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While beauty can begin inside, for many people, what they see on the outside when looking into a mirror - wrinkles and other signs of aging - can impact their self-confidence. It’s time to reverse that and boost your confidence with Botox® - one of our most popular treatments here at Feinstein Dermatology & Cosmetic Surgery in Delray Beach.

 

What is Botox®?

 

Botox® or botulinum toxin type A is an injectable used to reduce or eliminate the appearance of facial wrinkles. According to the American Society of Plastic Surgeons (ASPS), among the 15.7 million cosmetic minimally invasive procedures performed in 2017, Botox® was the most popular. Its numbers seem to grow in popularity each year.

 

Rejuvenate Your Face

 

Botox® is the first and only treatment FDA-approved to temporarily make moderate to severe frown lines, crow's feet and forehead lines look better, less noticeable. The way it works is the injections block nerve impulses, and weakens muscles, relaxes wrinkles and gives the face a rejuvenated look. It is injected under the skin into many areas including the following:

  • Crow’s feet area/surrounding the eyes
  • Forehead/Brows
  • Mouth/Frown lines/worry lines

While it’s an injectable, don’t let the thought of a needle alarm you. The only thing you’ll feel is a little pinch.

 

How Long Will It Take and How Many Injections Will I Receive?

 

Getting Botox® injections are quick. You’ll notice an improvement with your skin within 24 to 48 hours. The results can last up to four months. Like all of the treatments and procedures we do here at Feinstein Dermatology & Cosmetic Surgery, the Botox® treatment is customized and based on the patient’s goals and needs.  So, when you come in, we’ll discuss your concerns, along with your aesthetic goals.

 

Other Uses for Botox®

 

While Botox® was originally designed for aesthetic purposes, it has evolved and is now used to target other issues, including excessive sweating, called hyperhidrosis. If you suffer from excessive sweating of your palms, feet or any other body part, we can assist you.

 

When Should I Get Botox®?

 

Obviously, getting this popular anti-wrinkle treatment is a personal decision, and there’s much to consider. Many women start getting them at the first signs of fine lines and wrinkles, while younger women, more interested in prevention, sometimes start getting injections in their late 20s. Again, it’s a personal decision.

 

Make an Appointment to See Us

 

So, are you ready to look in the mirror and smile? Are you ready to boost your confidence with Botox®?  We hope so.  Call us at 561-498-4407 to schedule your appointment today. We’ll also tell you about all of the other cosmetic and anti-aging treatments we offer here.  Our compassionate, licensed doctors are great at creating and managing your individualized treatment plan, ensuring the highest quality care with the most effective results. And don’t forget to check out the specials on our website. Some of the packages would make great gifts.

 

We’re Ready to Help You Look and Feel Your Best

 

Feinstein Dermatology & Cosmetic Surgery is a one-stop shop with a medical dermatologist, surgical dermatologist, an aesthetician, in-house lab, and yes, a staff made up of with compassionate people. Let us give you the personal attention you deserve, and help you look as young as you feel. We look forward to caring for your needs. Call us today at 561-498-4407.

January 30, 2018
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Aging is a natural part of life, and our skin changes as we age.  Some of the most visible signs of aging are lines or folds on the face and loss of volume that makes the face look less smooth and youthful as it once did.  Fillers are a great way to combat these unwanted changes whether by maintaining your natural look or by enhancing your features.

What are fillers?

Dermal fillers are non-invasive treatments to smooth the appearance of skin folds, restore volume and enhance facial features.  Fillers have been used in the United States since the 1970s and have gained popularity over the past decade.  Over the years, the number of filler products available has proliferated and the demand has increased with over 2 million procedures performed in the U.S. in 2016.  The immediate results and the minimal downtime make fillers especially appealing.  As a result, fillers have become one of the most widely used cosmetic procedures in the U.S and worldwide.  Fillers are popular among men and women, young and old, and in those of all skin colors and types.

How do fillers work?

