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Cellulite is not harmful. The dimpled, puckered skin that characterizes cellulite is a normal variant in the way fat beneath the skin is distributed. But the appearance of cellulite, which is most often found on the thighs and buttocks of as many as 8 in 10 women, is distressing for many. “While there is as of yet no single solution that can permanently eliminate cellulite,” says Joshua Fox, MD, of Advanced Dermatology, P.C., there are steps a woman can take and there are effective treatments that can reduce cellulite and improve the appearance of the skin.”

What causes cellulite?

Cellulite is most common on those parts of the body that have fat deposits under the skin. When the fat pushes against connective tissue, the skin above it puckers, causing the distinctive bumpy look of cellulite. It is more common in women than in men because fat and connective tissue are distributed differently in the skin of women and men. Cellulite also becomes more common as skin loses elasticity with age. “Cellulite may become more noticeable with weight gain,” says Aza Lefkowitz, MD, associate director of the Smart Lipo Unit at Advanced Dermatology P.C., “but lean people have cellulite as well. Genetics are thought to play a role in determining who will develop cellulite. Other factors that may affect its development or visibility are diet, exercise and metabolism—how the body burns energy.”

Fox offers several suggestions on how can cellulite be reduced.

  • Weight loss and exercise won’t eliminate cellulite, but losing pounds through a healthy diet and strengthening the muscles of the legs, thighs and buttocks will improve appearance by helping keep the body taut and smooth and improving skin tone and texture.
  • Massage therapies have been developed that utilize a hand-held, electrically powered device that kneads the skin between rollers to smooth its texture. Treatment typically constitutes six-to-eight 35-minute sessions.
  • Laser and light therapy are used with the goal of disrupting and shrinking fat tissue, sometimes in conjunction with massage to soften the connective tissue and reduced the dimpled appearance. Cold lasers can damage fat cells painlessly and decrease cellulite.

“There are a wide variety of topical creams and other treatments that purport to reduce cellulite,” says Fox, “but there is little evidence that they are effective.” “The best advice we can give is to try to avoid the development of cellulite or to minimize its severity by eating a healthy diet, exercising regularly, maintaining a healthy weight (and avoiding yo-yo dieting), drinking plenty of fluids and avoiding smoking.”

Read on www.skininc.com

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NEW YORK (CBSNewYork) – For anyone using pricey skin cream, makeup, or shampoo, be careful what and where you buy.

Bogus beauty products may be harmful to your health and they’re being peddled to unsuspecting shoppers online.

As CBS 2′s Maurice DuBois reported Thursday, high-priced beauty products like skin serums may seem legit, but they may actually be counterfeit.

“Within one to two days of me using the same product that I had used for months, I broke out in a very bad rash,” Susan Moreira said.

Moreira said she found her product cheaper online, but it turned out to be fake, with no plastic around it and no label.

Dr. Whitney Bowe warns there may be serious consequences to buying skin products outside of authorized dealers.

“Counterfeit products have actually been shown to contain known carcinogens, including arsenic and beryllium. Many have been shown to contain very high levels of bacteria that can lead to infections of the skin,” Bowe said.

That was exactly what happened to Moreira.

Bowe pointed out the subtle differences between the real deal and unauthorized products, including the removal of seals and serial numbers. In some cases the product may be re-wrapped entirely.

Robert Trow, the owner of a high-end skin care line, said his company takes specific measures to make sure customers know they’re getting the real thing.

“We have to change our authorized seals periodically so that they can’t be counterfeited. It has to be sold through an authorized agent,” Trow told DuBois.

John Paul Dejoria, the founder of Paul Mitchell hair systems, said hair products can be counterfeit as well.

Dejoria had a blunt message for consumers: “If you ever see Paul Mitchell in any drug store or supermarket, it is by any question of a doubt either counterfeit or from the black/gray market. No ifs, buts, or maybes. We don’t sell it to them at all.”

Makeup is not immune from counterfeiters either, DuBois reported.

