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(HealthNewsDigest.com) – Roslyn Heights, NY, October 15, 2014 – Summer can be rough on skin, says Joshua Fox, MD, medical director of Advanced Dermatology P.C. Beyond the dangers associated with sunburn, a recent report in JAMA Dermatology found bikini waxes and shaving can increase the risk of contracting a contagious and unsightly skin rash known as molluscum contagiosum. In warm months, 61 percent of women remove hair from the bikini line at least once per week.

“Healthy skin acts as a barrier against infection,” explains Dr. Fox. “While waxing and shaving with a razor blade are normally considered safe procedures to remove body hair, they can cause deficits to the membrane barrier of the skin, allowing viruses or bacteria to enter the body more easily.” Molluscum contagiosum is a viral infection that causes small, fleshy-colored, raised bumps, often with a whitish center, to appear. It is spread through skin-to-skin contact or by touching a wet surface contaminated with the virus.

“It is one of the most common skin conditions we see in the summer,” Dr. Fox says. “Molluscum is a virus that loves warm, wet places and is spread easily.” He adds, “Until recently, molluscum was seen primarily in young children at swimming pools, where it earned the nickname ‘water warts,’ but it is on the rise among adult populations. Adults can also contract the virus through sexual contact.”

Molluscum is found worldwide, affecting 2 to 10 percent of children annually. It is common for the virus to spread among family members, with 35 percent of children having a positive family contact.

Tips to avoid molluscum contagiosum

According to Dr. Fox, good hygiene is the best way to avoid getting molluscum. Never pick or scratch bumps or rashes on the skin. In addition,

  • Wash hands frequently
  • Never share towels
  • Avoid swimming, skin-to-skin, or sexual contact immediately after waxing or shaving to allow skin to heal
  • If waxing, use new or sterile equipment and do not re-use wax applicators during the treatment
  • Avoid sharing boogie boards, surf boards, and kick boards
  • Clean or sanitize swim and athletic equipment before and after use
  • Bathe thoroughly before and after swimming or other sports

Signs, symptoms and treatment

The rash usually appears on the torso, buttocks, lower belly, or thighs about 7 weeks after exposure to the virus. In adults, the rash can also appear on the genitals and armpits.

Sometimes individual molluscum disappear in about 2-3 months, however, new growths tend to appear as old ones are going away. If not properly treated, advises Dr. Fox, “molluscum can spread and the virus can take years to resolve on its own. There are steps you and your doctor can take to stop it from spreading or causing discomfort or anxiety.”

  • Keep areas with growths clean
  • Cover with clean clothing or watertight bandages before participating in sports or contact with others
  • Do not pick at lesions with fingernails
  • Do not shave or do electrolysis over areas that have bumps
  • Dress in loose cotton clothing to reduce irritation
  • Moisturize dry skin with hypoallergenic moisturizers

Dermatologists use treatments to help the growths disappear more quickly, such as:

  • Removal by freezing (cryotherapy) or scraping off with a sharp instrument (curettage).
  • Applying a topical agent or cream to dissolve the growth such as blister beetle juice with Cantharidin, potassium hydricide, retinoic acid or Aldera.

Treatment works best when started early. Your doctor will discuss the advantages and disadvantages, (e.g. risk of bleeding), of treatment for you or your child. “Pools, sports and your normal beauty routines can sometimes leave you with more than you bargained for,” cautions Dr. Fox. “Failure to treat can lead to further infection and scarring. There is no point in suffering in silence when treatment is so readily available.”

Advanced Dermatology P.C., the Center for Laser and Cosmetic Surgery (New York & New Jersey) provides cutting edge medical, laser & cosmetic dermatology and plastic surgery services. www.advanceddermatologypc.com

Joshua L. Fox, M.D., F.A.A.D., is the founder and medical director at Advanced Dermatology P.C. He is a leading authority in the field of dermatology with expertise in skin cancer, cosmetic surgery and laser procedures and is program director of a fellowship in laser and cosmetic surgery.

