USF Health Cosmetic and Laser Center on Davis Islands

5. A personalized skincare consultation- This 30 minute session will educate you on what your skin needs and what treatments are best to get the results that you are looking for.

4. Obagi Clenziderm Daily Care Foaming Cleanser- This cleanser is a real treat for anyone who wants a renewed fresh glow. For oily skin it can be used twice a day leaving the skin squeaky clean and refreshed. For dry skin use it 2 times per week to keep the dull lack luster look away.

3. SkinCeuticals A.G.E. Interrupter- The hottest anti-aging product on the market. This product is perfect for anyone who wants great home care results with a light weight, luxurious cream.

2. Botox – Instantly minimize those lines caused from muscle movement. Refresh your look with no down time.

1. Fillers – Put back the volume in your cheeks and lips or fill in the lines around the mouth with fillers. They are a safe and easy way to replace the volume in your face that is lost as you age. They just make your face fit better.

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Can I Prevent Premature Skin Aging?.

Click the link below for an ABC Action news story on Vitiligo featuring USF Dermatologist Dr. George Cohen

http://www.abcactionnews.com/content/taking_action_for_you/health/story/New-treatments-for-embarassing-skin-condition/KnL1lLFfeUuSYOgfwwHkCg.cspx

Dr. George Cohen

Are you bothered by ugly keloids on your ears or scalp? Do you have unwanted facial hair and unsightly dark spots? Are your earlobes split? Do you have large bald spots in your scalp? Many blacks and other people of color have concerns about their skin and appearance and would like to have the problems mention above treated but are not sure if treatment is safe or where to turn. People with skin of color can benefit from cosmetic procedures and the procedures are safe.

Keloids are raised hard and sometimes painful growths often seen on the ears and chest. They represent an overgrowth of scar tissue and can be unsightly as well as physically disturbing. They can be treated with steroid injections and other medications but many times the best treatment is surgical removal. Any treatment requires a physician experienced in managing keloids and a commitment on the patients part to complete all follow up visits.

Unwanted facial hair in woman can be unattractive and cause unsightly ingrown hair bumps. The hair can be safely removed via laser treatments and the skin tone will dramatically improve. Usually 3-4 treatments are needed to reduce the unwanted hair. Men often suffer from “razor bumps”. This troubling problem that is so common in black men can also so be safely and effectively treated by laser. There is no reason for men or women of color to be bothered by unsightly hair bumps or unwanted body hair.

Botox and a wide variety of “fillers” can be used to erase wrinkle lines and give the face a more youthful and vibrant appearance. There is no reason for people with skin of color not to take advantage of these medical “fountains of youth.

Loss of hair on the sides of the scalp is an extremely common disorder. Not having hair in this area limits a woman’s choice of hair style because of the need to cover the bald spots. In many cases the hair can be permanently replaced by a hair transplant procedure. This is a simple outpatient surgery that can restore one’s appearance and self esteem. People of color have often shied away from this procedure because of a fear of scarring or keloid formation. However hair transplantation along with laser surgery and chemical peels can be safely performed in people of color by a physician who has the experience and skill.

So now you know!! Cosmetic procedures can improve the appearance and self esteem in all people.

George Cohen, MD

Dr. Neil Alan Fenske

Neil Fenske, MD, professor and chair of Dermatology at USF Health, was among four dermatologists in the Southeast and 17 nationwide named among America’s Top Doctors for Women in Women’s Health magazine.

Women’s Health magazine teamed up with research firm Castle Connolly to create a definitive list of America’s best doctors for women in 10 specialties. The list appears in the November 2008 issue of the magazine and is available online atWomensHealthMag.com. It was compiled through a comprehensive screening process conducted by Castle Connolly’s physician-led team of researchers.

Using mail and telephone surveys and electronic ballots, physicians and the medical leadership at leading hospitals were asked to identify exceptional candidates. Each doctor’s experience was then thoroughly screened before a final selection was made.

