Expose Yourself

by Colby Beck, PA-C

 

Living in Florida, AKA “The Sunshine State” during the summer months is HOT. With scorching temperatures and humidity, many people tend to wear clothing such as bathing suits, shorts, and sleeveless tops that expose sensitive areas in attempt to stay cool. However, those who suffer from dermatological disorders may feel uncomfortable exposing their skin, especially in the summer. In this article, we are going to discuss options to treat these visibly affected areas so we can all feel comfortable and confident wearing those summer clothes.

Eczema, psoriasis, hidradenitis suppurativa, folliculitis, and intertrigo are only a few common skin conditions that can affect areas commonly exposed to the sun. I am going to briefly explain each condition and treatment options that are available.

  • Eczema is a chronic inflammatory skin condition that can be caused by genetics or environmental factors. It presents as an itchy, inflamed, dry rash. There are various treatment options for eczema. First and foremost, it is important to avoid known triggers (i.e. perfumes, lotions, washes, detergents, etc.) Using All brand Free and Clear detergent without any fabric softeners and/or dryer sheets, Dove sensitive skin body wash, Cetaphil or Vanicream face cleanser and moisturizers are just a few dermatologists recommended products. Eczema can also be triggered by dry skin, therefore moisturizing daily is of utmost importance. It is best to moisturize with a cream base multiple times throughout the day, and especially right after the shower. Patting your skin dry and then applying an emollient (Aquaphor, CeraVe Healing ointment, Vaseline) will help keep your skin hydrated. Prescription therapy is also used to treat eczema. Depending on the severity of your eczema, your provider may prescribe a single topical or a combination of treatments to clear your skin. Topical therapy includes topical steroids, topical calcineurin inhibitors (Elidel, Protopic), and Eucrisa. Systemic therapy may be necessary for more severe or refractory cases, which include oral steroids for quick relief or Dupixent injections for more long-term relief. Phototherapy is another treatment option that uses UV light to reduce symptoms.
  • Psoriasis is a chronic inflammatory condition that is genetic and caused by the immune system. Psoriasis presents as scaly, red, plaques, and in some cases joint pain. Psoriasis can affect any part of your skin, scalp, and even nails. It is most often triggered by infections, stress, or injury to the body. Since psoriasis is a chronic condition, it is important to identify triggers and limit them as much as possible to decrease flares. Try to find ways to decrease/manage stress in your life and decrease smoking. Treatment for psoriasis typically includes combination therapy. Providers may prescribe a combination of topical therapy (topical steroids, topical calcineurin inhibitors, topical retinoid, coal tar, or vitamin d analogue), phototherapy, systemic therapy or biologic therapy. Biologics are commonly used for psoriasis patients; especially those whose psoriasis is widespread or affecting sensitive areas such as palms/soles, genitalia, face etc. Biologics are typically injections that target specific parts of your immune system to decrease symptoms and disease process. Throughout the years, many classes of biologics have been developed that each target different parts of your immune system to alleviate symptoms. Therefore, if a patient fails one biologic, the provider can switch to a different class and see if another therapy works better.
  • Hidradenitis suppurativa (HS) is a chronic inflammatory disorder characterized by recurrent cyst/boils in the axillae, breast, groin, and buttock region. This condition is very painful and overtime can lead to severe scarring. Due to the natural course of this condition, it is important to diagnose and treat early to limit scarring. Those who have HS should wear loose fitting clothing to avoid friction and reduce flares. Weight gain also attributes to more flares therefore, losing weight can help alleviate symptoms. Smoking has been found to be a trigger for HS and patients are encouraged to quit. Treatment for HS includes washing the affected areas with antiseptic washes like benzoyl peroxide or Hibiclens. Oral antibiotics and topical antibiotics are also used to decrease bacteria and inflammation. Humira is biologic that has been approved to treat HS and many patients notice less flares being on Humira. There are also in office procedures that can alleviate painful cyst such as incision and drainage or injecting a steroid solution to decrease the inflammation. Excision of the cyst is sometimes necessary as well.
  • Folliculitis means inflammation of the hair follicles. Most women and men have probably experienced this at some point in their life, especially after shaving. This most often presents as inflamed, red, pimple like lesions. Even tight-fitting clothing can cause folliculitis due to friction. To reduce flares, you can wear loose fitting clothing and it is important to use a new razor each time you shave. Using hot water to soften hair prior to shaving, and shaving in the direction of hair growth will reduce flares as well. Treatment for folliculitis includes washing affected areas with Hibiclens or benzoyl peroxide wash. Topical antibiotics are effective for limited areas. In refractory or moderate/severe cases, oral antibiotics may be necessary.
  • Intertrigo is a rash that develops in sensitive areas such as axillae, inframammary areas of breast, and groin. It is found in the skin-on-skin areas and appears with red, inflamed, moist patches. Intertrigo starts after exposure to heat/humidity causing increased sweating and areas staying moist for prolonged periods. This condition is very commonly seen among those living in Florida due to activities such as routine yard work, walking at theme parks, and other activities done in the hot sun. Treatment focuses on keeping areas dry and clean. It is important to change out of wet/sweat soaked clothing. Providers typically prescribe a mixture of topical antifungals with topical steroids and absorbent powders to reduce symptoms and maintenance. Infections can occur in some patients and treatment with oral antifungals or antibiotics may be necessary.

