More Than Skin Deep

Posted by: Dr Elaine

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indoor tanning addiction

To the consternation of the tanning industry, dermatologists lecture you all the time about the medical and cosmetic dangers of tanning, especially indoor tanning. That is because UV exposure is the single most cosmetically damaging thing you can do to your skin, as well as the major cause of skin cancer. No matter what the tanning industry says.

I know you get tired of hearing it from me. Too bad. But, I am going to cut you some slack. I am going to let someone else lecture you. So listen to our guest blogger, Jourdan Miller, on some of the interesting recent findings that tanning is similar to drug addiction.

I am loaning her my bulletproof vest.

 

More than Skin Deep
by Jourdan Miller

The prototypical American beauty is typically portrayed as blonde, thin, tall and most importantly: tan. While achieving this California dime look may seem harmless, new research from The Archives of Dermatology reveal that tanning is another form of addiction and as physically detrimental as cocaine abuse.

New York Times author Tara Parker-Pope writes about these shocking findings in her article, Is Indoor Tanning Addictive? “In the study, 78 percent of the most frequent tanners said they had tried to cut down on indoor tanning but had been unable to,” Pope writes. “Frequent tanners reported missing scheduled plans because they had opted to use a tanning bed instead.”

Frequent exposure to UV light produces opioids in the brain, more commonly referred to as endorphins. Indoor tanners report feeling happy, calm and relaxed and brain scans prove that the body is at a heightened state of contentment, writes Parker.

Dermatologist Dr. Robert McDonald says he sees tanning addiction all too often in his patients.

“The problem is only getting worse as affluence increases,” McDonald said of this affliction. “People have more money so their going on beach vacations to [places like] Cancun.”

As the media glamorize beauty, they often make it synonymous with bronzed skin and a youthful, carefree attitude.  Unfortunately, such ideas have a damaging effect on health.

“The threat is so far removed people aren’t paying attention to it right now,” McDonald said. “It’s like saving for retirement, it’s something you should do but if you don’t you might be ok, it’s also like telling a 20 year old ‘you better stop smoking now or you might get cancer in 30 years’; it’s hard to see yourself down the road.”

The human brain responds to UV light and almost immediately a bio chemical reaction triggers an addictive response, McDonald says. With nearly 30 million Americans tanning indoors every year, the habit isn’t going anywhere soon.

“We have 20 times more melanoma than in the 1920s,” McDonald said about the increased frequency of skin cancer. “It’s the kind of thing that happens when you’re young, before 25. It a cycle between the beach and the tanning bed.”

UW-Madison student Kayla Gross’ bronzed-skin-bliss took taken a turn for the worse last May. After developing a strange growth on her leg, dermatologists confirmed that Gross had skin cancer.

“I loved the warmth. If I didn’t go I wouldn’t feel right,” Gross said when asked why she continued the unhealthy habit.

An avid tanner throughout high school, Gross tanned for 20 minutes every other day. No eye goggles, no sunscreen, and no worries.

“I used to say ‘skin cancer isn’t a big deal, they just cut it off and remove it.’” Gross said about her outlook on cancer in high school. “I’ve had basil cell three times now, and I have the scars to prove it.”

While Gross had a wake-up call early in life, many of America’s youth aren’t so lucky.

“There’s a long time before this goes away,” McDonald said. “It’s an addictive behavior that’s only going to get worse.”

Jourdan Miller is a student at the University of Wisconsin-Madison in the School of Journalism and Mass Communication. When she’s not reading the latest article on beauty, fitness or skincare, you’ll find her running along the lake and dining out at the trendy restaurants in Madison. 

 Check out her blog http://jourdanmiller.wordpress.com/

 

 

 

 

At least you had a good time

Posted by: Dr Elaine

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procedures to repair sun damage to skin

So you have ruined your skin with the sun. Well at least you had a good time. Now its time to fix the mess.

Our first option is to try to improve the brown spots, roughness and fine lines with skin care and prescription retinoids. But broken blood vessels, wrinkles, elastosis, pre-cancerous changes and more significant pigment changes require more significant treatment. If we can’t accomplish what we want to do to repair sun damage to the skin with at home treatments or want quicker results then we go to treatments in the office.

These anti-aging aesthetic procedures and treatments help reverse sun damage:

GentleWaves® LED Photomodulation®
Gives creamy appearance to skin

This painless light emitting diode treatment stimulates collagen and elastin production and prevents collagen breakdown.  It improves sun damaged reducing the appearance of fine lines and gives a creamy appearance to the skin.

