Yes, you can reverse sundamage!
Enjoy the summer sun? Time to undo the damage!
The kids are back to school, life returns to normal as summer draws to an end. As your beautiful tan fades remorse sets in. Maybe you should have slathered on that sunscreen a bit more often. Or perhaps falling asleep on the beach was not such a great idea.
No worries, Captain Dermatology comes to the rescue! Oh, how I wish it were that easy. You cannot unfortunately magically remove the consequences of sun or tanning bed exposure. You can however significantly reduce the damage and possibly even reduce the risk of developing skin cancer in the future.
There are two sides to sundamage. One is cosmetic: wrinkles, freckling, age spots, broken blood vessels, and rough patches. The other side is melanoma, skin cancer and precancers. Depending on genetics, skin type and luck of the draw most people show cosmetic changes before cancer changes, but not always. Once there is significant cosmetic damage I recommend treating the cosmetic AND the potential skin cancers. Good news: science has given us treatments that improve both sides of sundamage. Read the full article »
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 »
Better than Botox….again??
Nothing is better than Botox you say. Well that could change .Here is a chilling thought: the next Botox could be nothing at all. No drug. No chemical. Just a little chill. Here is how it works: tiny needles are inserted into the muscles of the forehead that cause frowning. The needle points are then frozen solid. This cold blast seems to stun the muscles into a relaxed state. The result is just like Botox! And it lasts for months, even longer than Botox. How “cool” is that? Before you assume it will be cheap, think again. Once the magic freezing machine is perfected and FDA approved (could be years) it will be sold at a hefty price and the consumer will ultimately foot the bill.