Dr. Fenske’s special expertise in skin cancer and melanoma was noted. Melanoma is the second most common cancer in women in their late 20s, but when treated early the success rate tops 90 percent.

- Newsbrief by Anne DeLotto Baier, USF Health Communications

• Minimizes deep wrinkles
• Dramatically improves skin texture
• Minimizes acne scarring
• Eliminates discoloration
• Remodels collagen
• Effectively treats skin laxity around the eyes
• Superior results to any other laser

What to Expect

• Swelling and redness can last 2-3 days
• Peeling starts 2 days post treatment
• You can expect to peel for 2-3 days
• Redness can last for a few days
• Make-up can be used to cover redness

Do you have a red face? Are people always telling you that you look flush? Then you may have a chronic, inflammatory skin condition characterized by facial redness that affects adults called Rosacea. This skin condition progressively worsens over time and can be mistaken for other skin conditions such as acne, eczema, etc. Rosacea can be cyclic or flare up in response to triggers. Rosacea cannot be cured but can be controlled with prescribed topical medications and/or light treatments called IPL (Intense Pulse Light). In our practice we use Photo Genesis IPL to minimize generalized redness of Rosacea. Patients with Rosacea may also develop small blood vessels on their nose and cheeks called telangiectasias. These vessels on the face can be treated with lasers as well. Laser Genesis is our laser of choice to treat telangiectasias. These treatments are safe, if done by an experience provider. If you would like further information about Rosacea or the treatments, please contact me.

Robin McClain ARNP-C

Tired of applying medicated topicals and/or taking medications for your acne without results, light treatment may help as an adjunct to your current treatment.  Many acne patients need a plan of care that has more than one treatment to keep their acne under control. Acne occurs as a result of one or more of the following: increased production of P. acnes, excessive sebum production, accelerated release of inflammatory substances, and rapid shedding of skin cells. Treatment is based on what is causing the acne. This is why acne treatments are individualized by the dermatologist because often multiple treatments are needed because there are usually multiple causes for the acne. Also, this is why acne can be very difficult to treat because it may be hard to figure out the cause in return making it difficult to find the correct treatment. Light treatments may be that additional treatment you need to control your acne, if the traditional treatments are failing. Light treatments still are not routinely being prescribed to treat acne because they are not covered by insurance. They are considered emerging technologies.  Also, some providers do not offer them because they may not have access to these treatments in their office. To shed some light on these treatments, I would like to explain how these nontraditional treatments may help some to battle their acne. If your acne is caused by P. acnes, then light treatment may help. Data from clinical trials are limited, but recent studies indicate that light treatments demonstrate much promise in treating acne. The FDA has approved narrow-band, high-intensity Blue-Light therapy to treat acne. Blue-Light works by killing the acne-causing bacteria, P. acnes. Blue-Light is best used to treat inflammatory acne vulgaris. Blue-Light treatment patients receive treatment in increments of approximately eight sessions given over a four-week period. Therefore, a Blue-Light session is performed twice a week on nonconsecutive days for four weeks with each session lasting 15 minutes under the light. Side effects tend to be mild. They may include temporary pigment changes, swelling of the treated areas, and dryness. Noticeable improvement is seen by 50% to 70% of patients. If you would like to be more aggressive and get even better results and some cosmetic result you may want to consider ALA with light therapy with either Blue-Light or IPL. Patients receiving this treatment undergo a two-step process. First, a solution of 5-aminolevulinic acid (ALA) medication is applied to the skin being treated to increase the skins sensitivity to light. The ALA is kept on the skin for a period of time ranging from 15 to 60 minutes depending on the severity of the acne. Then the ALA is removed and the skin is treated with the light therapy for 8-15 minutes. Because the ALA makes the skin more light sensitive, patients are instructed to use sun protection for 48 hours after treatment. Number of treatments are usually needed, but vary pending on severity of the acne and response to treatment. While the results from studies are promising, the use of light treatments to treat acne are still in the investigational stages and are not usually the first choice or only choice for treating acne. One must remember acne is usually caused by multiple problems and light treatment only targets one cause P. acne.  If other factors are present, blue-light treatment will not clear the acne alone. If you are considering light treatment to treat acne, you should see a dermatologist that offers these procedures and set up a consultation. Dermatologists are specifically trained in treating skin conditions such as acne, therefore they are your best choice in a provider to administer such a light treatment.

