FIVE SIMPLE YET PROVEN WAYS TO MAKE YOUR SKIN LOOK 5-10 YEARS YOUNGER

by Erin Owoc, Dermatology Nurse Practitioner

There is a lot of hype around skin procedures and skin products that are touted to bring us the “fountain of youth”. This article summarizes 5 simple yet research proven ways to give you a more youthful appearance. This article is not for women only as men represented over a 13% growth in cosmetic procedures last year. So this article can also be very informative for any man wanting to look his best.

RELAX... The ability to relax the muscles around your forehead, between your eyes and by your crow’s feet to “smooth out” these wrinkles using BOTOX^® is extremely effective. BOTOX^® Cosmetic is a very quick procedure that has no down time. It is best to choose a medical practitioner that has artistic skills and listens to what expectations you may have to be able to achieve your desired results. Make sure your medical practitioner uses only FDA approved ALLERGAN (YES YOU MUST ASK THAT) and start with 1 or 2 treated areas for best results depending on your individual desires. The results from BOTOX^® typically last 3-4 months.

REFILL... There is a proven cure to virtually eliminate the deep lines around your nasolabial folds (lines between your nose and mouth) and other moderate to severe facial folds on your face, to enhance the facial contouring and to physically enhance the lips. This is commonly referred to as “fillers”. The three most popular dermal fillers on the market are; Restylane, Perlane and Juvederm. The most popular is Restylane because it has been around the longest. Newer fillers such as, Juvederm will last longer, however selecting a filler with your medical practitioner will depend on area treated and desired outcome.

REJUVENATE... If you are serious about removing old acne scars, skin pigmentation and fine wrinkles, FRAXEL^® will well be worth the investment. FRAXEL^® is a non-ablative fractional laser resurfacing of your skin. I have personally seen incredible results with FRAXEL^® laser resurfacing. You can generally return to work right afterwards (although your face will be look a little sunburn) and the results permanently improve the appearance of your skin. For best results, generally 2-3 procedures are required.

REVITALIZE... For healthy, youthful looking skin it is extremely important to have a deep cleansing routine, generally in the form of medical facials and microdermabrasion in conjunction with LED light therapy. LED light therapy, specifically REVITALIGHT^®, has been FDA cleared for the treatment of ACNE. REVITALIGHT^® is a safe and effective use of advanced light technology designed to diminish the visible appearance of fine lines, wrinkles, age spots by promoting “collagen firmness”. Chemical peels are another very fast and effective “revitalizing” procedure that stimulate the production of new skin cells, which reduce fine lines, tighten and tone, help with scarring and improves skin discoloration.

REPLENISH... Undergoing any of the procedures above will take years off the look of your skin. However combining these with a home maintenance plan using medical grade skin care products and a healthy diet including skin supplements, will not only magnify the effects of these procedures, but they will also extend the life of the procedure. We have seen the best results with medical grade products such as Glytone‘and SkinMedica‘. And to take it a step further to maximize your skin with a “beauty in and out” product, we highly recommend DermaVio^® Anti-Aging Solution especially for fine lines and those hard to treat dark circles above your eyes.

LOOK YEARS YOUNGER WITH FRAXEL^®

Erin Owoc, Dermatology Nurse Practitioner

After last month’s article, “Five Simple Yet Proven Ways to Make Your Skin Look 5-10 Years Younger” I’ve received numerous calls from people wanting more information on Fraxel^® laser treatments. Fraxel^® is a safe, non-invasive laser treatment that improves the appearance of your skin by targeting a “fraction” of your skin at a time. Because of this innovative technology, there is no downtime compared with the older technology of laser resurfacing which required weeks of healing. Fraxel^® is the most effective treatment for the person wanting to improve skin texture, skin tone, and reduce pore size. It is very effective on eliminating skin hyperpigmentation or “brown spots” and smoothing wrinkles, especially around the eyes. Fraxel^® can also be used on the neck, chest, and hands very safely and effectively.

Another exciting application of Fraxel^® is in the improvement of acne scars. In the past, all we had to offer a patient with acne scars was skin abrasion or the old technology of laser resurfacing, which both had a lot of downtime and a lot of risks associated with those procedures. Seeing the results of Fraxel^® treatments to acne scars is very rewarding. Depending on your desired results (eliminating hyperpigmentation, reducing wrinkles, softening acne scars) the number of treatments needed varies. Fewer treatments are needed to eliminate brown spots as opposed to treating acne scars. Results are both immediate and progressive. You will see an improvement in your skin after the first treatment but your skin will continually improve 2-3 months after your last treatment. The Fraxel ^® results I have seen are well worth the investment.

Erin Owoc has been practicing cosmetic dermatology for the last 7 years in Florida. An accomplished medical professional, Erin continually enhances her knowledge and skills through advanced training in the latest aesthetic techniques and laser technology. Erin received her bachelor’s degree from the Univ. of Florida & her master’s degree from the Univ. of South Florida. Erin can be reached at (954) 680-8330 or Erin@HaveAgelessSkin.com.

The Truth About Laser Hair and Tattoo Removal

by Erin Owoc, Dermatology Nurse Practitioner

I have been performing laser hair and tattoo removal over the past 7 years and would like to share with you my experiences by answering questions my patients commonly ask:

HAIR REMOVAL

What is the difference between IPL and a Laser for hair removal?
A laser (specifically a Candela GentleLASE 755nm alexandrite laser) delivers light at one specific wavelength, which is specific for hair. The energy that is used is much more effective and safer in destroying the hair follicle. An IPL machine (which is not a laser) delivers a wide range of wavelengths and thus has a higher risk in damaging skin at higher energy levels. The results are not even comparable. A true “laser” is so much more effective at removing hair than an IPL. A lot of people that have received treatments elsewhere ask why they have had fifteen treatments and still have a lot of hair. It is either because of an IPL device or lack of skill in the practitioner operating the laser.

How many times do I need to go back and why?
Hair has three phases in the growth cycle and not all of your hair is in the same phase at the same time. The hair follicle must be in the active growth state for the laser to be effective. So no matter if you spend one session for 10 hours, you can never destroy all of the hair follicles in one visit. The average number of treatments is 4. The time for each visit depends on the area treated. On average it is a 15-minute treatment time.

Is it painful?
No. There is mild discomfort but most people are able to easily go through it with no topical anesthesia. The Candela laser we use has a cooling device built in and we also offer topical anesthesia if the person prefers it.

Does it remove hair forever?
Absolutely. And as long as you commit to the correct number of procedures, we guarantee it.

TATTOO REMOVAL

Does is work and how many times do I need the procedure done?
Again, like above assuming you have the correct laser built specifically for Tattoo removal, the results are very good. How many treatments you will need depends on the size of the tattoo, the quality of the tattoo (amateur versus professional), age of the tattoo, and the number of colors in the tattoo.

What colors are most difficult and will I scar?
Black ink is the easiest to remove while green and yellow are the hardest. There is a risk of the skin being hypopigmented (lighter color) in that area. How you will heal has many factors. Everyone heals different. It depends on the area treated, how many treatments you need, and your skin’s own pigmentation.

