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Medical Dermatology Cosmetic Dermatology

Category: Skin Care Questions

TNS Advanced Plus

June 15th, 2020 The for the past year, I have been eagerly awaiting the launch of the newest growth factor product by SkinMedica. I had attended a conference at the headquarters in Irving, California in May of 2019 and we were given a sneak peek at the coming product that, at the time, they were calling TNS Advanced Plus. Now on June 15, 2020 they will officially launch the product as TNS Advanced+ Serum in a beautiful silver and white packaging. It will still be a dual-chambered airless pump, and now feature a fragrance-free formulation which is even-more powerful than its predecessor. The before and after photos don’t lie which is why I have been so excited about its launch. However, I had nothing to show my patients—I could only explain how it literally erased coarse lines and wrinkles, and actually affected sag! What topical serum can do this? TNS Advanced+ Serum can. Some of the clinical trials performed by an objective third party showed results such as patients feeling like they looked as much as six years younger after only 12 weeks of product use. There was a significant difference in sagging skin around the lower face and neck […]

Ask a Dermatologist: Preparing for Laser Hair Removal

Question: How to prepare for a laser hair removal treatment? Before undergoing laser hair removal, it is important that a patient should not pluck or tweeze or perform any type of waxing that would remove the hair from the follicle. Shaving is fine. The laser will actually target the hair while it is in the follicle, and specifically while it is in the growth phase, also known as the anagen phase. Thus, by physical removing the hair from the follicle immediately prior to laser hair removal treatment actually is counter-productive to the laser hair removal process and will negate the treatments performed because the laser will have nothing to target. When shaving, there is still hair present at the site of the hair follicle, and so this is the best method for hair removal and is actually encouraged immediately prior to a laser hair removal treatment session because it ensures there is not excessive hair present on the surface of the skin that can cause overheating and possible burning. Laser hair removal can be performed successfully on any skin type, but the correct type of laser must be used on skin of color. Nd yag lasers are safe on any skin […]

Ask a Dermatologist: What causes skin cancer and how to avoid it?

Question: What causes skin cancer and how to avoid it? Skin cancer can be caused by many different things. UV exposure is one thing that is we can help control through the use of excellent sunscreen. I prefer that my patients use physical sunblock that contains zinc oxide or titanium dioxide. The best manufacturer in the market, I believe, is Colorescience. They have special coatings which they have patented which are uniform and ensure longer lasting protection of their zinc oxide and titanium dioxide, and they also can modulate color with iron oxide in their products. In addition, they perform clinic studies on their products which no other suncreen manufacturer does. One of their studies recently revealed that the iron oxide actually provides blue light protection which is something that all of us can benefit from as we sit in from of our computers or use our smart phones on a regular basis. Thus, now you have a company that is giving us a “new to market product”–an Enviroscreen, something which protects against UVB, UVA and blue screen damage. Tanning beds have been a hot button to the American Academy of Dermatology and we have been fortunate that we have […]

Ask a Dermatologist: What are the treatment options for skin cancer?

Question: What are the treatment options for skin cancer? What treatment to you usually recommend to your patients? There are several different treatment options for skin cancer. We used to only be able to to do regular excisions or Mohs surgery excisions. However, we now can offer another option that is non surgical and non-scarring–superficial radiation therapy. Previously, radiation was not considered to be an effective treatment for skin cancer because the traditional radiation was inferior to surgery as cure rates did not achieve the desired effects and recurrence was high. With superficial radiation therapy, there are no side effects as there are with regular radiation so the patient does not have any type of pain or burning or and does not feel sick at all. They can go through their therapy on a twice weekly basis and it typically takes 40 seconds to receive the painless treatment. The treatment site typically turns slightly pink in color initially, and towards the end of the treatment it begins to appear more reddish in coloration. Again, there are zero side effects at all–no pain, no scarring, no bleeding and no post-operative issues or complications because, of course, there is no surgery performed […]

Ask a Dermatologist: What are the signs of skin cancer?

Question: What are the signs of skin cancer?  The ABCDE was developed as an easy way to remember the common signs to determine whether you may have a skin cancer. A–Asymmetry of lesion can indicate that you may need to see your dermatologist. I explain that if you visually try to split a lesion in half and flip it on itself, and it were not to match up to the other side, it would not be symmetrical. B–Irregular borders can be a sign that something might be wrong. See your dermatologist! If the edges are jagged or loopy or changing, then cells could be malignant and should be sample or biopsied. C–Multiple colors within a mole or lesion can signify danger. Sometimes one lesion alone can have brown, black, grey and white within the same lesion. Many colors or multiple shades are not a good sign and should be evaluated by your dermatologist. D–A diameter larger than a pencil eraser, or greater than 6mm, is considered to be a possible concern for skin cancer, especially if it is a new change for a mole or lesion. This should be examined by a board-certified dermatologist. E–Evolving and changing lesions should be […]

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