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    What is Laser Skin Rejuvenation?

    Last updated 3 months ago

    Sun damage, signs of aging, acne scars, and discoloration can all affect your confidence in the appearance of your face. Laser treatments can erase imperfections and restore youthful vitality to the skin. Your cosmetic dermatologist can help you choose the right type of laser treatment to address your specific concerns.

    How Laser Skin Rejuvenation Works
    Your skin is constantly undergoing a cycle of renewal, creating new skin cells to replace those that are old or damaged. Laser skin rejuvenation uses targeted laser light to remove the outer layer of damaged skin, allowing healthy skin to surface. During the removal process, the laser also heats the underlying layers of your skin, prompting the body to grow new collagen fibers. Collagen is responsible for giving skin its firmness and elasticity.

    When Laser Skin Rejuvenation Is Appropriate
    Laser skin rejuvenation can address a variety of skin concerns. By removing the outermost layer of skin, laser skin rejuvenation can reduce signs of aging such as wrinkles and lines. Laser skin rejuvenation is also an effective method for reducing or eliminating the appearance of scars due to acne or chickenpox. If you suffer from an uneven complexion, liver spots, birthmarks, or warts, laser treatment can improve your skin tone for more even, healthy coloring.

    What Happens During Laser Skin Rejuvenation
    Before your laser treatment begins, your dermatologist may numb your skin with a local anesthetic. You may also receive a sedative to help you relax. During treatment, laser light is applied to the face in either controlled pulses or a continuous beam. If necessary, your dermatologist will provide a dressing for your face after treatment and discuss any specialized care instructions to promote effective healing.

    Advanced Dermatology & Cosmetic Surgery offers a variety of laser skin treatment in Orlando, Tampa, Jacksonville, Fort Lauderdale, and West Palm Beach. You can learn more about laser skin rejuvenation, laser hair removal, and laser vein removal when you call us at (866) 608-9531. Check us out online to learn more about our comprehensive dermatology services. 

    Use This App to Review New Beauty Products

    Last updated 3 months ago

    Choosing new beauty products can be an intimidating process, but the right information takes all the guesswork out of developing a personalized skin care routine. The Beauty Product Reviews app allows users to submit reviews of all the latest beauty products. You can read others’ opinions and experiences to help you choose makeup, hair care, and skin care products from among well-known brands such as MAC, Estee Lauder, Neutrogena, and Olay. As soon as you download the app, you can create an account and share your own experiences to help other users make the right choices as well.

    Advanced Dermatology & Cosmetic Surgery is pleased to offer Dr. Leavitt's line of R. Essentials products. These personalized skin care products offer custom-tailored care that meets your skin’s unique needs. You can learn more about choosing the right skin care products by calling (866) 608-9531 or visiting us online.

    Why Sunscreen is Important All Year Long

    Last updated 4 months ago

    Wearing sunscreen prevents damaging UV rays from weakening the collagen beneath your skin, forming wrinkles and lines on the face. UV rays are also responsible for causing skin cancer, the most common form of cancer in the United States. Applying sunscreen should be an essential part of your daily skin care routine throughout the year. The sun’s UV rays can penetrate the atmosphere and damage your skin whether it is sunny or cloudy outside. You should wear a sunscreen rated at least SPF 15 every day to reduce exposure to UV rays. If you will be spending a longer period of time outdoors, wear sunscreen that is SPF 30 or greater. Sweating and swimming can wash away sunscreen, so reapply your sun protection every two hours while you are outdoors.

    Would you like to learn more about how to protect your skin from sun damage and signs of aging all year long? At Advanced Dermatology & Cosmetic Surgery, we offer complete clinical and cosmetic dermatology services. Visit us online or call (866) 608-9531 to find the Florida location nearest you.

    Psoriasis in Children

    Last updated 4 months ago

    Psoriasis in children is a rare but significant disorder.  It can start as early as infancy but has a mean age of  onset between 8-11  years.  Some studies suggest that its incidence  is    4/ 10,000 individuals.    We have evaluated the rate that children with psoriasis come to a dermatology office and found it to be similar at 4/10,000 patients. Thus, a typical dermatologist who sees  about  10,000 patients per year would  see very few children with psoriasis. On the other hand,  about 35 % of adults with psoriasis report that the psoriasis started while they were teens or even younger.    It is unclear from these somewhat contradictory data whether or not , pediatric psoriasis truly occurs at a higher rate than reported  but is not diagnosed as such when it first appeared. It is only retrospectively that the adult psoriasis patients realize they had psoriasis as children.