Erin Owoc has been practicing cosmetic dermatology for the last 7 years in Florida. An accomplished medical professional, Erin continually enhances her knowledge and skills through advanced training in the latest aesthetic techniques and laser technology. Erin received her bachelor’s degree from the Univ. of Florida & her master’s degree from the Univ. of South Florida. Erin can be reached at (954) 680-8330 or Erin@HaveAgelessSkin.com.

Are Your Skin Care Products Effective?

Erin Owoc, Dermatology Nurse Practitioner
Vic Owoc, MBA, President, Ageless Research Labs

It goes without saying that great skin is only possible with the right kind of skin care products. The questions that everyone has are “Which products work?” and “What should I be using?” We always recommend medical grade skin care products because they provide a level of treatment well beyond that of traditional over-the-counter skin care treatments. Medical grade skin care products have the ability to reverse past damage to skin, fight existing skin problems, and protect skin from future damage. In addition, most people do not understand that over the counter products are not required to have clinical studies performed on their products. Only “medical grade” products (available only at a doctor’s office or a med spa) must go through an extensive testing and approval processes to ensure its effectiveness – so buyer beware. There are a couple of critical steps necessary to keep your skin looking its best.

Cleanse: Cleansers should be customized to a person’s specific skin requirements and range from gentle cleansers to exfoliating cleansers. As we get older our collagen replenishment process (the process that makes our skin tight and toned) reduces year after year. However, if you are consistently stimulating your skin with at house treatments, you can speed up this replenishment process to levels back when you were in your 20’s. Exfoliating products found in cleansers and toners, such as Glytone^® Mild Gel Wash, contain glycolic acids which rapidly remove dead skin cells and renew the skin, thus improving the skin’s texture and the appearance of fine lines and wrinkles. For some people, incorporating a scrub or a mask once a week is optimal in deep cleaning the skin and in the exfoliation process

Treat: After properly cleansing the skin, the next step would be to treat the skin. Two new technologies have raised the bar in anti-aging skin care products. One is found in SkinMedica’s ™ TNS products. They contain human growth factors that help the skin repair and regenerate itself. The other is brand new L-hydroxyproline which is found in DermaVio^® products. This amino acid is found in your skin and is clinically proven to reduce fine lines and wrinkles while stimulating collagen formation in your skin. We have also found that DermaVio^® also extends the life of BOTOX^® with its tightening peptides in an “in” capsules and “out” serum application. Retinoids, or retinoic acid, has also been used successfully to treat acne, improve surface skin texture, reduce irregular pigmentation, and increase dermal collagen. It is been widely suggested that everyone should be on a retinoid (from teenagers with acne to adults with aging skin) because of the wonderful benefits of this product.

Existing skin problems can be treated with the right products. Products used to treat acne focus on deep cleaning, treating bacteria that causes acne, and reducing breakouts and surface oil. Products used to treat rosacea (or skin that is prone to redness), such as Avene^® Diroseal, focus on more gentle cleansers and lotions that reduce redness and protect the skin. Products used to treat hyperpigmentation typically contain exfoliants and Hydroquinone. SkinMedica’s™ TNS Hyperpigmentation is a great way to improve the visible signs of skin aging – hyperpigmentation, melasma, photodamage, fine lines, wrinkles, and sallowness.

Hydrate and Protect: After the skin is cleansed and treated, the next step is to hydrate and protect. Properly moisturizing the skin helps restore hydration and revitalize skin tone and texture. You can properly moisturize the skin even in oil-prone skin if proper product is used. You can hydrate and protect in one step with a good moisturizer that contains sunscreen. A good sunscreen should give you a broad spectrum of protection against both UVA (aging) and UVB (burning) rays.

In summary, it is possible to restore vitality and youthfulness to your skin through a daily regimen of medical grade skin care products. With the proper skin care information, the advice of a specialist, and the right products, you can achieve smoother, clearer, younger-looking skin.

Erin Owoc has been practicing cosmetic dermatology for the last 7 years in Florida. An accomplished medical professional, Erin continually enhances her knowledge and skills through advanced training in the latest aesthetic techniques and laser technology. Erin received her bachelor’s degree from the Univ. of Florida & her master’s degree from the Univ. of South Florida. Erin can be reached at (954) 680-8330 or Erin@HaveAgelessSkin.com.

BOTOX^® & DERMAL FILLERS^® – Is it for me?

by Erin Owoc, Dermatology Nurse Practitioner

BOTOX^® Are you starting to pay more attention to the wrinkles across your forehead, the lines between your eyes, or your crow’s feet? If those areas are starting to bother you, BOTOX^® might be the answer for you. BOTOX^® provides the ability to relax the muscles around your forehead, between your eyes and by your crow’s feet to “smooth out” these wrinkles and is extremely effective. BOTOX^® Cosmetic is a very safe and quick procedure that has no down time and is virtually painless. It is best to choose a medical practitioner that has artistic skills and listens to what expectations you may have to be able to achieve your desired results. Make sure your medical practitioner uses only FDA approved ALLERGAN. (YES YOU MUST ASK THAT.)

You will start seeing results within 7 days and the results from BOTOX^® typically last 3-4 months. I get asked a lot on what age someone concerned about their wrinkles should start using BOTOX^®. Some people start aging very early (especially if they have been in the sun a lot or a smoker). My answer is generally when you start seeing the lines “at rest”, which means you are starting to see the lines while having no facial expression. Right when you start seeing the lines would be a good time to start using BOTOX^® to prevent the “etching” in your skin and to avoid deep wrinkles that would follow. I am also asked quite often about the safety concerns on injecting BOTOX^® in your skin. BOTOX^® is quite safe and is FDA approved. The average cost per area is $300-$380.
FILLERS Are you starting to notice the lines running between your nose and your mouth? If so, dermal fillers might be the answer for you. As our skin ages, the dermis gradually loses its major constituents: collagen, elastin and hyaluronic acid. Collagen acts as the major support protein for our skin; elastin allows our skin to stay firm and resist wrinkles; hyaluronic acid helps to trap water and add volume and shape to our skin. A Dermal Filler a compound made up of Hyaluronic Acid that is a proven cure to virtually eliminate the deep lines around your nasolabial folds (lines between your nose and mouth) and other moderate to severe facial folds on your face. Dermal Fillers also enhance the facial contouring and can physically enhance the lips. Because Hyaluronic Acid occurs naturally in the body, it dissolves naturally with time and requires no allergy testing prior to treatment.

The three most popular dermal fillers on the market are; Restylane^®, Perlane^® and Juvederm^®. The most popular is Restylane^® because it has been around the longest. Juvederm^® is quickly gaining popularity because of it’s ability to last longer. However selecting a filler with your medical practitioner will depend on area treated and desired outcome. Most results last up to six months to a little over a year. The most common side effect is a little bruising after the injections. Some mild burning and stinging is normal and quickly resolves. Injection of fillers usually requires the use of either a topical numbing cream or a local injection of numbing medication. Then, using a small needle, the dermal filler is injected into each wrinkle or scar that requires treatment. The average cost for Restylane^® treatment is $600 per area.

The use of BOTOX^® and/or Dermal Fillers are proven to truly take many years off the age of your face and are shown to be very safe when administered by an experienced medical practitioner.

