected early, treatment for skin cancer may require only a simple outpatient surgery at your dermatologist’s office. If it goes undetected, skin cancer can spread. Treatments for advanced skin cancer include chemotherapy and radiation, often coupled with surgery.

If you have risk factors for skin cancer such as fair skin, advanced age, a history of sunburns or a family history of skin cancer, schedule regular yearly checkups with your dermatologist. Examine your skin head-to-toe every month. See your physician every year for a professional skin exam.

Early detection of skin cancer is important, but you can reduce your risk with a few simple steps. Here are some tips to stop skin cancer before it starts:

  • Do not Burn, Stay in the shade especially between 10AM and 4PM.
  • Wear protective clothing/hats when you’re in the sun.
  • Wear sunscreen with SPF 30 or higher.
  • Don’t forget to use sunscreen on your lips, ears and hairline.
  • Skip the tanning salon.
  • Protect your eyes with sunglasses
  • Check your moles Prevent sunburns

Whether it is the quest for youthful appearing skin, elimination of a skin growth or wrinkle, or a rash on a child, we have what you need. Please explore our website or call our office for additional information. We look forward to meeting you.

January Newsletter

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Are you bothered by your double chin, and how it ages you? Until recently, surgery with anesthesia was the best option for anyone looking to achieve a sharper, more chiseled chin. KYBELLA®  is a FDA approved injectable made from deoxycholic acid, a fat-absorbing substance found in our bodies naturally. When injected, it destroys fat cells under the chin, leaving the skin substantially tighter and the jaw more contoured. More than 20 studies, with thousands of patients, have showed that almost 70 percent noted both physical and emotional improvement after treatment.

When injected into the fat under your chin, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot be restored or accumulate fat. After the desired result is achieved, re-treatment is not expected.

Prior to administering KYBELLA®, the area may be treated with ice/cold packs and or a topical numbing cream to make you more comfortable during the procedure.  Some patients choose to take an over-the-counter pain reliever before their appointment.

As with other injection treatments, you may experience some temporary swelling, bruising, pain, numbness, redness and areas of hardness around the treatment area. For most patients, downtime is minimal and occurs most commonly after the first treatment.  When scheduling your treatments, keep your social plans and work commitments in mind.

These are not all of the possible side effects of KYBELLA®. Ask our physicians for medical advice about side effects.

You and your physician will customize your KYBELLA® treatment regimen, including how many treatments you need, based on your desired chin profile. Almost every patient requires more than one treatment session to experience positive results.  Many patients see improvement in their chin contour in 2 to 4 treatment sessions. During these in-office sessions, which typically are 20-30 minutes, our physician will administer KYBELLA® into the fat under your chin using multiple injections. Up to 6 treatment sessions may be administered spaced no less than one month apart.  It is important to receive the number of treatments recommended by your physician to obtain the results you desire.


The Importance of using Sunscreen and other Sun Safety Tips for Colorado’s Winters.

For those of us who live in Higher altitudes, we have an increased risk of sun ­induced skin damage. Since UV radiation exposure increases 4 to 5 percent with every 1,000 feet above sea level, at an altitude of 9,000 to 10,000 feet, UV radiation may be 35 to 45 percent more intense than at sea level. In addition, snow reflects up to 80 percent of the UV light from the sun, meaning that you are often hit by the same rays twice. This only increases the risk for damage. Winter sports enthusiasts are at increased risk for overexposure to the sun’s ultraviolet (UV) radiation. The combination of higher altitude and UV rays reflected by the snow puts skiers and snowboarders at an increased risk of sun damage, and ultimately skin cancer. More than 90 percent of all skin cancers are associated with sun exposure. Both snow and strong wind can wear way sunscreen and reduce its effectiveness, so you have to take extra precautions.

To protect your skin from the bitter cold, heavy winds and winter sun,follow these important sun protection tips:

  • Use a broad spectrum sunscreen with an SPF (Sun Protection Factor) of 30 or higher whenever you spend extended time outdoors. Apply 30 minutes before heading outdoors . Be aware that the sun’s reflection off the snow is strong even on cloudy days. (Up to 80 percent of the sun’s rays can penetrate clouds.)
  • Apply sunscreen liberally and evenly to all exposed skin. Winter conditions can be particularly harsh on the skin. Be sure to cover often ­missed spots: the lips, ears, around the eyes, and on the neck, the underside of chin, scalp and hands. Reapply every two hours, and immediately after heavy sweating.
  • Always wear a lip balm with an SPF 30 or higher,­ lips are very sensitive. Carry a travel-sized sunscreen and lip balm with you especially if you are taking advantage of outdoor activities such as skiing and snowboarding.

