Archive for January, 2009

New Potential Natural Psoriasis Treament

Saturday, January 31st, 2009

A topical preparation containing Indigo naturalis powder has been shown in a University trial to be effective in treating plaque-type psoriasis. After 12 weeks of treatment, the plaques treated with indigo naturalis ointment showed significant improvement in scaling, redness and hardness when compared with the plaques treated with non-medicated ointment. The color and smell of indigo naturalis may affect compliance.
Indigo naturalis ointment treatment had known adverse effects. While indigo naturalis ointment can be an alternative or complementary therapy for psoriasis the long term safety of this product has not been tested.

Psoriasis on elbow

Psoriasis on elbow

Botox update

Wednesday, January 21st, 2009

Currently, Botox is the only FDA approved injection medication to relax facial muscles. A new neurotoxin or muscle relaxer awaiting FDA approval is Reloxin (Medicis), a multihemagglutinin complex that shows to have a 72-hour median time to onset and a median duration of 85 to 117 days. Surprisingly while Botox is used to treat headaches, thus far Reloxin’s only adverse event has been headache. Also down the road is Xeomin (Merz), which is in the testing stage and is similar to Botox.
On the subject of headaches, Botox is very usefull for migraine alleviation. Those patients who experience relief from their symptoms as a result of Botox injection return faithfully.
Botox is also being used to decrease sebum or skin oil production, promote wound healing and treat alopecia areata — and possibly even rosacea. The effectiveness of Botox for treating rosacea will be determined down the road.

The bottom line!

The bottom line!

Liposuction or Laser liposuction

Tuesday, January 20th, 2009

When it comes to excess adipose tissue, basic areas of aesthetic concern include the face, upper body (arms and dorsal region, abdomen, hips, love handles) and lower body (saddle bags, buttocks, pubic region, knees). While tumescent liposuction remains the “gold standard” for achieving fat reduction in these and other areas, there are newer, less-invasive options. One such option, laserlipolysis (SmartLipo, Cynosure), is already FDA approved and essentially “melts” fat cells as it heats the dermis, resulting in a reduction of adipocytes and a tighter dermis.
Using high-peak-power laser pulses, laserlipolysis allows adipocytes or fat cells to be ruptured without charring tissue. Hemostatis of blood vessels causes less bleeding and bruising than liposuction, and the entire procedure is performed under local anesthesia. One of the best wavelength options involves combining a 1,064 nm wavelength with a 1,320 nm wavelength, as this allows for more efficient, even and safe energy delivery.
liposuction1

Save your skin: 5 essential cold weather tips

Friday, January 16th, 2009

The temperature is today in single digits in much of the North of America.
It takes only minutes for exposed skin to become frostbitten if the emperature falls below 20°F and the wind is blowing at 20 milers per hour or more. Here are five essential things to do to stay safe and warm and prevent frostbite, which can cause permanent damage to the skin and circulation:
1) Don’t even think about coffee or alcohol. It may feel like a good idea but caffeine and alcohol both cause the body to lose heater faster. Warm drinks are good, but go for decaf or hot soup. 2) Cover your head and ears. Substantial heat loss occurs through the scalp, so head coverings are vital. 3) Wear a cap and earmuffs and pull the cap down over your ears.
4) Double cover your hands and feet. If you’re going to be out for a half hour or more, wear double socks – wool over lightweight cotton — and mittens, which are warmer than gloves. The body tries to preserve heat by shutting down circulation to the hands and feet. Numbness in the extremities is a sign that this is happening. 5) Bundle up loosely. Light, loose and layered is the way to go. It provides both ventilation and insulation. Consider numbness a warning sign. At the first sign of numbness in the toes, fingers, ears or anywhere, get inside.
Frostbite is considered a medical emergency and you should see a doctor immediately.
freezing

Prescription cream treats skin damage from sun

Tuesday, January 13th, 2009

Applying a prescription cream Aldara or imiquimod for 24 weeks is effective for the treatment of a type of skin lesion called actinic keratosis, caused by long-term exposure to the sun, according to researchers from Mount Sinai Medical Center in New York. Twenty patients with actinic keratosis into a 28-week trial. Fifteen patients completed the trial and five dropped out for reasons unrelated to treatment, the researchers report in the Journal of the American Academy of Dermatology.
Patients applied imiquimod 5 percent cream supplied in 250 milligram single-dose packages to affected areas on one side of the body and a placebo cream to the opposite side once a week for 24 weeks. Patients were assessed at 28 weeks. Side effects with imiquimod cream were minimal to nonexistent. Imiquimod is available from your dermatologist.
Actinic Keratosis can turn into skin cancer

Samsung’s New Cameras Remove Skin Blemishes

Monday, January 12th, 2009

This past week at the CES show in Las Vegas, Samsung announced a new compact digital cameras, 12.2 mega-pixel HZ10W, a 10X super zoom featuring a so-called “Beauty Shot” mode. With this mode turned on, the camera will “retouch imperfections on a subject’s face, such as blemishes and dark spots, to help improve and even out skin tones.” The intensity of this mode can be adjusted or completely turned off.

