Botox is like Kleenex; it is a brand name that is commonly used to refer to the entire class of similar products. Botox (onabotulinumtoxinA) and Dysport (abobotulinumtoxinA) are the leading treatments on the market. Both treatments work by a similar mechanism; they block the neurotransmitter that leads to muscle contraction. By relaxing the overactive muscles of the face, deep wrinkles on the face formed by excessive movement can be prevented.Botox was the first product of its kind of be approved for cosmetic use in the United States; it has been approved by the FDA since 2002. Dysport was more recently approved by the FDA, in 2009, but has been successfully used in Europe since 1991. One difference between Botox and Dysport is that studies have shown different time of onset; Dysport delivers results more quickly and has been approved to last at least four months after each treatment.
The most common areas for both Botox and Dysport treatment are the glabella (the area between the eyebrows), crows feet (the lines coming away from the eyes when you smile or squint), and the forehead (to prevent and treat those deep horizontal lines on the forehead.) It is important to visit an expert Dysport or Botox injector, in order to have the best possible results. >
Overall, my best tip is to find a reputable board certified dermatologist or plastic surgeon that you trust- the type of toxin is much less important that the technique of the doctor who is injecting you
Cracked heels are such a frustrating problem, many of my patients are also bothered significantly by this problem.
Cracked heels may be associated with fungus, however, you likely do not have fungus.
Cracked heels can also be associated with psoriasis or dry skin/ eczema.
Instead of the antifungal, I suggest a simple regimen: -either shower or soak your feet in warm water for 5 minutes -pat the feet dry -apply aquaphor or vaseline to the areas and massage in for 2 minutes -cover and sleep with white cotton socks
This regimen helps a majority of my patients. If after 2 weeks of doing this, it does not help, make an appointment with your dermatologist.View Thread
One of the first places where patients start to notice the aging process is around the lips (perioral area) and eyes (periorbital area). The skin in these areas is markedly thinner than the rest of the face leading to fine vertical lines around the mouth and horizontal line around the eyes. These fine lines are initially noticed only when the patient is making expressions (dynamic lines). Over time though, if the lines are allowed to deepen, they can actually even be noticed when the face is at rest (static lines). While these lines can form in both men and women, they can be especially bothersome to women — particularly when lipstick then bleed into these lip lines. Today, we will focus on the top 7 suggestions to prevent and treat those pesky vertical lip lines.
No smoking: this is the most preventable thing you can do to minimize lip lines. Not only does smoking require pursed lips, it also exudes substances toxic to skin rejuvenation.
Do not make strong, repeated expressions and minimize pursing of the lips. Of course, you should be yourself, but try not to make hard scowls. Not only will this help diminish the lines, it will also naturally make you feel better!
Protect yourself from sun damage that can thin out the skin even further and make the lines more obvious. Use a sunscreen with at least an SPF of 15 or 30 daily and repeat applications every 90 -120 minutes if you are in the sun.
Maximize your skin care regimen with an antioxidant (such as Vitamin C , green tea, or coffeeberry) that can help reverse and minimize environmental and sun damage to the area. Also, using an alpha hydroxy acid or topical retinoid (preferably prescription strength) at night will help to stimulate collagen and elastin production to help fill in the lines over time.
Very small amounts of Botox / Dysport can help soften the muscles that contribute to the fine lines. As the muscles around the mouth are very sensitive to Botox, you may have trouble whistling or pursing the lips especially with overaggressive treatment. This treatment is definitely not recommended for singers or performers as it may slightly compromise your ability to pronounce 'b' or 'p.'
A soft filler such as Collagen or Restylane can fill in the deeper lines. Very little is needed in this area so it typically is not too expensive. As with any filler, it is important that the person treating you has considerable experience — the perioral area needs very subtle filling or it may look bumpy and unnatural.
Laser skin resurfacing of the perioral area can be very helpful to rejuvenate the area. However, special attention must be paid in darker skin tones to avoid complications such as pigmentary alteration and scarring so it is imporant to see a dermatologist with special expertise.
Preventing and treating those early lip lines is key to a soft, youthful look. For more skin tips, education, and information please visit www.desidermatology.comView Thread
A common complaint among my brown skin patients are new "moles" that develop on the face and neck. Typically, these lesions look like tiny, little brown bumps. These lesions are not actually moles, but a benign condition referred to as dermatosis papulosa nigra (DPN).
The cause of DPNs remains unknown but they are thought to be genetic. In fact, DPNs are estimated to occur in 35% of African Americans. It is unknown what percent of asians and hispanics are affected by DPNs, but it is higher that the caucasian population.
Many of my patients state that DPNs make them look and feel older and less confident. As a confession, I admit that after the age of 30 I developed DPNs around my eyes. They made my skin look less clear so I had a colleague of mine treat them with excellent results!
Lets explore more about this condition:
How can we treat DPNs? There are many effective ways to treat DPNs: --Electrodesiccation: This involes the use of a special electricity device to lightly remove the raised brown bumps. If done correctly, only the raised lesions are removed and the underlying skin is not damaged -- thus no scarring will result. There is a risk of transient discoloration so your dermatologist will suggest sun protection. Depending on your skin type, after removal your derm may also suggest temporary use of a lightening cream such as hydroquinone. This is the method that I chose for my DPN removal. After 2 -3 days of slightly red irritated skin at the site of the removal, it healed beautifully.
--Laser resurfacing: This involves using a specialized layer to gently remove the top layer of skin cells. Laser resurfacing is typically more expensive than electrodessication but is better suited for the very flat DPN lesions.
--Surgical removal: For larger DPNs a dermatologist can numb and superficially remove the lesions. Again, care must be taken to only remove the DPN and not the underlying skin to prevent scarring.
Is there anything we can do to prevent DPN? Unfortunately, there is nothing yet that has scientifically been proven to limit the production of DPNs. DPNs are histologically related to another benign skin growth that develops as we age- seborrheic keratoses. Treatments to prevent both types of growths are in the pipeline so stay tuned ...
Summary DPNs are common in brown skin people but can easily be treated. If your DPNs make you feel less confident, schedule an appointment with a dermatologist that you trust for removal.
For more brown skin tips please visit: www.desidermatology.comView Thread