A Kernel of Truth: Debunking Cosmetic Myths

The Kernel of Truth
I was reading my email this morning and up pops my daily Groupon (a popular discount coupon service that I subscribe to). Today’s offer is too good to be true 92% off spa services, so I look further. Great marketing, “made me look”! And there was an amazing statement, and I quote: “Lying in the sun causes the tiny gold deposits under the skin to heat up and explode, resulting in a million dollar tan”. Ok, nobody actually thinks they have little pieces of metal that ingnite causing their skin to change color….or does somebody take this as a truth? It got me to thinking about all of the myths and misconceptions that float around simply because someone heard someone say something. Lack of education is our problem with perhaps a tad bit of gullibility thrown in.
Here are a few myths that I hear from time to time and a kernel of truth.
- Tans are caused by exploding gold nuggets (actually this is a new one on me)
- MYTH
- Tans are a way for your skin to defend itself against the cancer causing and aging forces of the sun. Pigment (melanin) is stimulated by sun and acts as an umbrella to shield you. Culturally, we have associated tan with health (we used to also think smoking improved health but that is another story). Economically, an industry that delivers artificial yet still damaging sun rays has developed, hence the flowery language that caught my eye. Maybe people are more likely to pay for cancer inducing skin treatments if they imagine gold explosions rather than DNA damaging radiation.
- Bottom line: Stick to the spray tan or better yet, embrace your natural color whatever shade that is.
- MYTH
- Over swollen fish lips can be the only result of fillers in the lips.
- MYTH
- As much as everyone seems to be in love with Angelina Jolie, I must say that women are not in love with those lips. The most common fear expressed in my office and at cocktail parties is “I would never get my lips ‘done’!! I don’t want to look like Angelina Jolie!”
- Bottom line: Fillers are like jello, they make a change by filling space. A little filler restores the lost volume of aging. Yes, our lips get smaller as time goes on starting in the early 30’s. A lot of filler can be added to produce gigantic lips. The resulting lip depends on the skill of the physician or licensed medical professional doing the treatment. Find an established reputable medical provider and be clear on what you want. Then think of all of the areas on the face that could use just a little fill, I think you will be very pleased with what can be done.
- MYTH
- Beware the frozen face of Botox, all expression is lost.
- MYTH
- Not to pick on celebrities, but they can give cosmetic dermatology a bad rap. Nicole Kidman, as beautiful as she is, has from time to time overindulged in Botox , I think.
- Bottom line: Botox (and now its new competitor Dysport) are certainly capable of relaxing anything that moves, but who wants that? Find a capable cosmetic medical provider and their experience and your clear desires result in very pleasant softening of harsh movement related lines with out overdone “frozen face”.
- MYTH
- Sure Latisse grows great eyelashes but it will make my blue eyes brown!
- MYTH
- There is some reality here. Latisse started life as Lumigan, a prescription eye drop that is used for glaucoma. A small percentage of hazel eyed patients did see darkening of the iris. The MYTH part is that to date no reports of eye color change have occurred with Latisse which is not an eye drop but is applied to the lash line with a brush, like invisible liquid eyeliner.
- Bottom line: It seems when used correctly, applied to the lash line, not dropped into the eye, Latisse has not made anyone’s blue eyes brown.
- MYTH
- Sunblock causes cancer, don’t use it.
- MYTH
- Don’t believe it even though it has been all over Twitter lately. Yes there is a study cited (referred to as junk science by real experts from the Skin Cancer Foundation ) indicating an ingredient of some sunscreens is a problem. The ingredient retinyl palmitate is related to Retin A, one of the original anti wrinkle creams with known anti-cancer properties.
- Bottom line: Sunscreen is your best way to reduce skin cancer and aging. Use an SPF of 30 daily and don’t smear massive amounts of retinyl palmitate on your rats.
- MYTH
Live TV, the rest of the story…
If you read my previous blog (Live TV, Instant Gratification July 4, 2010) you may think that you know what happened this morning on KTVK Ch3 since I laid out how it would go. Guess again, it did not go at all the way I laid it out. This blog should be called “Live TV: anybody’s guess”.
I arrived as did my beautiful model Emily. I set up my Juvederm XC, applied a little topical anesthetic to Emily’s nasolabial folds (the groove from nose to corner of the mouth). Just before the numbing cream went on, the camera man got a “before” shot. Actually the robot camera got the shot, there are no cameramen, just weird machines that move all by themselves and suddenly you notice your face is on the monitor.