Though “Beauty Shot” is unique, Samsung is not the only manufacturer to offer this feature. Last year Casio released a compact point-and-shoot, the Exilim z250, that includes a similar featured dubbed “Makeup Level.” According to Casio, this feature can “smooth skin and soften facial shadows caused by sunlight.”

The picture of health!

The picture of health!

BOTHERED BY BROKEN CAPILLARIES?

Thursday, January 8th, 2009

Blood vessels or telengiectasias under the surface of the skin are very common. Two thirds of people over 30 years old have them on their face. Often they are a manifestation of Rosacea. Telangiectasia are seen as thin red, purple, or blue capillaries that occur when there is an increase in pressure or a weakness in the capillary wall, which cause the vessels to expand and sometimes break. Some reasons you may develop broken capillaries include:
Irritated skin sloughing more than twice a week can exacerbate the problem by causing blood vessels to dilate and even break. A family history: if your parents have them, you’re prone to getting them too. Extreme heat: sitting in the sun or a steam room for more than half an hour or engaging in overly strenuous activity can make your capillaries expand.
Fluctuating hormone levels: during a period or pregnancy, for example, more blood flows through your vessels, which stresses them and can lead to tears.
There are many lasers to treat broken capillaries such as Pulsed dye laser (595 nm, yellow) Pulsed Nd:YAG (KTP) green laser (532 nm, green) Intense pulsed light source (515-1200 nm).The Copper Bromide is the best. Generally there is no need for anesthesia when treating vascular lesions but this is dependent on the pain threshold of the patient and the size of the lesion. Telangiectasias may clear after one treatment, particularly the smaller vessels but the larger vessels may require a second treatment

Now you see them, now they don't!

Now you see them, now they don't!

Are sunscreens safe?

Tuesday, January 6th, 2009

Small amounts of chemicals penetrate skin. This fact is proven by the ability to recover sunscreen chemicals in the urine, but the amounts are extremely small.
Does this mean that sunscreens are unsafe? No. The benefits of using sunscreens outweigh the risk of systemic absorption of sunscreen filters. Chemical filters are more commonly absorbed than the inorganic titanium dioxide and zinc oxide filters. Some examples of the later include Blue Lizard Australian Sunscreen and Neutrogena Sensitive Skin Sunblock,

For this reason, it may be advisable to use inorganic filters in young children over the age of 6 months, since their ratio of body surface area to body mass is large.
This is not as great an issue in adults, in whom the ratio is smaller. I think most dermatologists would be surprised at the trace amounts of topical skincare products recovered in the urine.
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Lip Licking Dermatitis

Monday, January 5th, 2009

Lip Licker’s Dermatitis is caused by licking chapped lips. This problem is common in dry winter climates, especially in children. Only that skin accessible to the tongue is affected. This represents an irritant dermatitis from the constant wetting and irritation by the saliva and repeated effects of drying.

TREATMENT
I treat lip licker’s dermatitis the following way:
1. Encourage the patient to minimize licking (very difficult)
2. Apply hydrocortisone ointment four times daily for one week
3. Apply Aquaphor ointment hourly or whenever the patient has the urge to lick the lips
4. Keep yourself well hydrated by drinking enough water.
5. Use air humidifier in winters to moisten air at home.
"Licking the problem"

Laser Scar revision

Saturday, January 3rd, 2009

Scars affect 16% of the population and can be treated with Palomar Lux1540. Fresh scars are currently treated at the time of suture removal and two weeks later. Older scars are treated with a series of Fractional 1540 laser and occasionally we use the 2940 laser for volumetrically debulking the scar as well. Laser scar revision has made a significant difference in these patient’s lives. Fresh scars, i.e. scars treated immediately after suture removal or after trauma, respond best. However, studies have clearly shown that even old scars, i.e. scars 20 years older or more, can be substantially improved with laser scar revision.

Laser Scar treatment after 5 weeks

Laser Scar treatment after 5 weeks