Blog

Microneedling, A Treatment for Many Conditions

Date: June 5, 2017

Image related to Dermatology Associates Medical Group Blog Beverly Hills Microneedling, also known as Percutaneous Collagen Induction, is a minimally invasive procedure that uses fine needles to puncture the top layers of the skin to stimulate the release of growth factors and stimulate collagen formation. Studies indicate that microneedling is effective for treating a variety of conditions including scars, acne, melasma, photodamage and for skin rejuvenation/wrinkle reduction. Recent work indicates that it can enhance the delivery and effectiveness of topically applied medications. The simple office procedure involves the application of a topical anesthetic followed by treatment with a sterile cartridge containing multiple micro needles attached to a hand held, electrically powered device. Generally, a series of 3-6 treatments (determined by the area and severity of the condition) every 4 weeks is advised. There is no significant downtime following the procedure. Typically mild to moderate transient redness, similar to a sunburn, is noted. Microneedling is suitable for most skin types and most areas of the body.

Please call 310-626-4631 ext. 227 to schedule a consultation with one of our physicians

Reverse Photoaging with Topical Retinoids

Date: May 3, 2017

Skin care May 2017 In last month’s newsletter (derm90210.com), we discussed the signs of photoaging secondary to chronic exposure to UV radiation from the sun and tanning beds. This month we address treatment. The first line of defense is minimizing exposure to the sun especially between 10 am and 4 pm and complete avoidance of tanning beds. It’s also important to apply a broad spectrum sunscreen with UVA/UVB protection and SPF 30. Reversal of photodamage can be achieved with regular application of Retinoid Creams. Over the counter products containing Retinol offer some benefits, but prescription creams such as Tretinoin and Tazarotene are more potent. Tretinoin has been investigated more than any other retinoid for the treatment of photoaging.  Studies have shown a decrease in wrinkles, tactile roughness, and sallowness. Retinoids also bolster skins elasticity, slowing the breakdown of collagen (which helps keep skin firm), and lightening brown spots caused by sun exposure.  With prescription retinoids, a patient might notice smoother, more even-toned skin in as early as 6 to 8 weeks.

May is Skin Cancer Awareness Month:


In addition to period evaluation by your dermatologist, it’s advisable to perform monthly self-skin exams to detect early signs of skin cancer. For simple helpful tips, see our May 2016 blog: How to detect early signs of skin cancer (derm90210.com)

Maintain Healthy and Attractive Skin by Avoiding Photodamage

Date: April 4, 2017

Image related to Dermatology Associates Medical Group Blog Beverly Hills It has been said that nature gives you the face you have at 20 but it's up to you to nurture the face you have at 50. The first priority should be to guard your skin from the sun's ultraviolet rays. Skin aging is influenced by genetics, environmental exposures, hormonal changes, and metabolic processes. These factors alter skin structure, function, and appearance. While changes, such as thinning and loss of elasticity occurs on sun protected skin with the passage of time, ultraviolet (UV) radiation from the sun and tanning beds leads to photodamage which is known to be the single major factor responsible for premature aging. This specific damage occurs with chronic exposure of the skin to UV light and is called photoaging. Visually, the skin becomes coarse and gradually thins. Laxity, sallowness with wrinkles, and irregular pigmentary (color) changes are also noted. The pores of the skin are larger and often clogged. There is also an increase in development of benign growths, premalignant and malignant growths on chronically sun exposed skin. 

Living in Southern California, the sun’s UV rays are powerful for most of the year. Strategies for protecting your skin and information about the best product you can apply to your skin to reverse the signs of photoaging will be presented in our May newsletter. Stay tuned!

Tip of the Month: Prevent Acne Scarring

Date: March 3, 2017

Image related to Dermatology Associates Medical Group Blog Beverly Hills Our appearance, especially during childhood and adolescence, can significantly influence our confidence and self esteem. Acne can be painful physically and emotionally. The inflammation from this condition can create scars. In spite of the emergence of new treatment modalities, it is impossible to completely reverse scarring. A recent study found that while scars were more likely in those with severe acne, 69% of individuals with acne scars had mild or moderate acne. The risk factors that correlated with an increased likelihood of acne scars include acne severity, time between acne onset and first effective treatment, relapsing acne, and male gender. Acne is a condition that can last for many years and requires management to prevent scarring. The bottom line: to avoid acne scarring, see your dermatologist to institute early treatment for acne.

Please call 310-626-4631 ext. 227 to schedule a consultation with one of our physicians. Fore more news, updates, medical tips, and more, follow our brand new Instagram account @derm90210!

Tip of the Month: Avoid Tanning!