Erin Owoc has been practicing cosmetic dermatology for the last 7 years in Florida. An accomplished medical professional, Erin continually enhances her knowledge and skills through advanced training in the latest aesthetic techniques and laser technology. Erin received her bachelor’s degree from the Univ. of Florida & her master’s degree from the Univ. of South Florida. Erin can be reached at (954) 680-8330 or Erin@HaveAgelessSkin.com.

The Best Kept Secret for Youthful Looking Skin

by Erin Owoc, ARNP-C, Dermatology Nurse Practitioner

I have been often asked if I had just $100, what I would spend it on to make my skin look younger and to improve fine lines, wrinkles, and age spots. Hands down it would be a light chemical peel. Not only is it an inexpensive way to make your skin look rejuvenated, it is also a quick procedure. Typically a chemical peel only takes 15 minutes, which is why they are sometimes called “lunch time peels” and are virtually pain free.

As we age, the accumulated effects of sun exposure, environmental pollutants, acne, and scarring can damage our skin and cause us to look older than we are. Chemical peels are topically applied acids that aid in the restoration and rejuvenation of the skin's surface. Chemical peels stimulate the production of new cells which improve fine lines, tighten and tone the skin, help with acne scarring, and improve discoloration due to sun-damage, age spots and uneven pigmentation. The condition of the skin and healing times vary depending upon the strength of the peel performed.

Another fantastic application of a light chemical peel is using it to treat the skin on the neck, décolleté (chest), and hands. These areas of the body also show signs of aging and should not be forgotten in the pursuit of youthful looking skin.

Chemical peels vary according to their specific ingredients and strength. The actual depth of the peeling can also depend on other considerations such as how long the solutions remain on the skin and if they are lightly, heavily or vigorously applied. For light to medium uses, physicians use a solution known as AHA (alpha hydroxyl acid,) which include glycolic, lactic or fruit acid. AHA treatments may require a series of multiple applications with very minimal pain. Medium peels consist of TCA (trichloroacetic acid) and is stronger and peels the skin down to a greater depth.

Improvements from light AHA peels may be very subtle at first. You may detect a healthier glow to your skin. With continued treatments, you will notice a general improvement in the texture of your skin. The results of a medium TCA peel will be noticeably smoother and fresher-looking.
Chemical peels are a great way to have smoother, brighter-looking skin for holiday parties and family get-togethers. A consultation with your practitioner will determine the best type of chemical peel for you. I have personally witnessed hundreds of patients get incredible results, in a short amount of time, without breaking the bank with chemical peels.

Erin Owoc, ARNP-C has been practicing cosmetic dermatology for the last 7 years in Florida. Erin can be reached at (954) 680-8330 or Erin@HaveAgelessSkin.com.

The Science of Skin Aging and Supplementation

Skin is the largest organ of the human body, weighing approximately 10 pounds and covering an area of about 16 square feet. We generally take skin for granted and tend not to take very good care of it. Our skin is responsible for protecting our internal organs from the toxic external world. Our skin protects us from heat, cold, and physical injuries. It also provides us with sensory information about the nature of the external world and is our first defense against invasion by bacteria, viruses, and other toxic elements. The skin is also an excretory organ, removing toxins from the body via perspiration.

Although there are many diseases that can affect the skin, the most common problems that we all have are the effects of our exposure to ultraviolet (UV) radiation from the sun over time. Having a healthy tan has, in the past, been a sign of good health. In the last 10 years, with the changes in the ozone layer in the upper atmosphere, it is clear that the effects of UV radiation from the sun are much more dangerous than originally thought. There are many causes for the accumulated cellular damage in the skin that we call aging. Among these are the oxidative processes and related free radical damage that result from UV sunlight, smog, toxins, cigarette smoke, X-rays, drugs, and other stressors. Young skin is also exposed to these potentially damaging changes, but when we are young, there is sufficient cellular energy (ATP) for DNA repair and cell renewal. Enzymes that provide antioxidant activity such as SOD and catalase are readily available. As we age, there is increased wear and tear, while at the same time the energy for cell repair and renewal is diminished and the antioxidant enzymes are less available.

Specific diseases that affect the skin will not be covered in this protocol, but will rather be listed under the disease category itself (e.g., Acne). This protocol will primarily deal with the effects of aging on the skin.

Health-conscious Americans are concerned about the damage that sunlight inflicts on the skin. Protecting against the effects of ultraviolet radiation is a multi-million dollar industry. Creams, lotions, cosmetic products, and protectants are to be found everywhere, resulting in confusion for the consumer regarding what products are really helpful. Cosmetic companies may seize upon an idea, put that ingredient into a cream or lotion without much research, and then advertise it to an unsuspecting public. This protocol will only use evidence from peer-reviewed journals.

The Anatomy of Our Skin
Our skin consists of two main layers: the dermis and epidermis. The dermis is the inner layer of skin that contains nerve fibers, fat cells, blood vessels, sweat and oil glands, and hair follicles. The dermis also contains collagen and elastin, two proteins that are responsible for the structure and elasticity of the skin itself. These proteins are subject to the process of aging. The sweat and oil glands in the dermis protect the outer layer of skin with a thin coating of oil and perspiration.

The epidermis is the outermost layer of our skin. New cells generated by the dermis continually replace this layer. Removal of the epidermis, as in a scrape or burn, reveals an unprotected sensitive dermis underneath. The epidermis also contains melanocytes or pigment cells. These cells produce melanin, which determines the shade of your skin (a heritable factor).

SKIN AND FREE RADICALS

Scientists now believe that the free radical theory of disease also applies to the aging of the skin. Free radicals are unstable small molecules generated by an oxygen environment which require stabilization by the body's antioxidant system. Free radicals occur throughout every cell in our body simply by virtue of the fact that oxygen is our principal metabolic fuel. Strong sunlight readily generates free radicals in the skin. Our hands, face, neck, and arms are the areas usually chronically exposed to light. These parts of the body, particularly the face, are where aging of the skin shows up.

The skin protein collagen is particularly susceptible to free radical damage, and when this damage occurs, it causes the collagen protein molecules to break down and then link back up again in a different way; this is known as cross-linking. Collagen cross-linking causes the normally mobile collagen to become stiff and less mobile. Sunlight also causes the messenger molecules present in skin cells to become active and create inflammatory products. Fisher et al. (1977) have shown that the multiple small exposures to ultraviolet irradiation lead to sustained elevations of enzymes that degrade skin collagen and contribute to photo- aging.

Skin cancer typically occurs in skin that is photo-aged. Wrinkles, laxity, uneven pigmentation, brown spots, and a leathery appearance characterize photo-aged skin. In contrast, chronologically aged skin that has been protected from the sun is thin and has reduced elasticity, but is otherwise smooth and unblemished.

The following factors can accelerate skin aging:

• sun exposure
• first- or secondhand cigarette smoke
• environmental toxins
• poor diet
• excess alcohol consumption
• stress
• harsh soaps or detergent-based moisturizers
• sleep deprivation

One way of mitigating the effects of these skin-damaging foes is to increase levels of protective antioxidants through a diet rich in fruits and vegetables, topical application or supplementation.

