Winter is Dangerous for Skin Cancer Too

winterskin2Dermatology specialist Dr. Joshua Fox, medical director of Advanced Dermatology, P.C., discusses skin care tips for the winter in a recent article. According to Dr. Fox, “Winter weather can intensify the negative effects of UV exposure in several ways. First, snow reflects up to 80 percent of UV light, meaning the same sun rays can hit you twice. And second, snow and strong winds can erode sunscreen protection.” Click here to read more.

Rough Isn’t Rugged in Men’s Skin

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. .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.

Summer is Coming – Beware of Rashes!

Tips for Understanding Contact Dermatitis from Dermatology Specialist Dr. Joshua Fox

According to Dr. Joshua Fox with Advanced Dermatology, contact dermatitis may seem perplexing because rashes can be triggered by an exhaustive list of substances.

Roslyn Heights, NY (PRWEB) May 20, 2014

Just as temperatures rise and you’re ready to don warm-weather clothes again, bam! You come down with a nasty red rash. But are you having an allergic reaction or is your skin just irritated? Contact dermatitis – which can be triggered by either allergens or skin irritants – is likely to blame, according to Joshua Fox, MD, medical director of Advanced Dermatology P.C.

Contact dermatitis is the medical name for rashes caused by culprits ranging from soaps, cosmetics, fragrances, jewelry or plants such as poison ivy or poison oak. Some jobs also expose us to substances that can cause contact dermatitis, Dr. Fox explains.

“The red, itchy rash of contact dermatitis isn’t contagious or life-threatening, but it sure can be uncomfortable and unslightly,” Dr. Fox says. “Many people get these sorts of rashes from time to time. It’s important to know that a variety of home treatments and medical approaches can be used to quickly and effectively tackle contact dermatitis.” It is also possible now, through new testing to find the etiology of what caused the contact dermatitis and how to safely avoid it in the future.

Many possible causes

Contact dermatitis may seem perplexing because rashes can be triggered by an exhaustive list of substances. There are two main types of contact dermatitis, irritant dermatitis and allergen dermatitis. Irritant dermatitis, the most common type, can be caused by:

  • Soaps, fabric softeners and detergents
  • Hair dyes and shampoos
  • Cement
  • Pesticides or weed killers
  • Rubber or latex gloves
  • Solvents or chemicals

Allergic dermatitis, on the other hand, does not occur the first time you’re exposed to a substance – the reaction usually only happens after subsequent exposure. This form of contact dermatitis can be caused by:

  • Adhesives, including those used for fake eyelashes or toupees
  • Antibiotics rubbed on the skin surface, such as neomycin, bacitracin or polysporin.
  • Fabrics and clothing
  • Fragrances in perfumes, cosmetics, soaps and moisturizers
  • Nickel or other metals that are found in jewelry, buttons, bra straps and zippers
  • Poison ivy, poison oak, poison sumac and other plants
  • Rubber or latex gloves

Additionally, some products cause contact dermatitis only after the skin is also exposed to sunlight (photo contact dermatitis), including shaving lotions, sunscreens, coal tar products, some perfumes, and even oil from the skin of a lime.

“It’s not always easy to tell if your rash was caused by an allergy or by an irritant because some of the symptoms may be identical,” Dr. Fox explains. “But an allergy usually provokes symptoms on or near the skin you touched the allergen with, while a rash from skin irritants may be more widespread.”

“Also, with an allergy, it may be a day or two before the rash shows up,” he adds. “But with an irritant, the rash usually shows up immediately, and it tends to be more painful than itchy.”

Home treatments, medications can help

Successfully treating contact dermatitis starts with identifying what’s causing your reaction. Avoiding the trigger usually gives the rash a chance to resolve on its own, though it may take two to four weeks. Home treatment measures, which can reduce inflammation and soothe skin, include:

  • Washing affected skin with water to remove any traces of remaining irritant
  • Using anti-itch creams such as calamine lotion or corticosteroid skin creams or ointments

If your rash doesn’t get better after a few days, it’s time to call your dermatologist, who may – for patients with long-term, repeated contact dermatitis – perform allergy testing with skin patches. So-called “patch testing” can determine which allergen is causing the reaction. We have hundreds of test so we can discover the correct allergens. The American Contact Dermatitis Association, of which I am a member, will tell us, through an agreement with multiple manufacturers, which products the patient should avoid as well as which products can be safely used with their specific allergy.

Clinicians may also prescribe heavy-strength ointments, creams or even pills to treat more severe cases of contact dermatitis.

“While sometimes treatment may be necessary, if it’s painful or uncomfortable and you are losing sleep or are distracted from your everyday life, it’s time to get your rash checked professionally. There’s no point in suffering in silence when treatment is so readily available. Failure to treat can lead to skin infection and scarring.”

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.

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

For the original version on PRWeb visit:

Seen At 11: Counterfeit Cosmetics May Be Harmful To Your Health

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, 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.


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Treating Melasma logo

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.

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