Date: February 1, 2017

Image related to Dermatology Associates Medical Group Blog Beverly Hills Our recent abundant rainfall and fewer days with sunshine may tempt some people to use tanning beds or lamps. Unfortunately, use of these devices, like exposure to the sun’s ultraviolet rays, leads to premature aging of the skin and increases the risk of developing skin cancer. A recent study of white women students at Indiana University found that while almost 80 percent did not believe that indoor tanning is safe or any safer than outdoor tanning about seven out of 10 said they like to get a tan even though they know tanning may harm their skin. Nearly 84 percent said tanning makes them feel more attractive.

The International Agency for Research on Cancer (IRAC), part of the World Health Organization, added UV emitting tanning beds and lamps to the list of the most dangerous forms of cancer causing radiation. The IARC report cited research showing that tanning is especially hazardous to young people; those who use sunbeds before age 30 increase their lifetime risk of melanoma, the deadliest form of skin cancer, by 75 percent.

The bottom line is avoiding exposure to UV Radiation from the sun or tanning devices will help to make your skin look younger and healthier!

Tip of the Month: Earlobe Rejuvenation

Date: January 3, 2017

Image related to Dermatology Associates Medical Group Blog Beverly Hills Last month, we addressed rejuvenation of the aging lip and surrounding skin. If you aren't pleased with the way your earrings look when you wear them, it could be that your earring holes have elongated or your earlobes have lost volume and appear wrinkled, almost prune like. These alterations can make earrings look unflattering. Fortunately, there are remedies available to correct these issues. Torn or elongated earring holes can be surgically repaired and earlobe volume easily restored with hyaluronic acid based fillers (e.g. JuvedermRestylane). If you'd like to discuss earlobe rejuvenation, please call 310-626-4631 ext. 227 to schedule a consultation with one of our physicians.

Tip of the Month: Lip Beauty

Date: December 1, 2016

lip beauty Full, well defined lips impart youth, vitality, and sexuality to the bearer. With age, lip volume decreases and the lips may become flat and thin. The lips also tend to droop and creases may develop in the skin around the lips and at the corners of the mouth extending along the sides of the chin. Fortunately, augmentation and correction with injectable hyaluronic acid based fillers (i.e.: Juvederm, Volbella, Restylane, and Restylane Silk) can help restore the aging lip and surrounding skin. These fillers stimulate the skin to produce collagen that may increase the longevity of the treatment. As with any cosmetic procedure, it is essential that the physician injector is well trained and experienced to achieve a natural result with minimal to no downtime. To learn more, schedule a consultation by calling 310-626-4631 ext. 227.

Tip of the Month: Photo Aging of the Neck and Chest

Date: November 2, 2016

Image related to Dermatology Associates Medical Group Blog Beverly Hills In earlier newsletters, we’ve addressed prevention and treatment of sun damage. Many of our patient’s complain of color and textural changes of the neck and chest. Common manifestations include blotchy brown pigmentation, redness from fine blood vessels, and thinning/crepey skin. Individuals with fair complexions and those who spend a lot of time in the sun are predisposed. The changes of the skin on the chest are particularly common in women due to “V” neck shirts and other clothing styles that lead to increased sun exposure. Fortunately, simple remedies are available. First, avoiding sun exposure and sun protection are of paramount importance. Daily application of a broad spectrum sunscreen with at least SPF 30 is advised. In addition, covering the exposed area when outside for prolonged periods with a scarf or other article of clothing is very beneficial. Photorejuvenation with Intense Pulsed Light is an excellent treatment for photo aging of the chest and neck. Finally, regular application of Tretinoin Cream is also helpful. To learn more, schedule a consultation by calling 310-626-4631 ext. 227.

Tip of the Month: MANtenance: Simple measures to help you look your best

Date: October 4, 2016

Image related to Dermatology Associates Medical Group Blog Beverly Hills Aging of the face is influenced by internal factors such as genetics and hormonal constitution and external factors including ultraviolet (UV) exposure from sunlight, pollution, cigarette smoke, repetitive muscle movements, and diet. The greatest external factors are smoking and exposure to UV light.

In general, men are more likely than women to engage in high-risk health behaviors that contribute to aging. Men also tend to underutilize preventive health care services including dermatology care compared with women.

Look better and stay healthy by avoiding exposure to the sun, especially between the hours of 10 am and 4 pm, wearing hats and sun protective clothing, applying a broad spectrum sunscreen with SPF 30, and refraining from smoking.