A counterfeit makeup brush may not pose a serious risk, but Valerie Salembier, founder of Dontbuyfakes.com, said fake cosmetics can also pose a big risk.

“Think about what you’re doing. You’re putting unregistered chemicals on your face,” Salembier said. “It’s simple. If the cost is too good to be true, guess what — it’s too good to be true.”

Experts say the bulk of counterfeit products are sold on the Internet and at flea markets. They say it’s important to always inspect the packaging and contents.


Advanced Dermatology, P.C. products

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Dr. Joshua Fox of Advanced Dermatology, PC

Treating Melasma

Tips for a step-by-step approach to prevent and target the issue.

By Dr. Joshua Fox, Advanced Dermatology PC

Melasma is a common skin disorder that affects an estimated six million people in the United States. In fact, 90% of those afflicted are women, according to the American Academy of Dermatology. Melasma is often associated with sun exposure but it’s also common in pregnant women, hence the nickname the “mask of pregnancy.” Other common triggers include estrogen supplements and birth control pills.

The good news for patients is that technologies are evolving to better treat Melasma. The Fraxel laser (a type of fractional laser) is a tool that is increasingly used to treat Melasma, especially in severe cases and in cases where it doesn’t respond to other treatments. The Dual 1550/1927 Fraxel laser received new FDA approval specifically to treat skin pigmentation problems such as Melasma in June 2013. The benefit of the Fraxel laser is that it can safely treat the cells producing pigment yet it protects the outer layer of skin at the same time. Patients who go this route must be vigilant about avoiding the sun and must wear a high grade UVA/UVB sunscreen at all times.

Signs of Melasma

Melasma most often affects young women with so called “olive” or brownish skin tone. The condition is characterized by skin discoloration typically located on areas of the body more exposed to the sun, such as the cheeks, nose, forehead and chin, and to a lesser extent, the neck and arms.

While Melasma does not cause any physical discomfort, managing the psychological stress associated with the appearance can be a challenge. Melasma can rarely fade on its own but most women prefer to treat it because it’s not only unsightly but it also causes some degree of embarrassment. Appropriate treatment can significantly improve quality of life and restore self-confidence.

Tips for Treating Melasma

Fortunately, there are many treatment options to help manage Melasma. Dermatologists are excited about the FDA’s approval of Fraxel for treating Melasma. And while there is no magic bullet for the problem, we have additional therapies at our disposal that are safe and effective. These include:

· The first line of defense is a broad spectrum sunscreen, which will help prevent further skin discoloration. If a patient is vigilant about sunscreen use and stays out of the sun, the condition can spontaneously improve. More importantly, it will help prevent further discoloration.

· One of the first-line treatments is often a hydroquinone (HQ) cream, lotion or gel to lighten skin, which is available over-the-counter and in prescription doses. A dermatologist may also prescribe other topical medicines to lighten skin such as tretinoin (Retin-A), corticosteroids, azelaic acid and kojic acid. Several new products have been developed without HQ to treat the condition.

· Procedures for Melasma include chemical peels, microdermabrasion (a non invasive treatment that exfoliates skin), Fraxel Dual 1550/1927, Q-switched Nd-YAG and Ruby Lasers.

· A final option is a combination of several aforementioned therapies. In one recent study researchers in New York found that microdermabrasion and laser treatments used together can be a safe, a non-invasive approach with minimal or no recovery time, and it had long-lasting effects.

Note the importance of sun avoidance and sunscreen to help prevent Melasma. I recommends everyone apply sunscreen 20 minutes prior to going out in the sun. This is particularly important for people aiming to prevent or minimize Melasma. In addition, reasonable efforts to reduce sun exposure such as wearing a wide-brimmed hat and large sunglasses can also be helpful in avoiding the sun and aiding in the prevention of Melasma.

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

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.