Nicole Altavilla
Medical Spa Report: September 2014
Proper Procedures

Offering minimal discomfort and downtime, non-invasive cosmetic treatments have increased by more than 13 percent in 2013 with 9.5 million procedures, according to a report by the American Society for Aesthetic Plastic Surgery (ASAPS). Laser treatments are among the more popular non-invasive procedures available at medical spas today. “Laser technology is evolving to address a number of issues in a safe and effective fashion,” says Whitney Bowe, M.D., assistant medical director for cosmetic and laser services at Advanced Dermatology, P.C. (Ossining, NY). “The lasers we use are able to achieve dramatic results with relatively little downtime, which is something that resonates with the modern cosmetic patient.” Here are some of the most common hair and skin issues addressed by lasers, as well as a look at the ideal lasers for treatment:

Blemishes

Laser treatments can help clear acne, and there are several different types of lasers available today that can do the job, such as diode, infrared, and intense pulsed light (IPL) lasers. Isolaz, from Solta Medical, combines a gentle vacuum with IPL to help fight the root causes of acne and reveal a more radiant appearance. The painless laser helps to destroy acne-causing bacteria, while the vacuum clears pores of blackheads, oil, and debris. Blemishes, including those caused by broken blood vessels or age spots, can be treated by lasers that target the offending tissue and spare the normal surrounding skin, according to Susan Stuart, M.D., founder and medical director at La Jolla Dermatology (CA). Alma Lasers HarmonyXL’s Advanced Fluorescence Technology (AFT) laser handpiece, for example, helps clear blemishes using intense blue wavelengths to rapidly destroy acne-causing bacteria without damaging the surrounding tissue.

Wrinkles

When it comes to fine lines and wrinkles, lasers can help restore a more youthful appearance by creating tiny micro-wounds in the skin that trigger collagen formation. Fraxel is a non-invasive laser treatment that stimulates collagen production and diminishes the visible effects of aging. Essentially, the outer layers of damaged skin are eliminated, and as new cells form, smoother, younger-looking skin appears. Pixel by Alma Lasers is a resurfacing laser that targets small areas to help tighten and smooth out the surface of the skin with little-to-no downtime. According to Bowe, Fraxel is recommended for treatment of fine lines, while Pixel is more effective in treating deep lines and wrinkles, though they both work similarly. “These lasers basically create a tic-tac-toe board on the skin, producing heat damage that creates collagen and in turn repairs wounds and tightens fine lines,” she says.

Skin Resurfacing

From dark spots, sun spots, and age spots to uneven pigmentation, there are several skin resurfacing issues that can be treated with lasers. The Fraxel Dual 1550/1927 is an effective skin resurfacing device to treat acne scarring, fine lines and wrinkles, and skin discoloration, as it creates micro-wounds in the superficial layers of skin to reveal healthy glowing skin underneath, according to Bowe. “Brown spots turn into coffee ground-like material that gently exfoliates off the skin in the following week, and pore size also decreases,” she says. Also an efficient option, CO2RE by Syneron-Candela is a fractional CO2 laser resurfacing device that targets and effectively treats the skin’s surface, middle, and deep dermal levels to help remove sun damage, age spots, fine lines and wrinkles, acne scars, enlarged pores, and uneven skintone.

Cellulite

Lasers can also be a useful form of treatment for trouble spots on the body, such as cellulite. Allure Medical Spa (multiple locations in Michigan) uses a radiofrequency device called Exilis, from BTL Aesthetics, in combination with Acoustic Wave Therapy (AWT) for non-surgical cellulite treatments. Exilis is a non-invasive laser treatment that helps to reshape the body by reducing fat, improving skintone and elasticity, and reducing the appearance of cellulite. It can be used on the breasts, abdomen, face, jowls, neckline, arms, thighs, hips, buttocks, and knees. AWT involves tightening the skin with intense pressure pulses that target fibrous bands of connective tissue that cause the cellulite. Applying pressure waves to the connective tissue can help reduce cellulite by increasing circulation, collagen production, and tissue elasticity. For surgical treatment of cellulite, Allure Medical Spa uses Cellulaze from Cynosure, which is similar to liposuction, and works by breaking up cellulite dimples and tightening the skin. “The Cellulaze laser directly contacts the loose tissue as well as the tiny bands that cause dimpling for more noticeable results and has a built-in heat sensor so it can’t get too hot and burn the tissues,” says Charles Mok, D.O., owner of Allure Medical Spa. “It also monitors movement to ensure the treatment is even.”