In addition, there are many non and minimally invasive treatment options for rejuvenating the aging face including topical skin care, photo rejuvenation, lasers, botulium toxin injections (Botox, Dysport), Filler injections, Kybella injections, and Coolsculpting. To learn more, schedule a consultation by calling 310-626-4631 ext. 227.

Tip of the Month: Is Your Sunscreen Effective?

Date: September 1, 2016

In a previous post we discussed sunscreen safety, but did not address sunscreen efficacy.  A recent study of top rated sunscreens sold on Amazon.com revealed that 40% of the 65 top rated products didn’t meet all three of the American Academy of Dermatology’s (AAD) recommended criteria:

1. Sun Protection Factor (SPF) of 30 or greater

2. Broad Spectrum (UVA &UVB) protection

3. Water and/or sweat resistance

These components are particularly important when spending a significant amount of time outdoors.

It’s advisable to check your sunscreen’s label to confirm it satisfies the AAD criteria. In addition, The Skin Cancer Foundation’s website, www.skincancer.org, has lists of safe and effective sun protection products including sunscreens that carry its “seal of recommendation.”

It's important to apply enough sunscreen to optimally protect your skin. This means applying the equivalent of a shot glass (two tablespoons) of sunscreen to the exposed areas of the face and body –a nickel-sized dollop to the face alone. Finally, sunscreen should be reapplied every two hours, or more frequently after swimming, heavy perspiration, or toweling off.



Do Biotin Supplements help hair and nail growth?

Date: August 2, 2016

Biotin, also referred to as Vitamin B7 or Vitamin H, is one of the B complex vitamins, important in the metabolism of carbohydrates, proteins, and fats.

While there is no recommended daily allowance of biotin in the United States, most people ingest enough biotin through their diet.  Biotin is found in brewer's yeast; cooked eggs (especially egg yolk), sardines, nuts (almonds, peanuts, pecans, walnuts) and nut butters, soybeans, other legumes (beans, blackeye peas), whole grains, cauliflower, bananas, and mushrooms.  In addition, bacteria in our intestines produce biotin.  Biotin deficiency is usually recognized by its symptoms, including hair loss, dry scaly skin, cracking in the corners of the mouth, swollen and painful tongue, dry eyes, loss of appetite, fatigue, insomnia, depression, and tingling of the arms and legs.  Aside from certain medical conditions/medications (alcoholism, some epileptic drug therapies, individuals with kidney failure who are on dialysis, individuals with Crohn’s Disease and overconsumption of raw egg whites which binds biotin), biotin deficiency is rare.  Regarding its use in healthy individuals, there is weak evidence to suggest that biotin supplements may improve thin, splitting, or brittle toe and fingernails, as well as hair. According to the National Institutes of Health, there is not enough evidence to recommend biotin for hair loss.

 


Tip of the Month: Protection from Mosquito Bites

Date: July 5, 2016

Summer travel may take you to areas where mosquitos are carriers of disease inducing viruses including Zika, Dengue, or Chikungunya. To minimize the risk of mosquito bites, it's important to choose an insect repellent that works well and that you are comfortable with. Use an Environmental Protection Agency (EPA)-registered insect repellent with one of the following active ingredients. When used as directed, EPA-registered insect repellents are proven safe and effective, even for pregnant and breastfeeding women.

DEET: Some brand names: Off!, Cutter, Sawyer, Ultrathon
Picaridin, also known as KBR 3023, Bayrepel, and icaridin : Some brand names: Skin So Soft Bug Guard Plus,
Oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD): Brand: Repel
IR3535 : Some brand names: Skin So Soft Bug Guard Plus Expedition, SkinSmart

Additional protective measures include:
Covering up: Wearing long-sleeved shirts and long pants.
Keep mosquitoes outside: Stay in places with air conditioning or that use window and door screens. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net.

If you're bitten, try to avoid scratching. For itch relief, apply a hydrocortisone cream or calamine lotion to the bite several times daily. Ice or cold pack applications may be helpful as well as oral antihistamines such as diphendydramine (Benadryl and Cetirizine (Zyrtec). If mosquito bites are associated with more-serious warning signs including fever, headache and body aches, contact your doctor.

Adopted from http://www.cdc.gov/features/stopmosquitoes/

Tip of the Month: How Much Sunscreen Should I Apply?