– See more at: www.happi.com

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Your 30 Second Heart Checkup

By: Kasey Panetta

You might want to check yourself out—for your heart’s sake. Coronary disease takes an average of one life every 39 seconds, but your body could be sending you signs that something’s up before it gets to that point. Read on for a couple of things you need to know.

Understand Your Resting Heart Rate (RHR)
RHR is a well-known tool for heart health, and maintaining the same RHR over a long span of time is crucial—a RHR of over more than 70 beats per minute means your heart is working too hard.

A recent study from the American Medical Association showed that people whose RHR changed from less than 70 beats/min to 85 beats/min 10 years later were 90 percent more likely to die from heart disease than those who maintained a steady RHR. If yours increases more than 5 beats/minute over 2 years, talk to your cardiologist about what you can do to lower the number. Here’s how to check your resting heart rate.

Check the Colors of Your Nails
Your nail beds are good indicators of heart health, says Joseph Jorizzo, M.D., professor of dermatology at Wake Forest Baptist Health Center. If they turn black, blue, or red, there could be a problem. Black and blue spots or streaks—called purpura—can indicate circulatory problems and diseases that cause blood thickening. Red nail beds can be a sign of congestive heart disease. If you notice any major change in nail color, make an appointment with your dermatologist, says Joshua Fox, M.D., medical director of Advanced Dermatology.

Look at Your Eyelids
Xanthomas—fatty deposits in the skin caused by high cholesterol—are soft, yellowish, growths usually found on the upper eyelids. (They’re also found on hands, elbows, and knees.) One cause of them can be excess lipids in the blood, which accumulate in skin cells. Those same high blood lipid levels increase your risk of vascular problems and coronary heart disease, leading to heart attack, stroke, and poor blood circulation, says Anne Hamik, M.D., professor at Case Western Reserve University Cardiovascular Research Institute. How? As the amount of lipids in your body increases, they are stored in the cells that line blood vessels. If the cells tear, the lipids are released into the blood stream, blocking passages and leading to a heart attack or stroke. As long as you treat the high cholesterol, the deposits themselves don’t need to be removed unless they’re causing discomfort.

Click here to read at www.menshealth.com.

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The physicians and staff of Advanced Dermatology, P.C. are pleased and excited to announce that we have moved our Upper West Side Manhattan office to a new expanded facility just a short distance away (same phone number). Our new site offers more luxurious accommodations, more waiting room seating and additional examination and procedure rooms as well as more medical, surgical, cosmetic and laser services. The location has access to the services of Simply Posh Aesthetic Spa which offers a full range of aesthetic services such as facials, and non-invasive fat reduction and skin tightening treatments.

Our new address as of January 27, 2014:
211 Central Park West (Corner of West 81st St & Central Park West)
Suite: 1D
New York, NY 10024
Phone: 212-787-2929 (same phone #)
Fax: 212-787-3077

Transportation Options:
Subway: Uptown B and C Train
Bus: Cross-Town bus stops at our door

You are invited to come visit our beautiful new facility and receive a free skin analysis to identify your skin concerns and to discuss our growing line of medical, surgical, cosmetic and laser treatments with our highly skilled and professional staff. We are offering *$50 off any treatment booked at Simply Posh Aesthetic Spa or *$50 off Botox or microderm-abrasion performed at Advanced Dermatology.

As in the past, we are committed to providing expert diagnosis and treatment for all your medical and cosmetic needs. Our doctors include experts in all facets of Adult, Adolescent and Pediatric Dermatology, Mohs cancer treatment and cosmetic and plastic surgery. We offer the latest laser treatments such as MiraDry, Ulthera, Thermage, ThermiRF, SmartLipo and other non-invasive fat reduction and skin tightening procedures.

We always try to accommodate urgent or emergency cases on the same day and we will continue to offer evening, night and weekend hours for your convenience. You will notice a higher level of customer service with less wait time. We thank you for your continued support and look forward to seeing you at our new site and at Simply Post Aesthetic Spa.

* offers good to April 1, 2014

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