Scar Treatment

Unfortunately, according to Bowe, there aren’t treatment options for every type of scar. She recommends that clients schedule a consultation to see whether the scar of concern is amenable to laser treatment. For certain types of acne scarring, for example, the Fraxel Dual 1550/1927 can be helpful, as it targets acne scars and signs of aging with microscopic laser columns that help resurface the skin by stimulating the growth of new, healthy skin cells from the inside out. Fractional CO2 laser resurfacing devices, such as CO2RE, TotalFX, and Matrix CO2, can also be effective forms of treatment. The TotalFX fractional CO2 laser device helps reduce deep wrinkles, acne scarring, and sun spots by tightening skin, stimulating collagen, and fading skin discoloration. Matrix CO2 also helps treat skin issues, such as acne scarring, by stimulating the skin’s own collagen, increasing elasticity, and creating a smoother and tighter texture. For surgical or new scars, Fraxel and the pulsed-dye VBeam Perfecta by Syneron-Candela laser are both popular devices. VBeam is a non-invasive laser treatment that involves intense, yet gentle, bursts of light that destroy the blood vessels being treated. “It targets red blood cells, so it reduces redness and remodels the scar to help it smooth and even out faster,” says Bowe.

Hair Removal

Unwanted hair on the face and body can be both an embarrassing and frustrating issue for many clients. That makes laser treatment desirable, as it can help eliminate the need to wax, shave, or bleach unwanted hair. “Sugaring, waxing, threading, or plucking only provide a short-lived, temporary fix for hair growth,” says Andréa Young, owner of Beam Laser Spa (New York City). “They are not permanent and often further irritate the skin by causing painful ingrown hairs. Laser hair removal provides a drastic reduction in hair growth over the course of several treatments.” GentleLase Pro-U and GentleMax Pro, both by Syneron-Candela, can be used to target the root of the hair and create heat damage that kills off hair that is in the growing stage. Other popular hair removal lasers include the Cynosure Apogee Elite System, the Lumenis LightSheer Diode Laser System, and the InMode Aesthetic Solutions Diolaze. Because each hair strand grows at different cycles—some hair is in a resting stage during the treatment—multiple visits might be needed about every six weeks for the best hair-removal results. “The light emitted by the lasers penetrates the skin and settles in the follicle, and the follicle absorbs the light energy as heat,” says Young. “Over time, the absorption of heat from the laser kills the majority of the follicles, and the follicles that are not killed get significantly weaker, providing much finer and slower growth.”

Hair Growth

According to Francesca Dubsky, director of marketing at HairMax, there are four types of hair loss: telogen effluvium, anagen effluvium, traction alopecia, and androgenic alopecia. Telogen effluvium hair loss can occur after pregnancy, major surgery, drastic weight loss, extreme stress, and physical and emotional shock. Anagen effluvium hair loss results from damage to the hair follicle and is commonly associated with chemotherapy or as a side effect to certain medications. Traction alopecia is a condition caused by localized trauma to the hair follicles from tight hairstyles. Androgenic alopecia is male- or female-pattern baldness—the most common cause of hair loss. No matter the reason for the hair loss, more and more clients are seeking solutions and ways to regrow their hair, and lasers can be part of the solution. The HairMax LaserComb is a low-level laser device, which utilizes visible light in the red spectrum that has been clinically proven to stimulate hair growth. The LaserComb works by a process called photo bio-stimulation and delivers a safe, nourishing laser light directly to the scalp, infusing hair follicles with energy to treat hair loss and grow denser, fuller hair. Designed to treat thinning hair and hair loss in men, iGrow by Apira Science is another popular hair growth device. This portable in-home hair growth system incorporates a dual light laser and LED light diodes to stimulate and energize cellular activity to help reverse thinning hair and hair loss and grow new healthy hair.