SilkPeel®
Restores radiance and glow.

Microdermabrasion uses a controlled stream of particles to exfoliate the skin. Particle-free microdermabrasion uses a treatment tip. We perform SilkPeel® Dermalinfusion® which uses a diamond treatment head to precisely exfoliate, followed by Dermal Infusion, the application of specific dermaceutical treatment solutions at controlled intensity. It removes surface abnormalities, and allows better penetration of prescribed home skin treatments.

Chemical Peels
Improves acne and pigmentation.

A chemical peel is the application of a solution to remove skin of varying depths and to stimulate collagen production.  Depth achieved varies with strength and chemical used–superficial peels (Glycolic, Lactic, Salicylic Acids), mid level peels (lower strength Trichloracetic Acid/TCA), and deep peels (high strength TCA or Phenol). Superficial peels are effective for acne, pigmentation, fine lines and restoring glow. Mid level peels improve fine lines, some moderate lines. Deep peels improve deeper wrinkles and acne scars. The risks involved increase with the depth, with the deeper peels having much increased risk of scarring and permanent pigment change compared with superficial peels.  Deeper peels have been used less frequently since the development of lasers, as the depth of the peel is less predictable than with laser treatment.

Intense Pulsed Light (IPL®)
Improves red and brown discoloration and sun damage

Intense Pulsed Light (IPL®) reduces broken capillaries, redness, brown pigment, age spots, freckles, large pores and fine lines. Face, neck, chest, arms and hands may be treated. IPL® / PDT utilizes IPL® and a topical medication for quicker and additional results and treats pre-cancerous sun damage called actinic keratosis. IPL® gives you a clearer skin tone with reduced redness, veins, and brown spots. It improves the red and brown discoloration on the neck, chest, backs of arms, and hands from sun damage.

Fraxel® Laser Treatment
Resurfaces an entire surface area reducing wrinkles, scars, pore size and bumpy skin surface

Fraxel Laser Treatment (FLT) is a “fractional” treatment that produces thousands of deep, tiny columns in your skin, resurfacing sun damage, irregular surface changes, wrinkles and scars.

There is minimal downtime. Most patients return to routine activities the same day of treatment. Areas that improve include overall sun damage, mild to moderate wrinkles, large pores, surface irregularities, pigment abnormalities, acne scarring and stretch marks. Fraxel® increases overall smoothness of the skin.

Best choices for specific sun damage skin changes:

  • Brown spots–IPL
  • Broken blood vessels–IPL
  • Pre-cancer–IPL/PDT or liquid nitrogen to individual spots
  • Elastosis, wrinkles, enlarged pores–Fraxel

Next: My top 3 anti-aging choices for repairing sun damaged skin

Cosmetic Dermatology Up Close

Posted by: Dr Elaine

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Elaine Cook MD

Elaine Cook MD

Welcome to the SkinTreatment.com blog, opinions and observations of board certified cosmetic dermatologist and creator of  Dr Elaine’s Advanced Skin Treatment skin care line, Elaine Cook M.D.  I’ve been specializing in Dermatology for 27 years, the last 15 of which have been devoted to the practice of cosmetic dermatology, the development of my own skin care  line, and running SkinTreatment.com. This blog represents the summation of the knowledge and experience I have gathered over the years seeing countless patients and developing multiple prototypes for our skin care products. Some of the medical stories happen over and over again, some are more unusual. Some are purely cosmetic. Some are symptoms of underlying medical disease. All are important. All affect peoples lives.

I plan on discussing a variety of topics. Among them: the so-called “cosmetic” skin problems–acne, melasma, rosacea, aging skin, wrinkles, spider veins, cellulite, stretch marks, hair loss, age spots, sun spots, discoloration and more. I will also discuss the cosmetic procedures used to remedy these problems: Botox, Juvederm, Restylane, Sculptra, Laser, Fraxel  Laser, Intense Pulse Light Photorejuvenation (IPL), Thermage, Therma-Frax (also called Fraxage), Sclerotherapy, Chemical
Peels and the various other light-based treatments such as LED and blue light. Finally, I will be using my understanding of the skin in health and disease and my experience developing my own skin care line as a basis to discuss anything and everything about skin care products.

Basically, I will be discussing whatever I want on any given day.