Now that we have discussed several dermatological conditions that may prevent people from wearing that bikini or sleeveless top in the summer, let’s talk about something everyone suffers and can relate to…HAIR. I’m sure many can relate getting a last minute invitation that involves being in a bathing suit or shorts and a tank top and you have to jump in the shower to shave your legs, bikini area etc. It’s a burden in so many ways including time, but even worse is razor burn, and/or irritation from using shaving creams/gels. Fortunately, waxing and laser hair removal are great alternatives to shaving with a razor. Laser hair removal is a very quick and effective procedure to rid unwanted hair. It works by targeting dark pigmented hair and cannot remove “peach fuzz”. It takes multiple treatments depending on the body area, and the pain associated with this treatment is tolerable. You can always apply topical numbing prior to appointment for a more comfortable experience. Laser hair removal is definitely worth every penny to not have to worry about shaving for those last minute plans.

Lastly, I am going to address the most important thing, which is sun protection. The summer months in Florida offer so many outdoor activities such as boating, theme parks, cook outs, etc.  It’s all fun and games until the next day waking up with that red, crisp sunburn. Sunscreen is not only important in protecting your skin from skin cancer, but also preventing physical signs of aging. Sun exposure is one of the main contributors to aging and there are many ways to protect your skin. A broad-spectrum mineral based (zinc/titanium) sunscreen should be used daily on the commonly exposed areas including face, neck, chest, arms. If you are in the sun for longer periods, it’s important to apply sunscreen to all exposed areas and reapply at least every 2 hours. You may need to apply more frequently if you are sweating or swimming. Another way to protect your skin from the sun is with clothing. Wide brim hats that cover ears, neck, and face are best. Temperature regulated clothing with UPF are also great options when outside that provide coverage but not warmth.

I hope anyone suffering with any of the above conditions realizes there is treatment options available to them and calls any of our offices to get them summer ready!

Featured Products

EltaMD UV Sport SPF 50

Have your fun in the sun—but play it safe. This sunscreen is great for swimmers, skiers, runners, golfers and other athletes – or for those who just love to be outdoors! UV Sport is water-resistant so it won’t rinse off in water or drip into your eyes and sting when you sweat.

 

Benefits:

  • UVA/UVB sun protection
  • Will not rinse off in water or drip into eyes due to perspiration
  • Water-resistant (80 minutes)

Neocutis Micro Day

Revitalizing & Tightening Day Cream SPF 30. A powerful day cream that provides four benefits in one: skin revitalization, anti-oxidant care, broad-spectrum UVA and UVB protection and lasting hydration.

Benefits:

  • Revitalize with Proprietary Peptides
  • Hydrate with glycerin and sodium hyaluronate
  • Defend against free radicals with a blend of green tea extract, vitamin C and E plus melanin
  • Protect from photo aging and photo damage with zinc oxide
  • Replenish and restore moisture

Melanoma May

By Dr. Jessin Blossom

 

 

 

 

Melanoma is a type of skin cancer that develops when melanocytes (the cells that give the skin its tan or brown color) start to grow out of control. Melanoma is much less common than some other types of skin cancers. But melanoma is more dangerous because it’s much more likely to spread to other parts of the body if not caught and treated early. Skin cancer screenings are the best way to catch it in the early stages, and also the best pathway to treatment.