As laser treatments become even more popular among clients, it is imperative that medical spas implement proper education and safety procedures to ensure both the patient and laser operator are safe from harm. “The main safety concern with lasers is making sure the people using them are properly trained and licensed to avoid burns and scars,” says Stuart. “There is no substitute for education and training, especially when it comes to your body.” Some safety precautions include discussing medical history with the patient, performing a laser patch test to make sure the patient does not have a bad reaction before going forward with a procedure, and using protective gear such as eye shields. “Lasers are only as safe as the person who is doing the procedure,” says Bowe. “Almost any laser can cause burns, discoloration, or scars if not done properly. I always personally evaluate every patient and choose the settings myself. Sadly, I frequently treat laser complications from procedures done by people who were not well qualified.”

Fortunately, evolving technology is making lasers increasingly safe. “The newest trends in lasers are those which are non-ablative or do not damage the overlying skin and just target the damaged tissue,” says Stuart. “With new technology, these lasers are being designed to be more effective and safer than ever before.”

(via American Spa)

Dermatology specialist Dr. Joshua Fox with Advanced Dermatology PC offers tips on easy skin maintenance for men

According to Dr. Joshua Fox with Advanced Dermatology PC, a lot of men don’t properly prepare their face to be shaved or do what’s needed to keep razor burn and bumps at bay. But a little extra effort can restore the ‘rugged’ while banishing the ‘rough’.

New York, NY (PRWEB) September 02, 2014

The days when skin care was just for women are long gone. But even though men shave daily – and commit common mistakes that can contribute to an unhealthy appearance – rough and irritated skin isn’t inevitable, according to Joshua Fox, MD, medical director of Advanced Dermatology P.C.

For decades, skin care was something in which only women seemed interested. But recent years have witnessed a surge in men of all ages who realize that their fathers’ bare-bones routine of nicking their faces with razors and splashing on stinging aftershave just doesn’t cut it anymore, says Dr. Fox, who is board-certified in dermatology.

“A lot of men don’t properly prepare their face to be shaved or do what’s needed to keep razor burn and bumps at bay,” he explains. “They may use a dull razor blade or shave with only a meager layer of foam or gel. But a little extra effort can restore the ‘rugged’ while banishing the ‘rough.’”

First steps toward handsome, healthy skin for men

A close, smooth shave actually starts well before the task begins – ideally in the shower, where a steam-rich environment opens pores and softens stubble, Dr. Fox says.

A worthwhile step for men – one that women discovered long ago – is using an exfoliating-rich scrub on their faces before shaving. Exfoliation frees ingrown hairs and gets rid of dead skin cells that might otherwise hinder facial cleanser or soap from reaching the skin layers below, Dr. Fox notes.

“It’s better to use a soap specifically labeled as a “facial cleanser” rather than standard-issue soap, since it does a better job of moisturizing and keeping skin damage leading to premature wrinkling at bay,” he says.

After washing your face (whether in the shower or sink), don’t towel-dry. Instead, leave it damp and apply a liberal amount of gel or foam, massaging it into your skin. With a high-quality razor, shave the flatter parts of your face (sides and sideburns) first, moving to the upper lip, chin and ear area afterward. By leaving difficult-to-shave areas until last, you allow the shaving product plenty of time to soften the stubble on these parts, Dr. Fox says.

Can’t-fail extra efforts and tips for smoother skin

The after-shave your dad used likely contained alcohol, which causes stinging, burning and redness. But today, alcohol-free after-shaves are designed to soothe and moisturize the skin – exactly what’s needed after exfoliating and shaving, Dr. Fox says.

Speaking of moisturizing, that’s another area where men can take a skincare lesson from the ladies, he notes.

“Shaving and exfoliating both strip good oils away as well as dead skin cells, so hydrating the skin afterward is important,” he says. “Even better, look for a moisturizer with sun protection built right in.”

“After all, women aren’t the only ones who want to keep wrinkles to a minimum for as long as possible,” Dr. Fox adds. “A healthy skin care regimen is just as important for men as it is women, and it only takes a little time and care for men to make sure their skin remains in tip-top condition.”

Advanced Dermatology P.C. and the Center for Laser and Cosmetic Surgery (New York & New Jersey) is one of the leading dermatology centers in the nation, offering highly experienced physicians in the fields of cosmetic and laser dermatology as well as plastic surgery and state-of-the-art medical technologies. http://www.advanceddermatologypc.com.

