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

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Drs. Kraft and Fox on Breast Augmentation

Vast Majority of Women Thrilled with Breast Augmentation Results

Fresh Meadows, NY (PRWEB) May 15, 2014

What’s the most popular cosmetic surgery in the United States? Breast augmentation procedures significantly outpace surgical enhancements of other body areas, with recent research showing that nearly all women who’ve done it feel the results met or exceeded their expectations – echoing what patients of Advanced Dermatology P.C. are telling plastic surgeon Robert Kraft, MD.

“Women come to us unhappy with the small size of their breasts and say they feel self-conscious when wearing form-fitting tops or swimwear,” explains Dr. Kraft. According to Dr. Joshua Fox, founder of Advanced Dermatology, “after breast augmentation, their confidence level soars and they love their new shape.”

Research published in May 2013 in the journal Plastic and Reconstructive Surgery indicates that 98% of women undergoing breast augmentation – which soared by 35% since 2000, to 286,000 operations in 2012 – said the results met or surpassed their hopes. They also reported improvements in self-esteem and quality of life, with 85% rating their new breast size “just right.”

“Patient satisfaction tells us all we need to know about the success of breast augmentation surgery,” says Dr. Kraft, who’s board-certified and is a founding member of the New York State Association of Plastic Surgeons and is President of the Queens Medical Society. “Not only is it a highly safe procedure, but it helps women feel beautiful inside and out.”

What’s involved in breast augmentation?

Most people know that breast augmentation surgery, known medically as augmentation mammoplasty, results in bigger breasts. But many don’t know what’s involved in the procedure, Dr. Kraft says, or even all the reasons why it might be desirable. Breast augmentation used cosmetically to:

  • Enlarge small breasts that most commonly result from heredity
  • Restore breast volume lost after pregnancy, breast-feeding or weight loss
  • Achieve better symmetry when breasts are noticeably uneven in size and/or shape

What breast augmentation can’t do, Dr. Kraft notes, is correct badly drooping breasts, which require an operation called a breast lift – which can be done along with breast augmentation – to re-position them. Two types of breast implants are used in breast augmentations: saline or silicone gel. Each has pros and cons, but surgeons work with each patient to determine which choice is best for them. Once that’s decided, Dr. Kraft uses one of two incisions for the surgery:

  • Periareolar incision: Made around the edge of the areola, this incision leaves the least-visible scars but may affect a woman’s ability to breastfeed in the future.
  • Inframammary incision: Considered the fastest, simplest and most popular of the incision options, this incision is best for patients with fuller breasts that effectively cover the scar when standing but may be visible when lying down.

Implants may be placed either over or under the muscle depending on how thin the patient is.

Preparing for breast augmentation surgery

Before breast augmentation surgery, a plastic surgeon will examine the patient’s breasts, review their medical history and take medical photographs to compare pre- and post-surgery results. Beyond physical preparations for surgery, Dr. Kraft recommends that women also be psychologically prepared to understand that implants typically need to be replaced over time, since aging, gravity, hormonal factors and weight loss or gain can change the appearance of their breasts, or the implants may develop a leak.

Breast augmentation surgery is usually performed on an outpatient basis using general anesthesia to keep patients comfortable for the 1- to 2-hour procedure. Temporary pain, swelling and other surgical complications may occur, but the 2013 Plastic and Reconstructive Surgery study found that patients felt they were completely “back to normal” about 25 days after surgery.

“Best of all, the results are immediate,” Dr. Kraft says. “Women can tell right away after breast augmentation surgery how much bigger and fuller their breasts appear. It’s a feeling of satisfaction for them that’s like no other.”

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.

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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Broken Blood Vessels

What Are Those Broken Blood Vessels on My Face and What Can I Do About Them?

Dermatology Specialists Drs. Joshua Fox and Meryl Blecker Joerg Explain

Roslyn Heights, NY (PRWEB) May 09, 2014

Wondering why your face is peppered with tiny red lines? These broken blood vessels affect millions – especially as age creeps up – and don’t typically disappear on their own but can be treated quickly and effectively by a dermatologist, according to Joshua Fox, MD, medical director of Advanced Dermatology P.C. and the Center for Laser & Cosmetic Surgery.

Known as telangiectasias, the tiny spider or thread-like blood vessels can develop anywhere on the body but are especially prevalent on the face. The vessels involved can be veins or capillaries and tend to cluster around the nose, cheeks and chin, creating unsightly areas that can make it hard to face the world with confidence.

“Spider veins on the face don’t hurt, and they aren’t dangerous or life-threatening, but they certainly affect appearance and self-esteem,” explains Dr. Meryl Blecker Joerg, M.D., also with Advanced Dermatology. “They can make the face appear slightly bruised and cause you to look older than you are. On top of that, these broken blood vessels are likely to get worse over time if left untreated.”

What causes broken blood vessels?

Some telangiectasias are prompted by uncontrollable factors, while others appear because of lifestyle choices. The numerous causes of broken facial blood vessels include:

  • Aging
  • Prolonged sun exposure
  • Pregnancy
  • Childbirth
  • Oral contraceptive use
  • Estrogen replacement therapy
  • Excessive alcohol consumption
  • Heredity
  • Rosacea, a common skin condition triggering facial redness from a combination of bumpy skin, pimples and broken capillaries

It may not be possible to completely avoid broken facial blood vessels, but Dr. Fox notes that there are several ways to minimize your risk, including gently washing your face with warm – not hot – water, since hot water forces capillaries to expand.

“Everyone who comes to us with broken blood vessels on their face seems to have acquired them in a different way,” Dr. Fox says. “But one thing unites all of them: The desire to be rid of these embarrassing red lines. Luckily, we have a clear-cut solution to offer.”

Best treatment option virtually painless

The most effective treatment option for broken blood vessels happens to also be quick, virtually painless and highly effective. Laser light treatment uses gentle light pulses to heat the affected blood vessels, causing them to collapse and leaving surrounding skin undamaged. Afterward, the tissue from destroyed blood vessels simply dissolves, restoring the skin’s natural appearance within days.

While some laser light treatment patients describe the laser sensation as similar to that of a snapping rubber band, topical anesthesia or ice can be applied before treatment to maximize comfort. Larger veins may require multiple laser treatments spaced weeks apart, while small vessels can usually be taken care of with a single, 10- to 15-minute treatment. Bruising, crusting or redness of the skin may occur in some cases, but typically clears within a few days.

For optimal results, Dr. Fox recommends laser or intense light treatment and that patients use sunscreen on the treated area to ward away unnecessary redness or discoloration. Daily sunscreen use on the face is a good idea regardless, he notes. Makeup or self-tanning lotion can be used to try to conceal or camouflage broken blood vessels, but don’t remove the problem blood vessels.

“It’s gratifying to have such a safe, effective treatment for a skin problem that impacts so many people,” Dr. Fox says. “When I show prospective laser treatment patients before-and-after photos from others we’ve treated for broken blood vessels, they can’t believe the difference and are thrilled for the chance to regain their natural beauty. The patients are impressed to see the instant improvement in their condition after a single short treatment.”

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. Meryl Blecker Joerg, M.D. F.A.A.D. has been with Advanced Dermatology since 1997. She is also n Assistant Clinical Professor in the Cosmetic Clinic at Mount Sinai Hospital, New York City.

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Tips For Reducing Cellulite

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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.”

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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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