Melanoma can arise in a preexisting mole or show up all by themselves. Often times, it’s an irregular dark spot that you notice changes rapidly. Living in Florida, an annual skin exam is a must!!

Dermatologists have many tools at their ready to help patients diagnose their melanoma. Dermoscopy, which involves examination of the skin using skin surface microscopy, total body photography, biopsy and genetic testing of lesions. Treatment can involve excision, immunotherapy, radiation therapy and other options.

There are options when it comes to treating your other skin cancers. One that is performed here at MidState for basal cell and squamous cell carcinoma is Moh’s Surgery. Moh’s is considered a skin conservation surgery. This surgery has a unique benefit in that during surgery, the surgeon can see where the cancer stops. This isn’t possible with other types of treatment for skin cancer.

The ability to see where the cancer stops gives Mohs (pronounced Moes) two important advantages:

  1. Mohs has a high cure rate.
  2. Mohs allows you to keep as much healthy skin as possible because the surgeon only removes the skin with cancer cells. This is especially important when skin cancer develops in an area with little tissue beneath (e.g., eyelid, ear, or hand).

On the day of the surgery, your surgeon will first examine the area to be treated. You’ll then be prepped. This includes giving you an injection of anesthetic. This injection only numbs the area that will be operated on, so you’ll be awake during the surgery. Once the anesthetic takes effect, the surgeon starts by first cutting out the visible skin cancer. Next, the surgeon removes a thin layer of surrounding skin. You’re then bandaged so that you can wait comfortably in our private Moh’s patient lounge (complete with snacks and coffee!). While you wait, the Mohs surgeon looks at the removed skin under a microscope with slides prepared by our histotech. The surgeon is looking for cancer cells and clear margins. If cancer cells are found, patients would go back for a second removal of tissue. This process of removing a thin layer of skin and looking at it under a microscope continues until the surgeon no longer sees cancer cells.

Having any type of surgery can be scary. If your dermatologist recommends Mohs, you can take comfort in knowing a what to expect. Mohs has a high cure rate. Your surgeon will remove the least amount of skin needed to treat the cancer.

What’s a physical sunblock?

Some sunscreen brands might throw around the term “physical” blocker as opposed to “chemical” blocker. You might be curious what that means when it comes to the type of protection you’re getting. Physical sunblock’s such as titanium or zinc oxide do not get broken down by the suns UV rays. The same can’t be said for chemical blockers like avobenzone or oxybenzone which are degraded by sunlight. While it’s always a good idea to reapply your sunscreen, physical blockers will offer more protection in the long run.

So what’s the best physical blocker besides the ones you apply? Clothing!! Covering up in hats, shirts and clothing with a UPF rating of 50 or higher will always be the most fool proof way to prevent sunburns. Some of our favorite brands are Columbia sun shirts, and Coolibar clothing.

When it comes to head protection, a wide brim hat wins the award for best coverage. It doesn’t leave the ears, neck and cheeks exposed to the harmful rays.

Why should you pay for that?

Have you ever had that thought cross your mind when your doctor tells you their recommendations for products? Typically their cost is slightly higher, and you have to buy them in office, but your doctor has your best interest in mind.

Dermatologist “brands” have been put through more research and have science behind the ingredients in the products to ensure optimal delivery in every product. Brands are chosen with the best efficacy and stability. For example, your average over the counter vitamin C is degraded the instant you open it by heat and light. The dermatologist brand recommended and sold at MidState, Rose Skin Care, was chosen because of it’s stability in testing and it’s longevity. So while you might pay slightly more, you’re getting better results.

All the cosmecueticals sold at MidState have not only been tested by our dermatologists and staff, but they’re chosen to ensure they aren’t irritating to your skin. You wouldn’t consult a car salesman to do your taxes, so don’t listen to Tiktok or Twitter for your skincare.

May Featured Products

EltaMD UV Elements is a 100% physical sunscreen in a tinted, moisturizing base. It is gentle for even the most sensitive skin types, including post-procedure skin. Its chemical-free actives, zinc oxide and titanium dioxide, provide safe but sure sun protection. These mineral-based UV filters work with ultra-hydrating hyaluronic acid to protect and hydrate the skin. UV Elements has a universal tint that beautifully enhances most skin tones for a more youthful appearance.