Robin McClain ARNP-C

People looking to correct or minimize lines, wrinkles, or scarring, dermal fillers are the way to go.  As we get older, our face loses volume and shape, and creases and wrinkles become accentuated. Dermal fillers are designed to help restore fullness and provide a smoother contour to the face. Dermal fillers are a great alternative to surgery for a younger more youthful looking appearance that cost less with minimal down-time. As we age we begin to loose volume related to the reduction of collagen, hyaluronic acid, elastin fibers, and fat stores. Therefore, to counteract these natural occurring aging effects we can add dermal fillers to replace the volume we have lost. There are many different types of dermal fillers on the market.  In my practice the providers use Restylane, Juvederm, Perlane and Radiesse. All of these fillers are safe and natural cosmetic dermal fillers that restore fullness to the skin and are approved to minimize facial wrinkles and folds, such as nasolabial folds.  “Off-label” use of these products, which means non-FDA approved indications, includes adding volume to the lips, filling in depressions under the eyes and minimizing the deep groove between the eyebrows. Restylane, Perlane and Juvederm were some of the first cosmetic dermal fillers made of non-animal-based hyaluronic acid. Since, these dermal fillers are non-animal based the risk of disease transmission or allergic reaction are greatly minimized. Hyaluronic acid is a natural substance that already exists in the human body and is used to provide moisture and fullness to the skin.  The hyaluronic acid in Restylane, Perlane and Juvederm is a crystal-clear gel called NASHA^TM, or Non-Animal Stabilized Hyaluronic Acid. NASHA^TM is biodegradable and completely biocompatible with human hyaluronic acid. The nice thing about using Hyaluronic Acid fillers such as Restylane, Perlane and Juvederm is if a problem does develop hyaluronidase can be injected to counteract the effects of the Hyaluronic Acid filler. Radiesse is another type of dermal filler with unique qualities. Radiesse is comprised of Calcium Hydroxylapatite, which has a history of safe use in the ears, vocal chords and dental and orthopedic applications. Radiesse is a resorbable implant product approved by the FDA for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. Radiesse is radiopaque and is visible on CT scans and may be in x-rays. On average, Radiesse lasts for 12-18 months and Restylane, Perlane, and Juvederm last between 6 and 9 months, in some cases even longer. The length of effect differs from person-to-person, but in general, placement of the product does seem to play a role. In areas of movement, such as the lips, the effects do not last as long as in an area with less movement, such as the cheeks. Prior to treatment patients should avoid taking aspirin and other anti-inflammatory agents (NSAID’s), vitamin E supplements, and other blood thinners (if approved by your prescribing physician) for a minimum of one week prior to treatment.  This will help to minimize any bruising. And applying ice frequently after administration will aid in decreasing swelling and bruising. Although a very thin needle is used, common injection-related reactions often occur, including some initial swelling, bruising or tenderness at the injection site. Some temporary lumpiness may occur before the balance between normal tissue pressure and the injected dermal filler compound is established. Other less common side effects are pain, itching, discoloration, lumpiness, infection, and possible activation of HSV. Rare side effects are allergic/hypersensitivity reactions, urticaria (hives), granuloma, skin necrosis, ulceration and scarring. Dermal fillers are safe, if injected by experienced and certified providers. Dermatologist are skin experts, therefore naturally making them great providers to be injecting dermal fillers because they have such a vast knowledge about aging skin.

Robin McClain ARNP-C