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CAN YOU REALLY TIGHTEN YOUR SKIN WITHOUT SURGERY?

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The answer is "yes" but know the facts:

#1 There are 2 major competitors:
Thermage (potency was increased a few years ago) & Ulthera. Thermage is radiofrequency, which by heating loose collagen fibers deep in the skin, causes them to gradually curl over a 6 month period & therein produce skin tightening (without any down time), in some cases quite dramatic.
Ulthera is ultrasound & attempts to do the same: it was sold to many physicians who expected the FDA to approve it (to allow the company itself to advertise it for tightening). However, in the pivotal phase 3 FDA trials the FDA stopped the trials midway indicating that it could not be shown to work. The doctors who had bought the Ulthera equipment had little financial options other than continuing to offer it. We have Thermage & had used Ulthera before the FDA decision.

#2 Surgery (at least on the face & neck) is always more predictable than use of a non-invasive device but obviously is associated with…

IF ALL YOU HAVE IS A HAMMER THEN THE WHOLE WORLD LOOKS LIKE A NAIL

So we had a patient in her 20's come to our Beverly Hills office last week whom we had seen a few years back. Lovely face with acne scars. 2 lessons for all of us:

#1. She had received laser treatments with an older (bad) version of the right (good) laser by a board certified dermatologist (good): so with one thing wrong (older & less effective version) she didn't get great results - but she liked the price. Truth is that one dollar spent on the wrong thing is merely a gift to your doctor, not to yourself!
#2. She was told by another doctor (a plastic surgeon) that a facelift (in her 20's) was the answer because it would stretch the scars. For most plastic surgeons lasers are not their thing (medical lasers were originated by Leon Goldman,M.D. , Chairman of the Dept. of Dermatology at The University of Cincinnati) so the patient was not offered the right answers.

As Michael Jackson's brilliant Beverly Hills dermatologist (& my good friend) , Arnold Klein,M.D., …

Self-Screening for Melanoma

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Don't be shy; melanoma isn't, and finding it early could save your life. To that end, our education team has developed this helpful guide to self-screening. Follow the steps each month and pay attention to moles or spots that change shape, size or color. Know the ABCDEguide of melanoma. See something unusual? Make an appointment with a dermatologist as soon as possible. 


For more information go to melanomaresearchfoundation.com

NIVEA DOLL - English Version

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The folks over at Nivea have created this doll to introduce children to the importance of sun damage on their skin. Follow nivea.com to see when the doll is available in the US.

How often do children need to wash their hair?

As an adult you know the basics of hair care and proper hair hygiene. Don’t condition your roots just your ends. Do not over wash if you have dry scalp. You know when it's time to wash all the grime from your hair. However, it is much harder to know when your child needs their hair washed. You don’t want to dry out their scalp or have a build up excess oil. When children are between the ages of 8 and 12, parents often ask dermatologists this question.
In three easy steps, you can figure out how often a child between 8 and 12 years of age needs to shampoo. Step 1: Consider your child’s traits To determine how often your child needs to shampoo, you first need to consider your child’s: •Hair type (straight, curly, oily, dry) •Age •Activity level Step 2: Find your child’s traits on the following chart Shampoo guidelines: Children 8 to 12 years old Shampoo every other day or daily •12 years of age or starting puberty •Oily, straight hair •Active: Plays outdoors, plays sports, or swims Exception: …

More Do's and Don't for the New Year

When it comes to skincare do’s and don’ts, we like to think we’ve got it all under control. Pointers such as ‘do take your makeup off before bed’ and ‘don’t use hand soap as a facial cleanser’ are mantras, widely known and rehearsed by us all. However, these are not the only tips that we should know about the health of our skin. First, make sure that you are visiting the write medical practitioner. A primary care physician is not as specialized as a Dermatologist. If there are any doubts about diagnosis of a primary care physician, make an appointment with a Dermatologist or your physician may refer you to a Dermatologist. Don’t be fooled by so-called Dermatologist. There are far too many therapists advertising themselves as dermatologists out there. Dermatologists are doctors who, after their general medical University degree, have completed a formal higher specialist training in dermatology. Don’t feel afraid to ask for credentials of the dermatologist.
A facial may do more harm …

Types of nail fungus and how to treat

Fungal nail infections can be caused by three different types of fungus, alone or in combination.
Dermatophytes are a type of fungus that can grow on the skin, hair, and nails. The most common dermatophyte, Trichophyton rubrum, causes most cases of athlete's foot. Athlete's foot, in turn, can infect the toenails. You can get infected by contact with objects that have dermatophytes on them, such as clothing, shoes, nail clippers, nail files, shower and locker room floors, and carpetYeasts are a type of fungus that grows on the skin and nails. They are normally present on the human body. Things like illness, antibiotic or birth control pill use, and immune system problems may allow an overgrowth of yeast, leading to a yeast infection.You can get a fungal nail infection when you come in contact with the fungus and it begins to grow on or under your nail. Fungi grows best in warm, moist areas, such as the area around the toes. But y…