Benefits:

  • UVA/UVB sun protection
  • Chemical-free UV filters
  • Hyaluronic acid boosts moisture-retention for a smoother, more youthful appearance
  • Water-resistant (40 minutes)
  • Dye-free

EltaMD UV Aero provides sheer but sure sun protection. This continuous spray sunscreen makes it easy to protect hard-to-reach places. EltaMD UV Aero sprays on white so you can see coverage then dries clear when rubbed in.

Benefits:

  • UVA/UVB sun protection
  • Continuous spray convenience
  • Water-resistant (80 minutes)

Dr. Puja KathrotiyaVitamins for Skincare

By Dr. Puja Kathrotiya

 

 

 

  1. Vitamin A derivatives

    Referred to as retinoids, or retinols

  • Can be found in over the counter skincare products as well as prescription creams

Benefits

  • Increases skin cell turnover, leaving skin looking younger, smoother and brighter
  • Increases collagen production, reduces appearance of wrinkles, fine lines and prevents skin from getting thin
  • Decreases sebaceous gland activity,  helps prevent comedone (black-head, white head) formation and treats acne
  • Anti-inflammatory, treats acne and other inflammatory skin conditions

OTC recommendations:

  • RoC retinol correxion Deep Wrinkle Night Cream
  • Neutrogena Rapid Wrinkle Repair
  • La Roche Posay Pure Retinol Face Serum
  • Elizabeth Arden Retinol Ceramidses Capsules
  • Olay Regenerist Retinol 24
  1. Vitamin B3

    Referred to as Niacinamide, Nicotinamide

Benefits

  • Helps reduce hyperpigmentation (helps treat melasma, or post-inflammatory hyperpigmentation from acne, ingrown hairs, etc)
  • Helps reduce sebum production (helps with excessively oily skin, and acne)
  • Helps decrease redness and inflammation (helps with inflammatory skin conditions such as acne, rosacea, perioral dermatitis)

OTC Recommendations:

  • CeraVe Skin Renewing Night cream
  • Paula’s Choice Niacinamide 20% Treatment
  • The Ordinary Niacinamide 10% + Zinc 1%
  • Olay Tone Perfection Serum B3 + Vitamin C
  1. Vitamin C

    Referred to as L-Ascorbic acid

  • Helps reduce hyperpigmentation (helps fade sunspots, post-inflammatory hyperpigmentation)
  • Boosts UV protection when used in conjunction with a sunscreen (keeps skin looking younger, and  thicker)
  • Helps increase collagen production (helps prevent fine lines, wrinkles and maintain skin thickness)

OTC Recommendations:

  • Neutrogena Rapid Tone Repair 20% Vitamin C serum
  • La Roche Posay Active C10 Dermatological Anti-Wrinkle Concentrate
  • CeraVe Skin Renewing Vitamin C Serum
  • RoC Multi Correxion Revive + Glow Daily Serum + Vitamin C
  1. Vitamin E

    Referred to as Tocopherol

  • A fat soluble anti-oxidant that has emollient like properties (keeps skin soft and hydrated)
  • Helps prevent against sun-damage (prevents sun-induced damage such as sunspots, freckles, and lines)

OTC Recommendations:

  • Olay Total Effects 7 in 1 Moisturizer
  • CeraVe Skin Renewing Night Cream
  • Cetaphil Deep Hydration 48 Hour Activation Serum

April Featured Products

   

An Ounce of Prevention is Worth a Pound of Cure

By Katie Keel- APRN-C & MidState Skin Institute

Now that January and February are behind us it’s time to ask – did you keep your New Year’s Resolutions? About 50% of adults in the US make New Year’s Resolutions but fewer than 10% actually keep them. If you were one of the 90% of those who don’t, it’s not too late to make a new one. One you can keep and reap the benefits for years to come. One you don’t have to wake up at 5am to get to the gym for or miss out on your favorite candy, chip, or baked good. Let’s pick one you can do in the comfort of your own bathroom and takes 2-3 minutes, the same amount of time you spend brushing your teeth. Let’s take care of our skin!

“You can’t help getting older, but you don’t have to get old.” – George Burns

At MidState Skin we like to change that quote a little bit – You can’t help getting older but you don’t have to LOOK old. This month we will discuss with you how to fight looking older, tooth and nail, but first we need a bit of background to discuss the pathology behind lines, wrinkles, skin discoloration and aging. Lines and wrinkles form from a combination of sun damage, gravity, smoking, genetics and muscle movement.