Critics used to claim there was no evidence that topically based products affected skin aging. Over the years, a remarkable number of published studies have proven these skeptics wrong! Science clearly substantiates the role that free radicals play in causing skin aging and the fact that topically applied antioxidants confer significant protection and can even partially reverse some aspects of skin aging. Indeed, various animal and human studies have proven that low molecular weight antioxidants, especially vitamins C and E, as well as alpha-lipoic acid exert protective effects against free radical damage (oxidative stress) (Podda et al. 2001).

In a double-blind study, a topical vitamin C complex was applied to one half of the face and a placebo gel to the opposite side. Clinical evaluation of wrinkling, pigmentation, inflammation, and hydration was performed prior to the study at weeks 4, 8, and 12. The results showed a statistically significant improvement of the vitamin C-treated side, with decreased photoaging scores of the cheeks and the perioral area. The peri-orbital area improved in both the vitamin C and placebo-gel group, probably indicating improved hydration. The overall facial improvement of the vitamin C side was statistically significant. Biopsies showed increased collagen formation in the vitamin C group. This study showed that topically applied vitamin C results in clinically visible and statistically significant improvement in wrinkling when used for 12 weeks. This clinical improvement correlated with biopsy evidence of new collagen formation (Fitzpatrick et al. 2002).

In response, cosmetic companies have increased the percentages of active ingredients with the goal of replicating the antiaging effects revealed in the published studies. The problem of increasing the level of active ingredients is that the wrong layers of the skin can be overly saturated resulting in irritation and reduced efficacy.

The first step in resolving this problem is to encase the active ingredients so that they can be absorbed through the top layer into the lower layers of the skin where they are most active. The second step is to design a delayed release system so that the active ingredients can be released over an extended amount of time.

Other Factors
In spite of the effect of sunlight on the skin, there are other factors that affect skin health that occur regardless of our exposure to sun rays. Dryness, loss of tone and fullness, diminished immune responses, and reduced ability to repair damage are all factors that contribute to the aging process.

There are many types of skin tones and qualities. Men tend to have thicker skin than women due to the dominant hormone testosterone. However, in later years, the lack of estrogen in women and testosterone in men tend to cause changes in both genders.

Each individual will have a different skin, with different oil production, color, and texture. Clearly, people with dry, white skin should use only mild cleansers and never use grainy cleansing products. Moisturizers and oil-based make-ups will also be required. On the other hand, those with an oily, darker skin can use mild liquid cleansers and an oil-blotting foundation. Generally, the use of sunscreens is reasonable as long as it does not create a false sense of security. Do not go out for longer periods of time in the sun just because you're wearing a sunscreen.

Skin damage occurs when the membrane covering of the skin cell is damaged by free radicals. Free radicals make the membrane more permeable, allowing the cells to dehydrate (lose water). The membrane of the cell is what is called a lipid bilayer: two layers of fat end-on-end. Enzymes are activated when the skin is traumatized or exposed to sun. Enzymes break down the lipid bilayer and cause inflammation. Thus, any antioxidants must be fat-soluble to protect this layer.

Chronic inflammation is an underlying cause of common degenerative diseases. One study found that pro-oxidative factors that accelerate skin aging might activate a self-maintained micro-inflammatory process that interferes with skin elasticity and thickness. This study stated that topical antioxidants decrease this inflammatory cascade and thus afford protection to the skin structures (Giacomoni et al. 2000).

The effect of exposure to even ambient UV irradiation increases the risk for long-term, detrimental effects characterized by wrinkles and loss of skin tone and resilience. Photo-aged skin displays prominent alterations in the cellular component and the extracellular matrix of the connective tissue. UV exposure results in an accumulation of disorganized elastin and a severe loss of collagens, the major structural proteins of the dermal connective tissue. The unifying pathogenic agents for these changes are UV-generated free radicals. As well as causing permanent gene mutations, free radicals activate signal transduction pathways that are related to growth, differentiation, senescence, and connective tissue degradation (Scharfetter-kochanek et al. 2000).

WHAT IS GOOD FOR YOUR SKIN?

When most people think about good things that they can do for their skin, they usually think about things they will put on their skin rather than what they will put inside themselves to make their skin healthier. Although topical application of certain products is essential, equally important is the nourishment of the skin from the inside. Everything from essential fatty acids, antioxidants, and other supplements to the food that we eat is critical in maintaining healthy skin that ages slowly.

The Outside Story
The first preventive measure you can take is to reduce the amount of UV light that you are exposed to. This can be done either by avoiding the sun completely or more practically by wearing at least an SPF15 sunblock. One danger with using a sun block is that it tends to make people feel like they can go out in the sun more! So they end up with the same amount of UV radiation because they are simply out in the sun longer. For areas that are more exposed, such as the nose and cheekbones, a sun-blocking titanium oxide would probably be best.

Considerable interest has been generated about combining antioxidants with sunscreens to provide enhanced protection against UV rays. Two of the best-known antioxidants are vitamins C and E, both of which have been shown to be effective in different models of photodamage. In a study done on swine skin, vitamin C provided additive protection against acute UVB damage (sunburn cell formation) when combined with a UVB sunscreen. When a combination of vitamins E and C were used, very good protection from a UVB insult occurred. Vitamin C, however, was significantly better than vitamin E at protecting against a UVA-mediated phototoxic insult in this animal model (Darr et al. 1996).

When it comes to makeup and skin care products, people with oily skin should clearly avoid products that have oil in their formula. Those with dry skin need products that have essential oils combined in the formula. Cleansing the skin by washing once daily without astringent products is probably a good idea as well. Facial masks can help hydrate skin, but can be harmful if they cause irritation. They should never be used more than once a week.

 

Antioxidants
Although antioxidants are well-known for their beneficial effects inside the body when taken orally, in the case of skin, there are a number of antioxidants that are helpful when applied topically (Podda et al. 2001).

Human studies have demonstrated pronounced protective effects of antioxidants when applied topically before UV radiation exposure. With respect to UVB-induced skin damage, the photoprotective effects of antioxidants are significant. Topical application of such combinations may result in a sustained antioxidant capacity of the skin, possibly due to antioxidant synergisms. Free radicals are culprits behind UVA-induced skin alterations, thus indicating a basis for topical antioxidant administration. In a human study, topical application of antioxidants resulted in diminished severity of UVA-induced sun damage. Thus, regular application of skin care products containing antioxidants may be of the utmost benefit in efficiently preparing skin against exogenous oxidative stressors occurring during daily life. Sunscreen agents may also benefit from combination with antioxidants resulting in increased safety and efficacy of such photoprotective products (Dreher et al. 2001).

Vitamin C Esters. Vitamin C ester is vitamin C with a fatty acid attached to it. It is fat-soluble and rapidly penetrates the skin, being much better absorbed than vitamin C alone. Products containing vitamin C ester, such as ascorbyl palmitate, will be helpful in reducing and preventing skin damage (Yamamoto et al. 2002).

Skin Aging

Vitamin C does more than inhibit skin-damaging free radical activity. It is also required for collagen synthesis, which declines markedly in aging skin. As humans age, they suffer diminished microcapillary circulation within the skin, thereby depriving skin cells of the supply of vitamin C it needs for youthful collagen synthesis. The topical application of vitamin C in a skin-penetrating medium can enhance the availability of vitamin C for collagen production. Vitamin C regenerates vitamin E in the skin. An antioxidant like vitamin E can only suppress a limited number of free radicals before it runs out of electrons to donate. Vitamin C regenerates vitamin E and enables vitamin E to provide sustained antioxidant protection in the skin's elastin fibers. Vitamin C also plays a vital role in skin repair. When skin is injured, its vitamin C content is used up rapidly in the scavenging of free radicals, and in synthesizing collagen to speed healing.