    Most children with psoriasis have a form called guttate, from the latin “gutta”  or drop.   Although the word guttate is foreign to most dinner table conversation, the more common modern English word derived from gutta  is gutter,  as in rain gutter which collects the rain drops.    This form appears as small drops of psoriasis  usually less than 1 inch in size each.  They may or may not itch.  The can appear  anywhere on the body but typically appear on    .    The rash most commonly is associated with a b-hemolytic Streptococcus infection  and responds to penicillin.   The mechanism is felt to be related to immune response to streptococcus.   Some patients may get the disease or recurrences merely by colonizing with strep  and not actually having signs or symptoms of an infection other than the rash.   Testing for antibodies to strep ,  call ASO,   can sometime clarify the cause.    Guttate psoriasis may also be caused by other bacteria, other micro-organisms,  drugs, foods, etc.    If the cause can be identified and the source of the cause removed the disease can be controlled.     If not,  the rash may require treatment with topical steroids,  topical calcineurin inhibitors,  oral  immunosuppressive drugs, or biologics.   Very few of these treatments  including the topical treatments have FDA approval  and are thus prescribed (legally) as off label treatments.    Over the last few years, the FDA has been working with  the pharmaceutical companies to test the commonly used  off label treatments for safety and efficacy in children.

    Children are less likely to get plaque psoriasis which is the most common form of psoriasis in adults.    As noted above,  children may start to develop psoraisis  as early as in their teens.   Some of these patients may have had guttate psoriasis,   other may not.   The tendency to develop psoriasis may run in families.   It has been suggested that     HLA-Cw*0602  genes  may play a role in guttate psoriasis .      In children,  in addition to streptococcal infection,   the aggravating factors include second-hand tobacco, emotional stress,  elevated body mass index (overweight, obesity).   Skin injury from rubbing, friction, scratching pressure or otherwise  is associated with formation of new or additional lesions.  This was described in the 1800’s by Dr  Heinrich  Koebner , thus the process is referred to as “koebnerization”.

    In psoriasis the skin surface cells  called epithelial cells multiple out of control and fail to form interlocking relationships  or  stop multiplying when the skin has reached its normal thickness. Thus the architecture of the skin is abnormal .   In addition, there is an immune reaction to these cells which further causes injury to the skin.    The injury then further drives the process.    The immune pathways involved in psoriasis involved several mediators including  TNF,  IL 17  IL 13  IL 23    Biogenetic pathways such as Jax2.    Also may play a role.   These pathways may be inhibited which can lead to relief of the psoriasis.   Although some of these  are currently available to treat adults with psoriasis , and others are being tested and are in the pipeline,  their use in children remains typically off label.

    Applying a CAS-CQIA approach for children with psoriasis may help to identify groups of children who respond   similarly to environmental exposures, diet, other behaviours which positively or negatively effects their response to treatments.   Identifying these groups and helping guide them towards positive results is the goal of this process.     With guttate psoriasis the role of molecular mimicry and cross reactivity may also be crucial.  Thus, the chemistry of the streptococcal surface to which the body make an immune response may not be unique to the strep.   Clearly in rheumatic fever,  there is an overlap between cardiolipin and strep.    Due to both being related to streptococcal infections, one might predict an association between guttate psoriasis and rheumatic fever.   Nonetheless, there is no medical literature related to this issue.   The reagents used to confirm for cross reactivity between streptococcus  and a human heart protein called cardiolipin is  a beef cardiolipin not human.  Thus, the patients who do test positive  also may react to exposures to beef.   Identifying these relationships may be critical to control persistent guttate psoriasis in children.

    Finding the Right Dermal Filler

    Last updated 4 months ago

    As you age, your skin changes in many ways. Over time, the face loses volume and looser skin forms wrinkles, folds, and furrows. Dermal fillers offer an, effective, non-invasive, and long-lasting cosmetic solution to restore the youthful look of your skin by replacing lost volume and eliminating wrinkles.

    Restylane and Juvederm
    Restylane and Juvederm contain hyaluronic acid, which is a natural component of the skin. Restylane and Juvederm are generally used to improve folds and wrinkles found in the lower face. Treatable areas include the skin around the nose and lips, as well as under the eyes. These dermal fillers can also be added to the lips to increase their volume. Over time, the hyaluronic acid in these fillers is naturally broken down by the body and must be replaced. Juvederm and Restylane results typically last six to twelve months before retreatment is required.

    Perlane is manufactured by the same company that produces Restylane. It is also a hyaluronic acid filler, but contains larger particles than Restylane or Juvederm. Perlane treatment is reserved for more severe wrinkles and folds in the lower face around the nose and mouth. It is not recommended for lip enhancement.

    Radiesse and Sculptra
    Radiesse and Sculptra are excellent choices to add volume to the cheeks and the areas beneath the eyes. These dermal fillers prompt your body to make its own collagen for natural and long-lasting results. Radiesse is a gel that contains suspended calcium hydroxylapatite microspheres, while Sculptra contains poly-L-lactic acid. The results of Radiesse treatment are visible immediately and typically last one year or more. It may take a few months before the results of your Sculptra treatment are fully apparent, but retreatment will not be needed for two years or more.

    Would you like to learn more about dermal fillers and how they can improve the look of your face? Call Advanced Dermatology & Cosmetic Surgery at (866) 608-9531 to schedule a personalized consultation with a cosmetic dermatologist. We can help you make the right choice to achieve more youthful and vibrant skin! 

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