Injectable fillers resemble materials that are naturally present by our body.  The most commonly used fillers are composed of hyaluronic acid (HA) which is a type of sugar that is found in skin and cartilage.  HA has the ability to bind water and provides the skin with hydration, volume and elasticity.  As the skin ages, it produces collagen and hyaluronic acid.  As a result, wrinkles, folds, and volume loss may become more prominent.  Hylauronic acid based fillers can be used to combat these concerns by restoring lost volume and softening existing wrinkles and folds in the skin.  In addition to providing immediate volume, fillers can stimulate increased production of collagen in the skin.  

What can fillers be used to treat?

Several types of fillers are available and each has its own unique properties and indications. Here are some of the areas where fillers can be beneficial:

-  Nasolabial folds

-  Marionette lines

-  Jowls 

-  Volumize and lift cheeks 

-  Improve facial contour

-  Enhance the size, shape or definition of the lips 

-  Soften vertical lip lines 

-  Soften tear troughs

How long do the results last?

Although treatment with fillers can be very effective, it is not permanent.  Each product has a different duration of effectiveness.  The results typically last between six months

By Feinstein Dermatology
January 30, 2018
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What is PDT?

Photodynamic therapy (PDT) is a medical treatment for actinic keratoses (pre-cancers) and sun-damaged skin.  Photodynamic therapy combines the use of a topical photosensitizing agent which is applied to the skin and a light source which activates the medicine to kill the abnormal cells.  PDT is also referred to as blu light therapy.

What is PDT used for?

PDT is used to treat actinic keratosis (AK).  An actinic keratosis is a crusty or scaly growth that occurs in sun exposed areas such as the face, chest, arms and hands.  Actinic keratoses are often red or pink in color and feel rough compared to the normal skin.  In very early stages, AKs are so small that they may be easier felt than seen.  Oftentimes, patients have many more invisible actinic keratoses than what is seen on the surface of the skin.

Actinic keratoses are considered precancerous because if left untreated they have the potential to become more abnormal and develop into a squamous cell skin cancer.  PDT is especially useful for widespread lesions on the face and scalp.  Although PDT is a medical treatment, it may also provide cosmetic benefits, typically leaving the skin more even-toned and with no scarring or pigmentary changes.

What is the procedure like?

PDT is performed in a dermatologists office and consists of three basic steps. First, the skin is cleansed and a topical photosensitizing substance is applied to the area of skin to be treated.  Second, there is an incubation period which may range from 30 minutes to 3 hours or even overnight during which time the photosensitizer is absorbed by areas of the skin that have become abnormal (both what is visible and not yet visible).  Third, the area to be treated is exposed to a light source that activates the photosensitizer and kills the abnormal cells.  This last stage lasts approximately 16 minutes and feels very warm, like you are getting a sun burn.

Does the PDT treatment hurt?

PDT is very well tolerated by patients.  Most patients experience some burning (as if sitting in the sun) during the treatment which is alleviated by the use of fans or cold air (provided in our office). 

What restrictions do I have?

The treated area is extremely light sensitive for the first 48 hours following the procedure.  It is recommended to avoid sun exposure during this time.  Hats, scarves, and sunscreen with zinc oxide are also recommended.

What can I expect after the procedure?

After the procedure, the treated skin will be pink or red and may peel for the first few days (may feel like a sun burn).  This typically resolves in about a week.  Less commonly, more intense reactions can involve itching, swelling and pronounced crusting and discomfort.  This may be more likely to occur if the area being treated has a large number of pre-cancers or if the area treated is inadvertently exposed to sun during the first 48 hours after treatment.  Oftentimes, people who have very intense reactions to the treatment have excellent results.  

By Feinstein Dermatology
December 08, 2017
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Looking for smoother, younger, glowing skin. Let me help you achieve this with Microneedling and/or Rezenerate.

Rezenerate is a professional grade, state of the art precision wand featuring a silicon chip that creates millions of microscopic channels in the uppermost layer of the skin making it ultra-absorbent for product penetration as well as stimulating collagen production.

Benefits:

  • Reduces fine lines & softens wrinkles
  • Improves sun damage & blemishes
  • Gives a delayed, yet gentle micro peel
  • Can be safely used around the eyes & even on the lips
  • Deeply exfoliating
  • Nourishing dry skin
  • Increases product absorption and efficacy

There is “no downtime” and no topical “numbing cream” needed. Think of this treatment like “Microneedling Light”. In fact, Rezenerate is a great maintenance treatment to receive after a series of Microneedling treatments. The treatment takes approximately 30 minutes. The price is only $150/treatment.