Although some of these things we don’t have control over, the good news is many of these factors we do have control over. First, sun damage – in case you haven’t heard, sunscreen is your friend. The key is finding one that is a physical or mineral sunscreen that contains active ingredients like zinc oxide and titanium dioxide. Apply it every morning even if it’s raining or you “aren’t going anywhere”. It is the little bit of sun exposure every day while driving in the car, walking to get the mail or into the store that accumulates and accelerates skin aging.

Gravity – darn you Sir Isaac Newton, can’t control this one, we will skip it.

Smoking – if you never have, never start, and if you currently smoke there are so many options to help quit. On average it takes seven times to successfully stop smoking. If you slip, get back up and try again. You are not alone.

Genetics – quite literally you can’t live without them. We all have that friend that uses only water to wash their face and Ponds Cold Cream to moisturize and doesn’t have a single spot, line, wrinkle, or acne bump. More likely than Ponds Cold Cream being a miracle product, your friend probably is just blessed with that skin genetically.

Notice we saved the best for last – muscle movement. Despite great advertising and famous paid spokespeople there is nothing topically that will decrease the muscle movement beneath the skin which is driving the collagen loss and furrows and lines. We call these dynamic wrinkles. Each muscle contraction and facial movement causes the skin to bunch together forming lines between the bulk of the muscle. Dynamic lines include the “frown” lines between your eyebrows, “crows feet” on either side of your eyes, and horizontal forehead lines. Once you see fine lines forming the damage is being done. It is time to seriously think about a sprinkle of Botox. The longer you wait because you “aren’t old enough for Botox”, the harder and more expensive it is going to be to improve those lines.

Contrary to popular belief, well placed Botox will not make you look fake or frozen. In fact, well placed Botox will result in barely perceptible decrease in expressions and amazing relaxation of the dynamic lines of your face. Your friends and family won’t be asking if you got Botox, they will be asking you if you got your hair done or what makeup or moisturizer you are using. There is a high likelihood your friend that “only washes her face with water and uses Ponds Cold Cream to moisturize” is sitting in our Botox cosmetic chair as we speak.

But – you may say – Botox is too expensive – WRONG. You can achieve a full face refreshed, natural result from Botox for about 35 – 40 units which will last 3-4 months. For $25 a week, you can have less lines on your face and look more refreshed and radiant. Remember, the deeper the line, the more Botox will be needed; therefore increased cost if you decide to wait until you are “old enough”.

There is no magic age to start but remember, “an ounce of prevention is worth a pound of cure”. Why is it no one bats an eye when you start eating healthier, exercising, reading more, drinking more water, highlighting your hair and getting a fun haircut, or getting a well-deserved pedicure but Botox and filler has to be such a taboo subject? Well it is 2021 and it doesn’t have to be taboo anymore if we don’t let it.

Like all great things in life, repetition, consistency and maintenance is key – whether it is exercising, relationships, eating right, parenting or keeping up with never ending laundry and housework.  Your mind and your body and your health are your greatest gift and it’s time you start investing in all three if you aren’t already. You can invest in your mind by reading, meditating, praying, learning a new language to name a few. You can invest in your body and your health by eating clean, moving your body, and stopping (or at least decreasing frequency of) habits like smoking or fast food.  Let’s take this a step further and discuss investing in your skin!

You owe it to yourself (and your skin) to set aside a couple minutes in the morning and before bed to cleanse, treat, and moisturize. However, walking the aisle in the personal care/beauty section of a store is overwhelming. There are so many options for cleansing, treating and moisturizing where do you start? Let’s start at the basics: cleanse, treat, moisturize and prevent.

This chart below can be printed, taken to the store as your shopping list and taped to your bathroom mirror until it becomes second nature. There are two columns – one for medical grade skincare and one for drugstore finds. Medical grade skincare is of higher potency and active ingredients and therefore is typically a bit more of an investment. If you have been trying drugstore products and not seeing results, it is probably time to run to your dermatologist’s office to pick up something a little more potent.