A randomized double-blind controlled study was conducted on human volunteers to determine the efficacy of topical vitamin C application in treating mild to moderate photodamage of facial skin. Methods of evaluating efficacy included an objective computer-assisted image analysis of skin surface topography, subjective clinical and photographic appearance and patient self-appraisal questionnaires. Topical vitamin C was applied to one side of each patient's face and a control vehicle on the other side for 3 months.

The results using the optical image analysis demonstrated that compared to the placebo-vehicle, the vitamin C-treated side of the face showed a statistically significant 71% combined score improvement. Clinical assessment parameters demonstrated significant improvement with vitamin C treatment compared to the placebo vehicle for fine wrinkling, tactile roughness, coarse rhytids, skin tone, sallowness, and overall features. Patient questionnaire results demonstrated statistically significant improvement overall, with the vitamin C treatment 84.2% greater than control. Photographic assessment demonstrated significant improvement with vitamin C treatment (57.9% greater than the improvement in the control group). This 3-month study using topical vitamin C provided objective and subjective assessment of the improvement in photodamaged facial skin (Traikovich et al. 1999).

FOODS
Foods rich in nucleic acids (RNA), such as sardines, salmon, tuna, shellfish, lentils, and beans, help improve cell energy through a "salvage pathway" and foods rich in antioxidants and other phytochemicals, such as fruits, vegetables, and green tea, help protect against oxidative damage and free radical attack of all body cells including the skin.

 

 

 

Aging causes a progressive decline in our ability to internally synthesize the essential fatty acids (EFAs) required by the skin to maintain a youthful, moist appearance. The most important oils to supplement are the omega-3s that can make the skin smoother, softer, and more radiant-looking. When skin is properly nourished, it shows less of the effects of aging. The oral ingestion of fish, flax, or perilla oil provides abundant quantities of the omega-3 fatty acids that are so beneficial to the health and appearance of the skin. Also, if there is a tendency to develop eczema (a common skin condition), oil of Evening Primrose or borage oil are essential nutrients to be supplemented.

Avoidance of more than modest exposure to the sun's UV light is critically important to protect the skin against the oxidizing effects of solar radiation. UV rays are categorized by wavelengths: UVA, UVB, and UVC.

The ozone layer filters out the UVC and many of the UVB rays, but the ozone layer is not the same as it used to be and seems to have little or no effect on UVA rays which make up 90% or more of the sun's radiation that reaches the earth. Indeed, it is exposure to UVA that causes most of the photo-aging damage: the premature wrinkles, loss of elasticity, hyperpigmentation, and a dry, dull, leathery texture.

UVB, which is most intense from 10 a.m.-2 p.m., can cause sunburns and basal-cell cancers of the skin as well as increase the risk of melanomas. Yet sunscreens, which are geared to filter out UVB, seem to have no effect on the incidence of melanoma. Of interest are studies showing that people who are continuously exposed to the sun--farmers and fisherman, for example--seem to be less at risk for melanoma than a vacationer, especially a fair-skinned sunbather who exposes his or her skin to intense sun for a few days or a week.

A Word about Vitamin D
Recent publications regarding the adequacy of vitamin D in the general population have been alarming. It appears as though not only are people not getting enough of this vitamin, but that even in the summer months the amount is suboptimal in some population groups in the northern latitudes (i.e., above the 35th parallel) ( Viethl et al 2001). Most of our vitamin D comes from sunlight, specifically the UVB fraction. Lack of sun exposure will, in time, inevitably lead to suboptimal levels of vitamin D ( Tangpricha et al. 2002). The supplemented form of vitamin D found in milk is insufficient to bring levels to normal ( Trang et al. 1998). Milk is fortified with vitamin D2,, not vitamin D3, which is the active component. Vitamin D2 is also the form of vitamin D that is likely to lead to toxicity if taken in large quantities. What is the answer? First, if you live above the 35th parallel, make sure you obtain at least 400 IU a day of vitamin D3 in supplement form. Some doctors are advising much higher amounts of vitamin D3 to protect against cancer. Because this is such as inexpensive vitamin, doses up to 1400 IU daily should be considered without the need for blood tests to guard against vitamin D toxicity. Some research indicates that much higher amounts of supplemental vitamin D3 are safe and desirable.

DHEA Saves Skin
DHEA has beneficial effects beyond its conversion to skin-friendly hormones. DHEA itself has powerful skin protective effects. A study in the Journal of Surgical Research demonstrates the extraordinary ability of topically applied DHEA to protect skin's delicate blood vessels. Researchers found that if DHEA was applied after a serious burn, the blood vessels underlying the burned area are protected (Araneo et al. 1995). Protecting the blood vessels saves the skin. Skin and blood vessels that would otherwise die and peel off can be saved by DHEA. No one knows for sure how DHEA saves skin this way, but its anti-inflammatory action no doubt has something to do with it. DHEA prevents destructive white blood cells and their biochemical cousins from gearing up. In particular, DHEA affects a blood vessel killer known as "tumor necrosis factor."

DHEA has action against everyday insults as well. By maintaining skin immunity, DHEA preserves the ability of skin to react to cancer-causing, skin-destroying pollutants in air, food, and water. DHEA also has antioxidant action against peroxyl and superoxide free radicals.

Free radical defense may have a lot to do with DHEA's ability to prevent skin cancer and papillomas (benign tumors). According to several studies in mice, topically applied DHEA keeps oxidant-loving enzymes at bay. Chemicals with carcinogenic potential depend on oxidases for transformation. DHEA's antioxidant action stops them (Schwartz et al. 1986a; Schwartz et al. 1986b; Hastings et al. 1988). DHEA has another important defense: It keeps chemical carcinogens from binding to DNA (Pashko et al. 1985; Pashko et al. 1991).

The Inside Story
Nourishing the skin with topical ingredients is important, but in addition it is essential that you feed your skin nourishing food and drink. The effects of aging can be seen directly by looking at skin, not something possible for most organs in the body, which are hidden from view. The following are general considerations for nutritional optimization of skin function:

1. As much as possible, remove all processed foods from your diet. There are two reasons for this. First, processed foods tend to contain high levels of sodium, sugar, fat, and other undesirables, such as color and preservatives. Second, processed foods usually contain less nutrition than whole foods. Strange as it may seem, "enriched bread" has had 60% of its minerals removed along with most of the fiber. Some nutrients have been added back, but only some. The nutrient density of processed foods is very low and leaves much to be desired.
2. Eat foods that are natural and whole, such as whole grains, fresh or frozen vegetables, fruits, nuts and seeds, and so forth. Your plate should contain mainly fruits, vegetables, and grains with a small amount of protein, such as fish or poultry, added.
3. Drink plenty of water: 8 glasses a day are recommended. (Some of our water requirements can come from fruits and vegetables.)
4. Do not fry foods or barbecue them for long periods of time.
5. Use alcohol only in moderation: one drink a day, for example.
6. Eat foods that are high in antioxidants. These foods are highly colored, such as cantaloupe, spinach, berries, and cruciferous vegetables (cauliflower, cabbage, and sprouts).
7. Remove sugar and saturated fats. Use a sweetener if you like.
8. Take a good multivitamin with an added antioxidant formula, particularly mixed carotenes, vitamin C, vitamin E, selenium, and zinc. Add some vitamin A, the "skin vitamin," together with supplements of RNA and B vitamins (for coenzymes) and the minerals zinc, copper, and manganese. These provide even more intensive protection against damaging free radicals. The increased cellular energy helps the skin repair, renew, and revitalize itself.