Microneedling (also known as Percutaneous Collagen Induction Therapy) involves utilizing tiny needles to create controlled micro-injuries to the skin, which prompts skin to stimulate collagen and elastin production. The skin’s repair process results in a firmer dermis that also allows topical serums to be absorbed more effectively into the skin.

Topical numbing solution is applied to the skin for approximately 25 minutes which alleviates any feeling of the device as is glides over the skin. A sterile onetime-use tip containing 36 micro needles is then used to penetrate the skin. The process takes less than 30 minutes. Following the treatment, your skin will be red, similar to a sunburn that can last up to 5 days depending on the number of passes and how deep the treatment penetrates the skin. A total of 4 to 6 treatments are recommended 1 month apart based on individual needs.

Benefit include:

  • Improves skin tone and texture
  • Softens crow’s feet
  • Lightens Hyperpigmentation
  • Improves appearance, texture & size of scars
  • Softens stretch marks
  • Can be used on face, back, arms, legs, buttocks and abdomen
By Feinstein Dermatology
July 06, 2017
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Skin Cancer is the most prevalent of all types of cancers. More than one million cases of skin cancer are diagnosed in the United States every year.
Fair-skinned individuals who sunburn easily are at a particularly high risk for developing skin cancer. Other important risk factors include use of tanning devices, family history, repeated medical and industrial x-ray exposure, immunosuppression, scarring from diseases or burns, and occupational exposure to compounds such as coal, tar, and arsenic.

Actinic Keratoses (AK)

AKs (or solar keratoses) are considered the earliest stage in the development of skin cancers. They are small, scaly spots most commonly found on the face, ears, neck, forearm, the scalp of men, and backs of the hands in fair-skinned individuals who have had significant sun exposure. AKs can be treated by cryosurgery (freezing using liquid nitrogen), topical chemotherapy (applying a cream or lotion), chemical peeling, dermabrasion, laser surgery, electrodesiccation and curettage (ED&C- alternately scraping and burning the lesion), photodynamic therapy, or other dermatologic surgical procedures.
Some AKs may progress to advanced stages that require more extensive treatment. Proper use of sunscreens can help prevent AKs even after extensive sun damage has already occurred.

Basal Cell Carcinoma (BCC)

BCC is the most common type of skin cancer; it occurs most frequently on the head and neck, with the rest mainly on the trunk and lower limbs, and often appears as a fleshy bump, nodule, or red patch. BCCs are frequently found in fair-skinned individuals. BCCs usually do not grow quickly, but this does not mean treatment should be delayed. While BCCs rarely metastasize (spread) to other organs, if untreated, cancer often will begin to repeatedly bleed and crust over and can extend below the skin to the bone and nerves causing considerable damage.

Squamous Cell Carcinoma (SCC)

SCC is the second most common skin cancer. It is primarily found in fair-skinned individuals and rarely dark-skinned individuals. Typically located on the rim of the ear, face, near the mouth, or the trunk, this cancer may appear as a firm bump, or as a red, scaly patch. SCCs can develop into large masses and become invasive, leading to extensive tissue destruction and possible risk of metastasis. Therefore, it is important to have early treatment.
When detected and treated early, the cure rate for both SCC and BCC approaches 95 percent.

Malignant Melanoma

Malignant Melanoma is the most deadly of all skin cancers. Every year, more than 8,000 Americans will die from Melanoma. It is projected that 100,000 Americans will develop melanoma annually.
Melanoma begins in the melanocyte, the cells throughout the skin which produce the pigment Melanin which makes the skin tan; clusters of melanocytes make up moles. Melanoma may appear suddenly or begin in or near a mole, or another dark spot on the skin. It is important to know the location and appearance of the moles on the body to detect the changes early. Since melanoma cells can continue to produce melanin, this skin cancer often appears in the mixed shades of tan, brown and black, although it can also appear red or white.
Any changing mole must be examined by a dermatologist. Early melanoma can be removed while still in the curable stage. Melanoma readily metastasizes, making early detection and treatment essential to increase survival rates.
Excessive sun exposure, especially sunburn, is the most important preventable risk factor for melanoma. Fair-skinned individuals are at particular risk, but heredity also plays a part. A person has an increased chance of developing melanoma if a relative or close family member had had melanoma. Atypical moles, which may also run in families, and having a large number of moles, can also serve as markers for individuals at increased risk of developing melanoma.

