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Archive for the ‘Lasers’ Category

New Treatments for Excessive Sweating

Wednesday, December 14th, 2011

I was reading an article in the New York Times the other day about a new treatment for sweating (hyperlink to article http://www.nytimes.com/2011/12/08/fashion/sweat-and-tears-first-person.html?pagewanted=all). The patient in the article described what sounded like a very painful procedure called miraDry, which in her case didn’t seem to work. It’s in an electromagnetic energy which is supposed to destroy sweat glands. Granted the company recommended two treatments and she only had one, maybe if she had the second treatment it would have worked. She described that she was writhing in pain and felt like they were holding a blowtorch to her underarms. It made me think of all the other options for underarm sweating.

In my practice we start with prescription antiperspirants which are beneficial if used correctly. There’s also a machine that utilizes a technology called iontophoresis which is totally painless. It is not really understood how it works but it uses an electric current and ions to minimize sweating. Another more expensive option is Botox injections which last 6 to 7 months. Whatever option you choose, if you have excessive sweating no one needs to know. There are safe and effective treatments available.

The perils of tattoos

Monday, February 28th, 2011

I’m not a big fan of tattoos in general, although I recognize that some people are very happy with the results. But as a dermatologist, I’ve also seen many with complications. This recent New York Times article talks about the risk of getting HIV, hepatitis, staph and strep infections, and allergic reactions, all of which I have certainly treated in my practice. But it doesn’t mention sun reactions, which are surprisingly common with tattoos, especially those with yellow ink. The pigment reacts to the sun, leading to nast- looking blisters which can be serious enough to leave deep scars.

The potential for allergic reactions is so great, in fact, that anybody who is even mildly allergic should think long and hard before getting inked. That includes people with asthma.

Tattoos don’t age well. With the years, they blur and the colors run. This is a big problem with permanent makeup, because who wants to be stuck with bleary-looking eyes and smudged lips? Permanent makeup can be removed, but it is a lengthy and expensive process which entails repeated laser treatments.

Having said all this, I do recognize that there are valid reasons for tattoos. In fact, we actually do them in my office for breast reconstruction patients who get their nipples tattooed, people who have alopecia and have lost their eyebrows, and even patients with Parkinson’s or rheumatoid arthritis, who cannot use their hands well enough to apply makeup. The results are very good and the patients are always grateful. But the difference is that these tattoos are done in a physician’s office under sterile conditions.

Whether you get a tattoo or permanent makeup, please think it through carefully and weigh the risks. And always have it done by someone who is well-trained, certified and recommended by a doctor.

Zetiq. A Cool New Way to Melt Fat.

Friday, July 2nd, 2010

I was reading the NYT this morning and the article was about how people taking their own photos are using the bulge feature on photoshop to make themselves appear thinner. It got me thinking. In the time that it would take to photoshop the picture you could have a procedure called Zeltiq and actually be thinner. This new technology freezes your fat and is called cool sculpting. Since fat cells are sensitive to cold temperatures, they are gently and gradually eliminated and destroyed. The skin and nerves and other organs are not affected. So anywhere from 4 to 6 weeks after the freeze you are actually thinner and have less fat. It is so amazing
that is seems unbelievable. My patients have the applicator attached and some watch a movie, others don’t have time to finish the movie and just listen to music. You stay on the fat freezing machine for 1 hour or more depending on how much fat you
have to freeze. So far the longest session has been 5 hours. It goes by the area. We can freeze back fat, love handles, the belly, upper and lower. They have had this in Europe and Canada for years with great success, but we just got it in the US. Many of my patients ask to have fat frozen from their thighs and arms. These hand piece attachments are now in development. Does everyone in  Europe and Canada have thin arms and legs? This procedure is painless.  It is  noninvasive liposuction since there are no needles or medicines or incisions. We just put the freezing applicator on the surface of your body. The best part is that you can really do body contouring. There is no down time so you can go right back to work or to exercising  the same day. It is still important to eat well, exercise to keep your muscles looking good and  your heart healthy. But it’s always nice to know you have  a cool friend

Lasers For Postinflammatory Hyperpigmentation In Dark Skin

Friday, March 26th, 2010

A number of years ago, I got a call from the producers of America’s Next Top Model. They asked if I could help out. They said that Tyra Banks had personally picked me to treat one of the models on the show with acne. They said that she was one of the contestants on the show and that her skin really needed help. They asked me if I would treat her and if I could clear her quickly. I love a challenge and I was happy to do it. The young hopeful’s name was Yaya and she had acne.She was a lovely and very motivated young woman. What I saw then and I see daily is that an acne patient with dark skin has more obstacles to overcome than a light skinned one. Both have the acne to clear. But a dark skinned individual has a second and sometimes more difficult task and that is the postinflammatory hyperpigmentation. Those are the brown marks that are left behind, or as some call them the stains. If left alone they can take months or sometimes years to go away. For many it looks as if you are still broken out, since the skin looks blemished and is not uniform in color. How do we treat this? We use bleach, retinols, peels, microdermabrasion, and lasers. When I tell my darker skin patients about lasers then often look at me in disbelief. Many think that the lasers will ruin their color or that lasers are not for darker skin types. That is why I wanted to write about this, to dispel this myth. It is true you have to have a color safe laser and you have to have a laser specialist that knows how to use a laser on darker skin types. In our office we pride ourselves on our ability to remove hair, brown spots, leg veins, acne scars, broken blood vessels on dark skin safely and effectively. Anything that we can do on light skin we can do on dark skin. If you are still concerned, you can have a test spot so that you can try it , to make certain that it doesn’t affect your skin color.