SUMMARY

Not only is skin the largest organ in the human body, it is arguably one of the most important as well. The age-accelerating effect of UV rays has been documented to the point where protecting the skin against sun exposure is mandatory.

Diet and lifestyle changes can have a potent effect on the appearance and health of the skin. In fact, published findings indicate that one may have more control over the rate at which their skin ages than any other organ of the body. To slow skin aging and partially reverse it, an individual must take a comprehensive approach to gain control over all of the factors that have been identified in the skin degeneration process. Scientific evidence now indicates that, in addition to proper nutrition and health care, the daily supplementation of a variety of agents plays an important role in the preservation and rejuvenation of skin.

Based on these facts, Ageless Skin Medical Spa carries these 4 research proven skin supplements:

Life Extension Mix. Antioxidants such as vitamins A, C, and E; bioflavonoids; and the minerals selenium, zinc, and manganese provide protection against damaging free radicals and help to repair, renew, and revitalize skin. A convenient way of obtaining all of these nutrients is to take the Life Extension Mix multinutrient formula.

Coenzyme Q10.  Coenzyme Q10 - (CoQ10) is an essential component of healthy mitochondrial function. It is incorporated into cells’ mitochondria throughout the body where it facilitates and regulates the oxidation of fats and sugars into energy. Aging humans have been found to have over 50% less CoQ10 on average compared to that of young adults. This finding makes CoQ10 one of the most important nutrients for people over 30 to supplement with. About 95% of cellular energy is produced in the mitochondria. The mitochondria are the cells “energy powerhouses” and many maladies have been referred to as “mitochondrial disorders.” A growing body of scientific research links a deficiency of CoQ10 to age-related mitochondrial disorders.

DermaVio .  DermaVio was developed for the purpose of counteracting skin free radicals from the start.  Contains Anti Radical Antioxidants, Skin Protecting Vitamins (A, E and C), Co-Q10, Selenium, DMAE,  Alpha Lipolic Acid, Collagen Enhancing amino acid L-Hydroxyproline and other Age Defying Botanicals

 

Super Omega 3. Essential fatty acids are required by the skin to maintain a moist youthful appearance. An abundance of scientific research substantiates the wide-ranging health benefits, including promoting a healthy heart, of omega-3 fatty acids in fish oil and monounsaturated fatty acids-polyphenols in olive fruit.

News April, 2008...Amino Acids and the Natural Moisturizing Factor

Copyright 2008 by Virgo Publishing.
http://www.insidecosmeceuticals.com/
By: Somlynn Rorie

Skin care regimens tailored toward specific skin types and conditions have garnered interest among consumers who are leaning toward a more personalized approach in caring for their skin.

In an increasingly competitive marketplace, manufacturers are seeking the newest active ingredients, delivery systems and results that differentiate their products from the competition. The hot button resides in the most current research on amino acids and specific components of the skin, providing new opportunities and outlets for addressing pervasive skin conditions. Interestingly, the latest dermatologic research pulls back the layers and delves deep into the physiology and anatomy of skin. Instead of looking at solutions to these problems, researchers are uncovering the root causes behind dryness, dermatitis, allergies and reactions.

A FLESHY FOUNDATION

Skin consists of two main structural layers: the epidermis, the outer protective layer of the skin; and the deeper layer known as the dermis, which provides the skin’s structural support. The epidermis is made up of layers of cells in various stages of development, connected by protein bridges called desmosomes. At the base of the epidermis are reproductive cells known as basal cells. When these cells evolve and mature they move toward the outer skin layer, making room for new cells. As they reach the stratum corneum, the top layer of skin, the cells turn into corneocytes, cells that lack a nucleus and cellular structure. "Corneocytes are flat, hexagonal-shaped cells filled with water-retaining keratin proteins surrounded by a protein envelop and lipids," said Christina Marino, M.D., in a Washington State Department of Labor and Industries report, "Skin Physiology, Irritants, Dry Skin and Moisturizers." "The cellular shape and the orientation of the keratin proteins add strength to the stratum corneum. There are 10 to 30 layers of stacked corneocytes." She added stacked bilayers of lipids surround the cells in the extracellular space, which helps form the natural physical and water-retaining barrier of the skin.

Filaggrin, an essential protein in skin barrier function, is gaining attention as a vital component of healthy skin. It serves a key role in the process of forming a protective layer in the stratum corneum, and helps keep water in and foreign organisms out. As aging cells move toward the stratum corneum, the cells clump proteins into granules, which are then filled with filaggrin. Afterward, a complex of keratin proteins and filaggrin is produced to protect the filaggrin from proteolytic breakdown. As old cells move toward the stratum corneum, enzymes break down this complex, causing the filaggrin to reside outside of corneocytes, and the keratin inside the corneocytes, Marino explained, noting, "When the moisture content of the skin is decreased, specific proteolytic enzymes in the stratum corneum are triggered to further break down filaggrin into free amino acids."

exCel Cosmeuticals, manufacturer of the patented AFA™ formulation based on the body’s natural acid amino acids, added, "Filaggrin is metabolized in the epidermis into several acidic amino acids and these amino acids are the primary agents responsible for the skin’s ability to retain moisture."

Research suggests a lack of filaggrin can result in conditions such as dry skin (ichthyosis vulgaris) and atopic eczema, a chronic inflammatory skin disease characterized by a defective skin barrier function that affects 10 to 20 percent of children and 1 to 3 percent of adults in industrialized countries.1 University of Dundee, Scotland researchers, led by Irwin Mclean, found a defect in the filaggrin gene can cause dry skin, eczema, eczema-associated asthma and other allergies.2 Additionally, researchers from the National Jewish Medical and Research Center, Denver, investigated whether reduced filaggrin expression already existed in patients with atopic dermatitis (AD), or if the filaggrin was modulated as a response to atopic inflammation. They concluded after evaluating 69 subjects that patients with AD have an acquired defect in filaggrin expression that can be modulated by the atopic inflammatory response.3

Current topical solutions for these conditions consist of emollients and ointments used to keep the skin moist, as well as anti-inflammatories to treat inflammation. New cosmeceutical ingredients also hold promise in helping ease the symptoms or lower the risk of eczema. For example, a study published in the Journal of Allergy and Clinical Immunology found mothers taking probiotic supplementation during pregnancy and providing young infants with Lactobacillus reuteri after birth could reduce the incidence of eczema.4 Another study suggested supplementation with the omega-3 polyunsaturated fatty acid docosahexaenoic acid (DHA) may offer bioactive benefits for atopic eczema sufferers.5

THE NATURAL MOISTURIZING FACTOR

In the course of the last few decades, a group of compounds, consisting of free amino acids (some of which are broken down filaggrins), lactic acid, urea and salts, have been identified as key nutrients in attracting and retaining water, which are responsible for maintaining a healthy balance for moist and pliable skin. These components, as well as ingredients that mimic their actions, are often referred to as the natural moisturizing factor (NMF). "The natural moisturizing factor is an integral component of the horny layer of the skin," said Bruce Gesslein, technical manager, Ajinomoto USA Inc., Specialty Chemicals Division. "The horny layer is comprised of about 30 percent NMF, 10 percent lipids and 60 percent PCA [pyrrolidone carboxylic acid, an amino acid-derived component]. The NMF is responsible for maintaining moisture and suppleness of the skin. It has been shown that in unhealthy and damaged skin, the NMF is depleted to an extent."

