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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?