Joshua Fox, M.D., is board certified and specializes in dermatology at Advanced Dermatology P.C., with 13 locations in New York and New Jersey.

(HealthNewsDigest.com) – Fresh Meadows, NY, July 2014 – Getting breast implants is a choice, but deciding to have them removed may be completely optional or due to medical necessity. Either way, women should know what to expect from the procedure and how to prepare for it, says Robert Kraft, MD, Plastic Surgeon with Advanced Dermatology, P.C.

About 20,000 breast implant removal surgeries are performed each year in the United States, according to the American Society of Plastic Surgeons. But 70 percent of those procedures stem from three main problems: the breast implant has leaked or ruptured; collagen fibers have grown around the implant, painfully squeezing it (called “capsular contraction”); or the woman’s breast has changed in shape or size.

“Most women who choose to have breast implants don’t consider that they may one day need to be removed,” Dr. Kraft explains, “but the procedure, while unusual, underscores the fact that breast implants are not designed to last forever. This means women should be informed about what’s involved.”

Reasons for breast implant removal

Changing our minds is natural, and women with breast implants may decide that they’re too big or small and want to exchange them for implants of a different size. Others may not like the “artificial” look of their breasts – or decide they’re too high or low – and want to return to having only their natural breast tissue, Dr. Kraft says.

But typically, medical reasons necessitate the removal of breast implants. Filled with silicone, gel or saline, the implants may eventually leak, and all breasts eventually change in shape and size. Other reasons for breast implant removal include:

  • Visible wrinkling or rippling of the implant
  • Hardening of the implant
  • Allergic reactions to the implant
  • Uneven appearance of breasts
  • Persistent breast pain following implant insertion

“Many factors explain why women would want or need to revise their breast implants, replace them or opt out of having implants at all,” Dr. Kraft says. “All motives are valid and should be handled seriously by a woman’s doctor.”

Undergoing the procedure

What’s involved with removing breast implants? The surgery is same-day, meaning you can go home shortly after the one- to two-hour procedure or in certain cases need to stay in the hospital overnight. Using intravenous sedation or general anesthesia, a surgeon typically removes the implants using an incision along the crease beneath the breast. Extra care will be taken if the breast implant has ruptured, and hard scar tissue that may have formed around the implant area will also be removed.

“After the implants are removed, the skin will look loose,” Dr. Kraft explains, “so another procedure is typically needed to lift the breasts and adjust the skin and tissue if the patient isn’t exchanging her implants for a fresh set. This can be done at the same time as the implant removal or at a later date.”

Before the breast implant removal is scheduled, women should talk with their surgeons about their expectations – including whether they desire new implants, and their type and size – and will need certain to follow certain pre-operative procedures, Dr. Kraft says. Blood and imaging tests may be scheduled, and the patient may be asked to stop taking some medicines and supplements up to a week beforehand.

Once home, breast implant removal patients are typically advised to use compression bandages or wear a special bra to lessen swelling along with avoiding heavy lifting and extensive reaching for several weeks.

“If your breast implants are intact and aren’t causing you any trouble, then there’s no need to remove them,” Dr. Kraft says. “But for some women, this surgery is exactly the right choice and the results leave them feeling better inside and out.”

Advanced Dermatology P.C. and the Center for Laser and Cosmetic Surgery (New York & New Jersey) is one of the leading dermatology centers in the nation, offering highly experienced physicians in the fields of cosmetic and laser dermatology as well as plastic surgery and state-of-the-art medical technologies.

Robert Kraft, M.D., is board certified and performs breast augmentation, reduction and lift; abdominoplasty and liposuction; and the full range of facial aesthetic procedures at Advanced Dermatology P.C., with 13 locations in New York and New Jersey.

See article at www.healthnewsdigest.com

Plastic Surgeons Drs. Elan Singer and Joshua Fox With Advanced Dermatology PC Offer Tips About Upper Arm Lift Surgery

According to Dr. Elan B. Singer with Advanced Dermatology P.C., you don’t need to be famous to want to confidently wear short-sleeved and sleeveless fashions, especially in the summer heat, and an upper arm lift can help people achieve this ideal.