NMF components absorb water from outside elements and combine the liquid with its own water content, keeping the outer layer of the stratum corneum hydrated. Interestingly, because these compounds are water soluble, overhydration can make the skin drier. In a study published in the Journal of Investigative Dermatology, researchers investigated the specific influences of NMF components other than amino acids and found seasonal changes in the physical properties of the stratum corneum from summer to winter were accompanied by significant decreases in the levels of lactate, potassium, sodium and chloride.6 Lactate and potassium were the two components found to correlate significantly with the state of hydration, stiffness and pH level. Moreover, potassium lactate restored the stratum corneum hydration state decreased by extraction of NMF, suggesting lactate and potassium may play roles in maintaining the physical properties of the stratum corneum.

When the NMF content is reduced, a variety of complications can occur, ranging from tough skin and flaking to wrinkles. A prolonged stratum corneum malfunction can weaken the skin’s intercellular matrix.7,8 A variety of constituents such as amino acids, proteins, ceramides, hyaluronic acid, fatty acids, linoleic acid are just a few elements that work in keeping the skin moisturized.

WATER RETENTION

Amino acids are fundamental constituents of the 100,000 different proteins found in the human body. The sequence of amino acids determines the unique properties of each protein. If one essential amino acid is missing, the protein cannot be formed. Each protein is composed of different quantities of amino acids, which include alanine, arginine, asparagine, aspartic acid, cysteine, cystine, glutamic acid, glutamine, glycine, histidine, isoleucine, leucine, lysine, methionine, phenylalanine, proline, serine, threonine, tryptophan, tyrosine and valine. Some of these amino acids, called non-essential, can be synthesized by the body; essential amino acids must be obtained from the diet. According to Ajinomoto, about half of the NMF in the skin is made up of amino acids and PCA derived from glutamate, another amino acid. "Skeletal muscles, organs, skin and hair are comprised of these proteins," Gesslein added. "They also occur in the free state in the skin where they act as moisturizers, enter into metabolic cycles and are essential for health and life."

Yoichiro Sugimura, director of business development, Kyowa Hakko Kogyo, added: "Amino acids are the building blocks of protein. Skin is made up mostly of collagen, and collagen of protein. Hence, amino acids work as basic structure components of the skin."

According to in vitro and in vivo clinical research, Kyowa found a certain amino acid, L-hydroxproline (as Lumistor^®, from Kyowa Hakko), stimulates collagen synthesis, increases skin moisture and has an anti-wrinkling affect. "In other words, it is not just a ‘passive’ building block, but a ‘proactive’ cosmeceutical, too," Sugimura said, adding L-hydroxproline works topically and internally to achieve an anti-wrinkling result.

Amino acids function on several levels. "Amino acids are important components of the skin and the NMF," Gesslein said. "They have various functions including the promotion of collagen production, modulating micro-circulation, and keeping the skin moisturized and supple. By working both on and in the skin, the effects can be maximized."

When used as ingredients within cosmetics, amino acids most often serve as humectants or water-binding agents. They’ve also been suggested to enhance the bioavailability of minerals, according to Albion Advanced Nutrition. However, recent discoveries have suggested amino acids may possess both antioxidant and wound-healing properties. AGI Dermatics, for example, released comparative data that claimed its L-ergothioneine, an exclusive natural amino acid used in topical applications, is a powerful antioxidant that protects against oxidative damage and reduces ultraviolet (UV)-induced hydrogen peroxide generation.9

Collagen, a key protein found in connective tissues, provides structure and strength to these tissues. Ajinimoto noted collagen actually consists of various amino acids and, when used as a cosmetic ingredient, keeps the skin supple. According to Ajinomoto, the administration of the amino acid arginine promotes the regeneration of skin due to its enhanced collagen synthesis in the dermis, and the involvement of glutamine and arginine may participate in the synthesis of collagen and elastin10—the bundles of protein that allow the skin to stretch and snap back to its original state.

The NMF factor continues to serve as inspiration for new research and ingredient innovations. While amino acids in general have been used in moisturizing creams and anti-aging properties for quite some time, combination amino acids hold promise as potential cosmeceutical ingredients. Kyowa, for example, is focusing on di-peptides, molecules comprised of two amino acids joined by a peptide bond. According to Sugimura, di-peptides yield a completely different physiological effect from that of the two component amino acids. Kyowa’s Alanyl-Glutamine acts as an energy source for cells, vitalizing the skin and offering collagen synthesis ability.

Gesslein noted more personal care products will feature amino acids in their ingredient profile: "Individual amino acids, especially optimized combinations of amino acids, to deliver specific functions will continue to grow. Since these materials can be easily formulated in personal care products and produce real consumer perceptible effects, amino acids will play a key ingredient now and in the future."

The NMF Glossary

Amino acids, lipids, ceramides, hyaluronic acid are similar in the way they serve as building blocks for the skin.

Lipids cannot penetrate the skin, so they provide a cover layer and protect skin from external environmental pollutants.

Ceramides are intercellular lipids composed of sphignolipids and fatty acids. They form bilayers that help the skin maintain moisture and recover from damage—especially good for the skin membrane.

Hyaluronic acid is a non-sulfated glycosaminoglycan found in connective tissue and epithelial cells. It is used mainly as a topical moisturizer since its molecular weight is too large to penetrate the skin surface. It has an extremely high water retention capacity and can capture moisture internally and from the outside environment.

A New Painless & Effective Cellulite Reduction Procedure

by Erin Owoc, ARNP-C, Dermatology Nurse Practitioner

Isn’t it frustrating that no matter how hard you exercise or diet this “cottage cheese” look pops up first on the backs of thighs, shows up later on the buttocks and eventually even on the backs of your arm and calves. Whatever the case, I have never met a patient that is not bothered by this.
What is cellulite?

Cellulite is a common skin condition known for its dimpled appearance caused by enlarged fat cells trapped in an inflexible network of fibrous septae located in the subcutaneous layers of skin. It affects 85-98% of post-pubertal women. For years it was thought that cellulite occurred primarily due to obesity, excessive weight gain, lack of exercise and poor diet, but in actuality, this is not the case. The formation of cellulite is due to several genetic and physical factors that include hormones, vascular changes and connective tissue changes.