Date: June 1, 2016

Dermatology Sunscreen | Beverly Hills We’re often asked how much sunscreen should be applied to protect the skin from the damaging effects of ultraviolet (UV) exposure. To achieve the SPF (Sun Protection Factor which protects against the sun’s UV radiation) listed on a bottle of sunscreen, an average sized adult should use the equivalent of a shot glass (two tablespoons) of sunscreen to the exposed areas of the face and body – a nickel-sized dollop to the face alone. Remember that sunscreen needs to be reapplied every two hours, or more frequently after swimming, heavy perspiration, or toweling off. The SPF should be 30 or higher for extended time spent outdoors and there is no evidence that using a sunscreen with an SPF higher than 50 conveys more protection. Newborns should be kept out of the sun and it is advisable to apply sunscreen to children over 6 months of age.

In addition to using sunscreen, seek shade whenever possible, minimize the hours spent in the sun (especially between 10 am and 4 pm), wear sunprotective clothing, broad-brimmed hats, and UV-blocking sunglasses.

Tip of the Month: How to Detect Early Signs of Skin Cancer

Date: May 4, 2016

Dermatology Skin Cancer Detection | Beverly Hills May is skin cancer awareness month.  In addition to periodic examinations by your dermatologist, monthly self skin exams can also pick up early signs of skin cancer. Our patient's often comment that they have difficulty recognizing the particular features of skin cancer (see www.skincancer.org for photos and descriptions of melanoma and the more common and generally less serious non-melanoma skin cancers.) Here are a few simple tips:
  1. If a skin lesion is new or changing, schedule an appointment with your dermatologist for evaluation.
  2. Skin lesion(s) that appears significantly different from your other skin lesions should be evaluated by your dermatologist. This is commonly referred to as the "ugly duckling sign" or "funny looking mole sign."
  3. Any skin lesion with bleeding, crusting, scaling, or irritation that doesn’t heal within a couple of weeks should be evaluated by your dermatologist.

We also recommend that you protect your skin from the damaging effects of the sun’s ultraviolet radiation by using sunscreen (more on this next month), seeking shade whenever possible, minimizing the hours spent in the sun (especially between 10 am and 4 pm), wearing sun-protective clothing, broad-brimmed hats, and UV-blocking sunglasses. 

Tip of the Month: A Long Haired Tale!

Date: April 7, 2016

Hypertrichosis is excessive hair growth over and above the norm for the age, sex and race of an individual, in contrast to hirsutism, which is excess hair growth in women and children following a male distribution pattern. The latter is caused by the presence of excessive male hormones. Hypertrichosis can develop all over the body or can be isolated to small patches.  Rare forms of hypertrichosis are present at birth in contrast to acquired hypertrichosis which develops later in life. There are various causes of acquired hypertrichosis including localized irritation of the skin, medications, underlying malignancy, and possibly anorexia.  New onset of hypertrichosis or hirsutism should be evaluated by a physician.  Treatments for hair removal include bleaching, trimming, shaving, plucking, waxing, chemical depilatories, electrolysis, and laser hair removal.

Tip of the Month: Nutrition and Youthful Skin

Date: March 3, 2016

Dermatology Youthful Skin | Beverly Hills It's been said that beauty emanates from the inside so it's not surprising that the foods we eat affect our health and the appearance of our skin. The signs of aging skin are influenced by internal factors related to maturity and external factors including ultraviolet (UV) radiation from sun exposure, smoking, pollution, sleep deprivation and poor nutrition. These items stimulate the formation of damaging free radicals that can harm skin cells and cause signs of aging. Antioxidants such as beta-carotene and vitamins C, E, and A can curb the damage caused by free radicals. The best defense is a health oriented lifestyle with caloric restriction, exercise, low stress conditions, and a nutritionally balanced diet that includes antioxidant rich foods. Eating a wide variety of multicolored fruits and vegetables such as blueberries, strawberries, grapefruit, kale, spinach, different kinds of peppers, and cooked tomatoes is good for your whole body, including your skin. Foods that are high in omega-3 fatty acids, including wild salmon, sardines, fortified eggs, and walnuts are also beneficial. What about supplements? To date, the evidence isn't available to support the ingestion of supplements to maintain a youthful appearance. Bottom Line: Eat healthy foods to stay fit and look your best.

Tip of the Month: Exercise for Younger Skin

Date: February 2, 2016

Dermatology Youthful Skin | Beverly Hills Good news for everyone who put "more exercise" on their new year’s resolution list. While we have long known about the salutary effects of exercise, there is now compelling evidence that sustaining exercise can help maintain youthful skin and hair. It appears that certain chemicals released by skeletal muscles during exercise directly affect skin cells as well as muscle cells. The studies show that greater than 4 hours/week of high intensity aerobic exercise can keep skin younger and even reverse some aging changes. Of course, sun protection is critical to avoid damage from ultraviolet rays and protect the exercise induced benefits. Until the technology is available to put these chemicals in a pill, keep exercising!


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