Kelly, assistant producer, cheerfully glided in and out with bits of info: we were to do a “bump” (ie: teaser shot) in a couple of minutes. This is that great shot where the guest for the next segment is spied upon while preparing. “Just try to look busy” she said. The camera robot loomed in and since Emily had the numbing cream on I just massaged it, trying to look busy. In the small studio, away from the anchor desk, you do not hear what is going over the air. What I realized later was that Tara and Kaylee (anchors) were chatting up the new, less painful Juvederm XC that gives immediate results. It looked like the Juvederm was the cream and that the results would magically appear while I massaged. Just a little confusing for the viewer I suppose.
Bump shot done and Kelly lets me know I have 2 minutes to do the entire treatment and back live with the after!! What?? I thought we were treating live! “No, we can’t . Viewers will complain, they don’t like needles, you know” Kelly explained patiently.
No sweat, but no way am I doing a lightning fast treatment on my gracious model. Two minutes is not enough. I negotiated for 5, barely enough for half a treatment if I hustled. Gratefully, Emily was game. 5 minutes later there we are, Emily with an awesome right side. Tara and Kaylee double teamed me and asked the usual relevant questions. It was a bit awkward to compare the before picture with half of an after but in reality the “half face” comparison was just as compelling. No before was necessary.
Tara’s assessment: it actually works! When can I have some? That is a great interview, when your host is convinced on and off the air.
I felt pretty good about it over all, I ran home to flip on the DVR and there I am, actually it’s mostly the back of my head with too much big hair. The guest never gets the good camera angle.
Live TV, instant gratification
“Live” on TV. Words that send shivers of anxiety through some, generally the one who is going to be “live”. Of course I am excluding the professionals. I am not one of the professionals (not a TV professional/personality I mean). I am a professional doctor and I get to play one on TV, “live”.
will be doing a real treatment on a real patient while I answer questions from our lovely interviewer
and anchor of Good Morning Arizona: Tara Hitchcock.
Friends and patients ask me if I get nervous. No, I love the camera as long as I know what I am talking about. Happily, I know what I am talking about when it comes to the subject of my July 5th, 2010 interview and demonstration of the new Juvederm XC. Juvederm has been FDA approved and widely used in the US since 2006 so this is not a “guinea pig” situation. The new part has to do with the addition of lidocaine, an anesthetic, to the mixture. We will demonstrate that this is a comfortable process, much more so than the original Juvederm. Read the full article »
Volume: The New Facelift
Look at the socialites of old and you will find one or two with faces “caught in the wind tunnel”. Those who could afford it were tightened and pulled until they got every last cent out of that facelift (or two, or three).
Now, check out Joan Rivers: plenty of resources and desire and with her share of lifts but something has changed. Yes, she no longer personifies the skeleton with skin stretched tight. No, in fact her face looks, dare I say “Plump”.
The part of aging that we are only now understanding has to do with the loss of volume. As we age the bones, muscles and fat pads shrink. Oddly, the skin does not. We are left with essentially a piece of furniture with a way too big slipcover. Plastic Surgeons delight in cutting and trimming the extra fabric to make things fit like they used to. But there is another way. Get the upholsterer to stuff the chair, put back the volume!
The newly FDA approved product “SculptraAesthetic” addresses the volume issue in a new and impressive way. Made from the material used in absorbable sutures, SculptraAesthetic (SA)is a biostimulant. First the physician injects the SA just under the skin. Anesthetic creams minimize the discomfort. Over several weeks after the treatment the overlying skin is stimulated, the result is thickened and firmed more youthful skin. Two to four additional treatments over several months are performed and continued increase volume results.
No, you don’t get a fat face, you get a beautiful healthy more youthful volume that lasts for 2 or more years. Sure beats “wind tunnel” face!
Good looking people get the jobs?!
In this economic enviornment a lot of people are in the job market. Many of them are trying to determine how to stand out, impress the employer and land that job. Face it, first impressions are focused on the face. According to Malcolm Gladwell in his book Blink you have precious little time before that future employer makes that first and lasting assessment of you. Read the full article »
Top Ten Cosmetic Advances from the American Academy of Dermatology
San Francisco hosted the annual American Academy of Dermatology meeting last week, and I was front and center looking for what’s new in Cosmetic Dermatology. Here is my top 10:
- Latisse eyelash growth drug will be more popular than Botox, both are from Allergan.
- Thermage (the gold standard in non invasive skin tightening) and Fraxel (the gold standard in non ablative skin resurfacing) are now part of Solta Medical, a new and exciting company with great potential. Read the full article »
Looking Good in Your 40s, 50s and 60s!
Noninvasive cosmetic procedures are a great way to take years off your look—at every age! The nonsurgical approach offers flexibility, allowing each person to have a customized treatment plan. I especially think they are great for those who would prefer not to have a sudden or dramatic change. Here are some of my basic recommendations for cosmetic treatments in your 40s, 50s and 60s: Read the full article »