Contrary to popular belief, cellulite is not caused by excess weight. It's all in your genes, which explains why even skinny women can have it. Cellulite is caused by clumps of fat cells that push up against surrounding fibrous connective tissue. The inherent thinning of skin's support structure makes fat cells more obvious. This is what gives you dimples and what appears to be clumps of fat under your skin.
How to Get Rid of It?
There are some doctors who try to treat cellulite with liposuction. However there are also doctors who warn that in addition to the risks and expense, liposuction may have only limited results. Liposuction is designed to remove deep fat, whereas cellulite is a shallow fat, which is directly under the skin. What results there are with liposuction will be only temporary.
We have recently found a solution that looks extremely promising for the reduction of cellulite that we have been researching and testing at Ageless Skin for the past 9 months. The procedure is called SmoothShapes®. Based on six years of scientific development, SmoothShapes® utilizing Photomology® technology is designed to offer a new and innovative way to treat cellulite, safely and effectively, while achieving long-lasting results.
The FDA approved SmoothShapes® treatment protocol consists of two painless treatments a week for 4 weeks. Many of our patients experience changes in their skin texture and firmness after as little as two treatments.
How SmoothShapes® Works
Following the procedure, you can resume normal activity without pain or downtime and without any restrictions. Some things you may notice after treatment are:

• Skin may appear slightly pink which resolves itself anywhere from 15 minutes to 2 hours after treatment
• Skin may feel slightly warm, which resolves itself within 30 minutes after treatment

So although there is currently no permanent cure for cellulite, SmoothShapes has demonstrated to reduce cellulite with lasting results.  I would highly recommend it to my patients wanting a non-invasive, painless solution for cellulite.

Facts Comparing BOTOX VS. DYSPORT

by Erin Owoc, ARNP-C, Dermatology Nurse Practitioner

I have been injecting BOTOX for the past 9 years to well over 3,500 patients, with a 99% client satisfaction rate. We are currently one of the few PLATINUM level medical providers with Allergan Botox in South Florida. I have personally injected over 550 patients in the past 12 months alone so I have a ton of experience on this topic. In the past 6 months we have been learning more about Dysport, the new injectable treatment for wrinkles. I wanted to update everyone about what Dysport is, and what is the same and different about it versus BOTOX.

Dysport is a new injectable treatment for wrinkles made from the same neurotoxin (botulinum toxin type A) as Botox. Dysport has been used to smooth wrinkles in Europe, South America, and elsewhere for several years. Dysport does now have the approval of the FDA for use in the US and may become popular. Botox is currently the most popular cosmetic procedure in the US.

The differences between Botox and Dysport are actually very small. Both drugs contain the same main ingredient: the botulinum toxin. Like Botox, Dysport temporarily immobilizes the muscles that cause facial wrinkles. The drug specifically targets the glabellar muscles of the forehead—the ones that create frowns. What it’s doing is really blocking the signal between the nerve and the muscle, so when you tell yourself to frown, the muscle really never gets that message.

RISKS- Injected in small amounts, Dysport and Botox offer the same results with the similar side effects, too – such as possible bruising at the site (which I must say very rarely happens when I inject BOTOX to my clients). However, because of the “3 times” more volume required with Dysport compared to BOTOX, Dysport potentially diffuses a bit farther than Botox from the injection point: one to three centimeters compared to Botox’s one centimeter (based on standard reconstitution). This means that fewer injections are needed, but it also means that the health professional doing the injections must be very skilled to ensure that the drug does not spread to nearby muscles and cause eyelid and/or eyebrow drooping or other unwanted side effects. This is always a concern when injecting BOTOX and now a bigger concern with Dysport.

INITIAL RESPONSE AND LONGEVITY - There is another difference in the botulinum toxins as well. Dysport™ seems to have a faster onset, with results beginning to appear within one to seven days of treatment, while Botox takes between three and ten days to become effective. This does vary between patients, however there is no difference in longevity, which is about 3 to 5 months.

COST - Some of my patients’ main concerns is the cost of Dysport compared to Botox. Dysport is approximately 1/3 the cost per unit of Botox; however, it is also 1/3 the strength. This means you will need about three times as many units of Dysport to get the same results as you would with one unit of Botox. As a result, we find that the cost of a Dysport treatment is the about the same as Botox.

PROLONGING THE EFFECTS OF EITHER -The beneficial effects of both Botox and Dysport can be prolonged, sometimes for quite some time longer than the ordinary 3 to 5 month duration, by suggesting that the patient undergo a series of three or four initial treatments, spaced at four month intervals. It seems that the continual presence of the Botox or Dysport in the muscle tissue during that period "teaches" the muscles of facial expression not to contract as actively as they did before treatment. It is this learned "lesson" that is believed responsible for the more prolonged response seen in many people, even after all the toxin has been metabolized away by the body.

In summary, clinically both BOTOX and Dysport stop the muscle from moving when used in appropriate doses. The only perceived advantage of Dysport is that many patients have seen earlier onset (one day on average). However the increased volume could potentially increase the risk around the eyes and eyebrows of eyebrow/eyelid droops. So because of this along with no real cost benefit and BOTOX’s proven record, unless our patient is not getting great results with BOTOX, we are not recommending Dysport as the first option for our patients at this time.

HYDRA-DERMABRSION - The Latest Innovation in Non-Laser Skin Rejuvenation

by Erin Owoc, ARNP-C, Dermatology Nurse Practitioner

My estheticians and I have spent the last nine months researching alternatives to the traditional microdermabrasion procedure.  Although my patients have had good results with that procedure, the abrasiveness of the diamond head and the dryness caused by the crystals was my driving force in finding a better alternative to physically exfoliate and extract dead cells from the skin.  We also wanted to find a procedure that could be used on all skin types (even sensitive skin).

Hydra-Dermabrasion removes dead skin cells and extracts impurities like microdermabrasion while also simultaneously bathing the new skin with cleansing, hydrating, and moisturizing serums. It is the only skin resurfacing procedure that provides both non-invasive exfoliation and simultaneous delivery of skin-specific topical solutions in to the skin. 

Living in Florida, especially during the summer, can make our skin very dehydrated.  When skin cells are not fully hydrated, they cannot function at their optimal level.  If your skin is not properly hydrated, the free radical aging process is accelerated.  Hydra-Dermabrasion adds moisture to the equation.  Instead of blasting the skin with gritty crystals, the procedure blasts the skin with serums (such as botanicals, antioxidants, hyaluronic acids, glycolic acids, and salicylic acids) once the outer layer of your skin is compromised through an exfoliation and extraction process.  Then through a hydration process, these compounds are infused deep into your skin thus increasing their effectiveness. 

The Hydra-Dermabrasion procedure takes as little as 30 minutes and there is no discomfort during the process.  The results are immediate.  You achieve a “dewy” look and glow instantly that may last for five to seven days or even longer.  A series of treatments is recommended for treating fine lines, wrinkles, hyperpigmentation, and oily or acne prone skin.  This is considered a “lunch time” procedure as it is quick and you can return to your normal activated right after the treatment since there is no downtime.

This extremely innovative and effective procedure was featured in the recent “In Style” Magazine and has been featured on “The Doctors” show.  Hydra-Dermabrasion is the latest innovation in non-laser skin rejuvenation that I highly recommend for my patients.