Roslyn, NY (PRWEB) June 04, 2014

Inspired by the toned arms of celebrities such as Michelle Obama, Kelly Ripa and Jennifer Aniston, upper arm lift procedures have exploded in popularity among women who want to bare their arms but have been held back by the dreaded “batwings” common to weight loss, aging or genetically loose skin, says Elan B. Singer, MD, of Advanced Dermatology P.C.

Known as brachioplasty, upper arm lifts – a surgical procedure sometimes incorporating liposuction – have increased by more than 4,378% since 2000, with more than 15,000 women undergoing arm lift procedures in 2012, according to the American Society of Plastic Surgeons (ASPS). A 2013 ASPS poll indicated the trend is fueled in part by heightened attention on strong-armed celebrities that also include actresses Jessica Biel and Demi Moore.

“But you don’t need to be famous to want to confidently wear short-sleeved and sleeveless fashions, especially in the summer heat, and an upper arm lift can help people achieve this ideal,” says Dr. Singer, whose practice has a particular emphasis on surgery of the breast and body. “

Adds Joshua Fox, MD, medical director of Advanced Dermatology P.C, “More people are becoming aware of the benefits of arm lift surgery and are seeking us out. (We were awarded best plastic surgery practice on Long Island in 2013.) They want to look and feel great and realize their options for doing so have expanded.”

What arm lift surgery entails

In a nutshell, upper arm lift surgery reshapes the upper arm from the underarm region to the elbow by trimming loose skin and fat from the area. The procedure may also incorporate liposuction to help remove additional fat. It’s an outpatient surgery that generally takes between 90 minutes and 2 hours to complete.

Who are optimal candidates for an arm lift? According to Dr. Singer, they include those:

  • At or near their desired weight
  • With loose upper arm skin that hasn’t responded to diet or exercise
  • Who lost large amounts of weight, often 80 pounds or more
  • Who are otherwise healthy and don’t smoke

The length of each incision required for arm lift surgery varies depending on the patient, but the procedure will leave a scar – albeit one on the underside of the arm that may prove barely noticeable six months or more afterward.

“While exercise can improve the upper arm’s muscle tone, it can’t effectively take care of excess skin that has lost its firmness due to age or weight loss, along with localized fat deposits that may be genetically programmed into an individual,” Dr. Singer explains. “People dealing with these factors may want to consider an upper arm lift as their solution.”

Complications minimal, benefits huge

Recovery from arm lift surgery occurs over days and weeks, and most patients will need to wear compression garments on their arms to minimize swelling and maximize the chances for a smooth, contoured result, Dr. Singer says. Most can return to work within a couple of weeks and will be able to exercise and lift heavier objects again four to six weeks after surgery.

While complications from arm lift surgery are possible – as with any surgery – a study in the journal Plastic & Reconstructive Surgery found that 95% of all complications are classified as minor, such as bruising and swelling. Patients can also help boost healing by keeping arms elevated while sleeping, limiting strenuous activities in the first weeks after surgery.

“It’s a trade-off: You have a scar, but you lose the loose skin,” Dr. Singer says. “Most patients consider the trade-off well worth it. The benefits aren’t merely cosmetic – they’re psychological as well. It’s great to feel self-assured in your own skin.”

For the people who do not want a linear scar but usually with less improvement, we have several non-invasive options: Thermage, Ulthera, Liposonix, all-offer no downtime with mild swelling. For a semi-invasive technique with no stitches the device is entered through a tiny hole, we have Smart-Lipo and ThermiRF, performed by Dr. Singer. These last 2 devices not only melt the fat, but they can tighten the arms.

Advanced Dermatology P.C. and the Center for Laser and Cosmetic Surgery (New York & New Jersey) is one of the leading dermatology centers in the nation, offering highly experienced physicians in the fields of cosmetic and laser dermatology as well as plastic surgery and state-of-the-art medical technologies. http://www.advanceddermatologypc.com

Elan Singer, M.D., is board certified and his practice has a particular emphasis on surgery of the breast and body. Joshua Fox, M.D., is board certified and specializes in dermatology at Advanced Dermatology P.C., with 13 locations in New York and New Jersey.

For the original version on PRWeb visit: http://www.prweb.com/releases/advanceddermatology/armliftsurgery/prweb11911903.htm