Enjoy the winter season, but be sure to take care of your skin to avoid the damage the cold season and sun can cause.


September Newsletter

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Affordable Care Act and Skin Cancer Screens: Does it get covered?

The Affordable Care Act (ACA) was signed into law in 2010. Within the bill are provisions requiring insurers to provide full coverage for certain preventative services. Skin cancer in the U.S. has risen by 300% since 1994. One in five Americans will develop skin cancer in their lifetime. Since the annual number of patients with skin cancer exceeds all other cancers combined then it is reasonable to assume that skin cancer screening should be included in the preventative care provision in the ACA, right? Unfortunately not.

Although skin cancer is an epidemic, the ACA does not require insurers to cover the cost of skin cancer screenings. Patients are held responsible in paying for any deductible, co-pay, or co-insurance amount applicable. For a complete list of preventive services covered under the ACA, please refer to the following website

If your insurance does not cover skin cancer screening or you have a high deductible plan, there are other alternatives to receive free skin checks. Organizations such as the American Academy of Dermatology, American Society for Dermatologic Surgery, or Skin Cancer Foundation offer free annual skin checks. Please visit their websites to find their scheduled events in your area.

The Rise of Specialty Pharmacies: Combating High Medication Prices

Generic medications are often prescribed as a first route in the treatment of various dermatologic conditions. Recent price increases of four- or six-fold on generic medications used in dermatology has both baffled and placed dermatologists in a precarious position. For example clobetasol, a generic topical steroid used for the treated of inflammatory skin conditions has risen from $60 to $400 for a tube. An article in the New York Times, described the rise in prices on dermatologic medications as a complete mystery. Some speculate since dermatology is considered a low-profile specialty in healthcare, pharmaceutical companies can increase prices without attracting significant public attention.

Specialty Pharmacies have risen in popularity as an alternative for patients to receive affordable dermatologic medications, especially for patients with high deductible plans. Some well-known specialty pharmacies used in dermatology include Meier’s, DFW Wellness, Bluegrass, Philidor, or Irmat. Through these pharmacies, patients can often times receive branded products at a lower cost than generics sold through commercial pharmacies.

August Newsletter

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Who are the experts in facial anti-aging injectable treatments?

Facial anti-aging injectable treatments including the use of neuromodulators (wrinkle relaxers) and fillers have risen tremendously over the past decade. Over the past year the number of procedures performed increased by …. The rise in popularity is based on several factors:

  • Minimally-invasive
  • Low post-procedure downtime
  • Reversible and/or temporary results
  • More affordable compared to surgery

The same factors that contributed to the popularity of these procedures have also accounted for the rise of non-physicians or non-qualified physicians in performing facial anti-aging injections. Concerns are raised as to whether these individuals are adequately trained in the appropriate placement and selection of products depending on the areas treated, knowledge of the underlying facial anatomy, and understanding of possible complications and how to correct them. Complications from inappropriate placement can range anywhere from facial paralysis, eyelid droop, or intra-arterial injections leading to pseudoaneurysm development, ulcer formation, stroke, and blindness.

Dermatologists Leading the Way

A recent study titled “Who are the Pioneers? A Critical Analysis of Innovation and Expertise in Cutaneous Non-Invasive Procedures” by Omar A. Ibrahimi, MD, PhD, reviewed all published research to determine which medical specialties have the most advances in cosmetic treatments. For facial injectables, dermatologists were shown to be the leading innovators. According to Dr. Ibrahimi, the “data show the overwhelming majority of pioneering research in wrinkle-relaxers and fillers has been done by dermatologists. They are the leading innovators. Patients will know they are in the best hands with a dermatologist.”

Buyer Beware

There are a few important questions to ask your medical provider before undergoing a cosmetic procedure.

  • Who will perform the procedure?
  • Is there a physician on site?
  • Is the physician board-certified in dermatology or another specialty with equivalent training or experience?
  • Was an initial evaluation provided to determine if the technique or procedure is appropriate for your skin type?