Dark skin is not a guarantee against melanoma. People with skin of color can develop melanoma, especially on the palms, soles, under the nails, in the mouth, or on the genitalia.

Early Detection is Key

Develop a regular routine to inspect your body for skin changes. If a growth, mole, sore, or skin discoloration spears suddenly, or begins to change, see a dermatologist. It is wise to have an annual skin examination by a dermatologist especially for adults with significant past sun exposure, a family history of skin cancer, or other known risk factors.

Periodic Self-Examination

Early Detection and treatment is key to surviving melanoma. It is beneficial to get assistance from a partner in performing skin self-exams. Get familiar with your skin and your own pattern moles, freckles, and “beauty marks”. Make sure to look at your entire body every month. Consult a dermatologist promptly if any changes are noticed.

The ABCDE’s of Melanoma

Asymmetry- one-half of the lesion is unlike the other half
Border- irregular, scalloped or poorly defined border
Color- Varied from one area to another; shades of brown and tan, black; sometimes white, red, or blue.
Diameter- While melanomas are usually greater than 6mm (the size of a pencil eraser) when diagnosed, they can be smaller
Evolving- A mole or skin lesion that looks different from the rest or is changing in size, shape, or color.

Warning signs of Melanoma Include:

  • Changes in the surface of a mole
  • Scaliness, oozing or bleeding from an existing mole or the appearance of a new mole that looks different than others.
  • Spread of pigment from the border of the mole to the surrounding skin
  • Change in sensation including itchiness, tenderness, and pain.

Treatment of Skin Cancer

If a skin biopsy reveals skin cancer, the dermatologist may choose from an array of medical and surgical treatment procedures depending upon the type of cancer, its size and location, and the needs of the individual.

Dermatologic surgical treatments include:

  • Surgical Excision
  • Mohs Micrographic surgery- a procedure that removes the tumor while sparing as much normal skin as possible
  • Electrodesiccation and Curettage (ED&C)- alternately scraping and burning the tumor
  • Cryosurgery- freezing using liquid nitrogen
  • Laser Surgery

Other dermatologic treatments include radiation therapy and photodynamic therapy. Topical chemotherapy products may also be used.

How to Protect Yourself from Ultraviolet Light

Sun exposure is the most preventable risk factor for all skin cancers, including melanoma. You can have fun in the sun while also decreasing your risk of skin cancer. Here’s how to be “Sun Smart”:

  • Generously apply a broad-spectrum water-resistant sunscreen with a Sun Protection Factor (SPF) of at least 30 to all exposed skin. “Broad Spectrum” provides protection from both ultraviolet A (UVA) and ultraviolet B (UVB) rays. Re-apply approximately every two hours, even on cloudy days and after swimming or sweating.
  • Wear Protective Clothing such as long-sleeved shirts, pants, a wide-brimmed hat and sunglasses when possible
  • Seek shade when appropriate, remembering that the sun’s rays are strongest between 10 a.m. and 4 p.m. If your shadow is shorter than you are, seek shade.
  • Protect children from sun exposure by playing in the shade, using protective clothing, and applying sunscreen.
  • Use extra caution near water, snow, and sand as they reflect damaging rays of the sun which can increase your risk of sunburn.
  • Get Vitamin D safely through a healthy diet that may include vitamin supplements. Don’t seek the sun.
  • Avoid tanning beds. Ultraviolet light from the sun and tanning beds can cause skin cancer and wrinkling. If you want to look like you have been in the sun, consider using a sunless self-tanning product, but continue to use sunscreen with it.
  •  Check your birthday suit on your birthday. If you notice anything changing, growing or bleeding on your skin, see a dermatologist. Skin cancer is very treatable when caught early.