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In the News : Ask The Doctors Q&A Archive   Bookmark and Share

February 06, 2013

QUESTION:
I read that fillers can be used (off-label) to eliminate dark circles - have you done this and if so, what was the result?

ANSWER:
The appearance of dark circles under the eyes is often due to loss of collagen in the skin and decreased underlying support of fat, muscle, and bone. Fillers in this area improve the architecture and help to stimulate collagen, resulting in less shadowing and improved skin texture. Hyaluronic acid (RestylaneBelotero, and Juvederm) is most commonly used. Topical products such as retinol and vitamin C will also help to preserve the collagen content. Click here to read more on what you can do at home to minimize those dark circles.
 

 

September 19, 2011

QUESTION:

I am a 58 year-old Asian woman and my question is how to get rid of the dark patches that run along my jawline? In the summer it gets much darker than in the winter.

ANSWER:

It sounds like you have a common condition called melasma. This darkening of the skin is caused by abnormal activation of pigment producing cells, and the cause can vary. In your case, it may be related to perimenopausal hormonal shifts. There are several effective therapies for melasma, such as Fraxel Dual laser treatments, chemical peels and the use of bleaching creams. However, the most critical aspect of managing melasma pre- and post-treatment is avoiding sun exposure and implementing strict photo protective practices.

 

September 07, 2011

QUESTION:

I've been interested in getting laser hair removal for many years, but I'm concerned about the safety of it. Anytime I do research online, there are so many types of lasers that I get scared about choosing the right one. What's the safest and least painful way to treat my unwanted hair?

ANSWER:

Laser hair reduction relies on technology that has been used for many years. It is safe and effective, when performed by a clinician with sufficient experience. In my opinion, the LightSheer Duet is the laser of choice. It combines the best technologies available to provide quick, effective, and remarkably painless results. No topical anesthesia (or 'numbing cream') is needed. Large areas of unwanted hair growth can be treated quickly.

 

August 21, 2011

QUESTION:

I am 72 and take pretty good care of myself. However, my hands are a dead give-away. Do you think Radiesse can help?

ANSWER:

This is an excellent question. The hands are an often neglected area. Targeted therapies to the hands can produce outstanding cosmetic results. Radiesse is currently FDA approved for facial wrinkles and folds. However, it may be used off label in hand rejuvenation to reduce skin laxity and to provide a plumping effect. Additional therapies can also enhance treatment by addressing the surface changes associated with aging.

 

July 22, 2011

QUESTION:

Do you use the Lumenis Ultrapulse TotalFX laser to treat deep acne scarring?

ANSWER:

Yes. Fractionated carbon dioxide lasers like the Lumenis TotalFX can provide significant, long-lasting improvement in the appearance of acne scarring. On average, patients can expect to see a 50-60% improvement after a single laser treatment, although this can vary depending on skin type. The recovery period following this treatment is approximately 7-10 days. Some redness resembling a mild sunburn can persist for several weeks. Long-term studies have shown that the results with fractionated CO2 treatments persist for many years with 80% overall satisfaction.

 

February 22, 2011

QUESTION:

I have a very thin face and wish to look a bit fatter. Can that be accomplished without surgery ? Thanks

ANSWER:

Noninvasive fillers are an excellent solution for the thinning face. They are used to address the mild volume descent of the cheeks and mid face that comes with overall loss of underlying fat, muscle, and bone. We first begin to notice this "gentle deflation" in the nasolabial folds, the jowl area, and the chin.  To see my explanation on Meet The Experts - Skin Preservation After Forty, click here.

 

February 22, 2010

QUESTION:

How do you know what kind of face cleanser you should use?

ANDWER:

If your skin is "dry", I suggest avoiding a sudsing, non-soap-based wash. You are better off with a gentle non-sudsing formula (I like cetaphil gentle cleanser and philosophy "Pure" cleanser).

If your skin is "normal" I like a mild cleanser- "Purpose" is a fantastic choice.

If your skin is "oily," I like a wash with a touch of salicylic or glycolic acid. Neutrogena's "Oil Free Acne Wash" is an easily obtainable remedy for mildly acne prone skin.

 

February 22, 2010

QUESTION:

How long should you wash for before you rinse?

ANSWER:

For simple daily cleansing I would suggest taking a few moments beyond make-up removal. The skin responds to tactile feedback. A few massaging motions over the cheeks, around the eyes, have been shown to increase blood flow as well as collagen production.

I would suggest a 2 minute contact time with salycyclic acid over the counter products (based on my own experience), but this can vary. Try 30 seconds and see how your face feels. If you can tolerate more, proceed! (If it is irritated, wash it off and use a simple moisturizer.)

With drug store retinoic acid creams I suggest starting slowly! Hey, it is your face after all. Consult a dermatologist for the best regimen for you.

What are the steps? Is it wet your face, lather up cleanser, wash? Anything else we're missing?

When you are on the right regimen this should be as simple as lather, rinse, repeat! OK, then moisturize!

 

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