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Archive for the ‘skincare’ 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.

Resveratrol in beauty products really works

Friday, April 15th, 2011

This week’s New York Times “Beauty Spot” column focuses on the use of resveratrol in cosmetics and skin care. While I can’t pass judgement on the products mentioned in the article, since I haven’t used them, I absolutely can say that topical resveratrol works. Resveratrol is found in grape skins and red wine. It’s a powerful antioxidant, which is why it’s now appearing in serums and moisturizers, including my Super Serum Plus. I’ve also found it’s a very effective anti-inflammatory. I’ve begin recommending it to my patients with rosacea, and have been very pleased with the results – it dramatically reduces redness and is very soothing.

Facial exercises create more wrinkles

Tuesday, February 1st, 2011

Every so often, somebody revives the idea that facial exercises can eliminate wrinkles and make you look more youthful. Nothing could be further from the truth. The Los Angeles Times recently ran an article examining the claims made by the makers of a facial exercise kit. I’d like to add my own opinion here.

There is a basic equation in dermatology: more facial movements equal more wrinkles. That’s just a fact of life. Botox eliminates wrinkles by paralyzing the muscles. People with facial paralysis tend to have fewer wrinkles because they cannot move their faces. With Bell’s palsy, which affects only one side of the face, there are far fewer wrinkles on the affected side, which is proof positive that it is the movement of facial muscles that creates wrinkles. In my practice I’ve noticed that patients who have very expressive faces or who smile a lot come in more often for filler injections – that’s because the constant facial movements break down the filler more quickly. Not that this means you should walk around with a somber face!

So this latest fad is completely bogus, and will actually create more wrinkles. It always astonishes me that people can believe something that is so blatantly false – or promote it as true.

Watch me on Good Morning, America and Nightline this week

Monday, January 31st, 2011

If you would like to see me on television demonstrating the newest cosmetic technologies, you’ll have to get up early on Wednesday and stay up late. It looks like Good Morning, America will feature me doing Thermage on a patient. We filmed it last week in my office, but the producers have not confirmed the time on Wednesday. By the way, Thermage, which uses radio frequency to tighten the skin, has become the most popular procedure in my office; many patients who come in to do their faces are so happy with the results, they come back to do their entire bodies.

Nightline came to my office twice to film a long (by TV standards) segment on cool sculpting by Zeltiq, a fat-blasting technique that can truly re-shape bodies without having to resort to plastic surgery. I will be on the lead segment Wednesday night at 11:30. I was highly flattered to hear from the producers that they had saved it for sweeps week, because they liked the way it came out so much!

UPDATE: My segments on Good Morning America and Nightline were canceled at the last minute because of the events unfolding in Egypt. The producers tell me they will probably be shown next week (they think). I will post the exact dates and times as soon as I know for certain.

Models need their dermatologist, too.

Tuesday, November 16th, 2010

Endlessbeauty.com recently did an interview with me on the skin problems of models – and yes, no matter how stunning they are (and they’re all gorgeous), their profession really can play havoc with their complexions. For example, the constant flying to distant locations leads to jet lag and dehydrated skin from the dry cabin air. I always tell my model patients to drink plenty of water during the flight and avoid all alcohol and caffeine; if they don’t, it will show on their skin. It’s best to fly without makeup; the savvy models make sure to mist their faces and apply moisturizer several times during a flight.

The public would never guess from the absolute perfection they see on magazine covers, but a lot of models suffer from acne. Their pores are clogged by all that application and re-application of makeup. And a lot of that makeup is thick and oily, which only makes matters worse. I tell my patients to carry their own oil-free foundation to runways and shoots whenever they can.

One odd fact I’ve noticed: it’s not uncommon to see models with very sparse eyelashes or irritated eyelids. That’s because fake eyelashes are an occupational hazard. It’s not easy for a model to tell a makeup artist that she doesn’t want to use the inch-long eyelashes that complete the look, so most of the time a model doesn’t have much of a choice. Still, I always tell them to try growing their own hyper-long lashes instead by using Latisse or over-the counter alternatives like RapidLash and Revitalash.

http://endlessbeauty.com/articles/skincare-secrets-models

To shower or not to shower…

Friday, November 12th, 2010

A couple of weeks ago the New York Times ran an article on why some people are increasingly reluctant to shower every day or use deodorant. Now that winter is upon us, bringing dry skin and winter itch, I thought it might be interesting to discuss why there actually are good, legitimate reasons to bathe less, or at least bathe less strenuously.

I do think people should use deodorant if they want to keep their friends and jobs. Sharing an office or a home with a person with a philosophical aversion to deodorant would not be pleasant. If a particular deodorant seems too harsh, try to find a milder one.

Now, there is a rationale to reducing the frequency of showers. Soap and water do strip the skin of the natural oils it needs to maintain its protective barrier. Whether it also removes good bacteria from the skin, as some believe, is more controversial. If you can get away with showering every other day in winter, then go ahead, but try to wash armpits and genitals every day. And when you shower or bathe, use gentle soaps and body washes and don’t linger in the tub or in the shower.

Just remember, this is about showering less in winter, when everybody sweats less. I certainly recommend daily showers in warmer weather, if only to spare the rest of us.

http://www.nytimes.com/2010/10/31/fashion/31Unwashed.html?ref=style

Is there a right way to pop a pimple?

Friday, September 3rd, 2010

http://www.ivillage.com/the-right-way-pop-zit/5-a-274314