Good habits start young and in conclusion we will touch on adolescent issues or teenage skincare. Starting a good skincare routine early in life can make it a habit that lasts into adulthood. Good, consistent skin care can help prevent or control acne, prevent acne scarring and prevent sun damage and pigmentation.  Acne scars, sun damage and pigmentation can be forever or extremely expensive to improve (note: we did not use the word cure or fix). What doesn’t bother a teen now, might when they get a little older or in adulthood. A good teenage skincare regimen doesn’t have to be complex or expensive, but it does have to be consistent. Waking up 2 minutes early each day to ensure at least a 30 second cleanse and moisturizer with sunscreen is key to good habits and clearer skin. Trying to tell a teenager this is difficult but if you buy them, number them in order of use or tape instructions to their mirror, there is a good chance they will use them. You can lead a horse to water but you can’t make him drink is true, but if you make it easy and put it in clear line of sight, likelihood increases.

There is no more profitable investment than investing in yourself and an investment in yourself pays the highest dividends. If there is anything we at MidState can do to help your skin goals please give us a call!

Featured Products

Lipid Replacing Cleansing Gel

This revitalizing cleanser effectively removes dirt, makeup and excess lipids without damaging the skin barrier.

BENEFITS

  • Non-irritating foaming gel cleanser
  • Slightly acidic pH
  • Excellent professional cleanser that works well prior to microdermabrasion, chemical peeling, enzyme or oxygen treatments

 

 

 Micro-Exfoliating Honey Cleanser

Micro-beads of natural beeswax gently cleanse and exfoliate, while absorbing excess oil. Leaves all skin types feeling fresh and revitalized.

BENEFITS

  • Gently exfoliates, leaving the skin silky and smooth
  • Naturally oil absorbing and hydrating at the same time
  • Fragrance-free and sulfate-free
  • Gentle enough to be used twice daily

Allison Weber, APRN-CThe Cost of Keeping Up

By Allison Weber- APRN-C & MidState Skin Institute

The cost of treatment will always outweigh the cost of prevention. This holds especially true when it comes to your skin. Once a skin condition has set in, it’s exponentially harder to get rid of. Let’s take a look at some of the costs to prevent these skin issues vs. the cost of treatment.

Melasma and sun spots are common in our beautiful sunshine state. Typically found on the cheeks, nose, forehead and chin, melasma or sun spots are dark grey/brown patches. Prevention starts early, and it’s simple- sunscreen! Choosing a broadband, SPF 30 or higher product with zinc/titanium dioxide and applying it every 2 hours might be the easiest prevention tip we have. Allison Weber, APRN-C at MidState, says her favorite SPF is EltaMD. Treatment for melasma/sun spots can take months, and involve a plethora of options such as prescription topical hydroquinone ($10-100), topical retinoids ($50+), cosmetic peels ($90+), Vitamin C ($20+) and tranexamic acid ($20+). It’s important to note, some forms of melasma are hormonal and may not be preventable.

Wrinkles are a natural part of aging; we can’t change our DNA. However, there are many factors that can speed up aging skin such as excessive exposure to UV rays, smoking, dehydration and pollutants. Prevention of wrinkles should involve daily sunscreen ($10+), a consistent skincare routine ($20-100) and a healthy lifestyle. Additionally, starting preventative neurotoxins like Botox early on can lessen the amount of neurotoxin that’s needed ($100+), and also the number of areas to be treated. Late treatment of wrinkles can almost double the cost of your skin care regime. Not to mention, not keeping up with your health may result in more than just a trip to the dermatologist. Treatment of deep, set in lines could require more product resulting in higher costs ($300+) and additional treatments.

Dyshidrotic eczema is a form of eczema that shows up on the hands or feet, and causes tiny, intensely itchy blisters. For most people, having dyshidrotic eczema falls somewhere between having it once (3-4 weeks) and living with the chronic, debilitating condition. Moisturizer plays a key role in helping your skin heal, and stay healthy. Dermatologists recommend you use a fragrance-free ointment or cream (not lotion) to help prevent skin from reaching the point of severe irritation. A MidState favorite is CeraVe Moisturizing Cream that can be found at your local drug store for $10-15. Alternatively, treating dyshidrotic eczema can involve prescription topical treatments, multiple visits to the dermatologist and steroid injections. Depending on insurance and severity you could be looking at months of treatment and $100’s.
Consistency is key. Keeping up with your skin care is health care. Once a day care adds up to weekly, monthly and yearly benefits. Conversely, neglecting your skin can add up as well. Put the time into yourself, it’s a good return on investment.

Splurge Worthy-
1. Dr. Brandt- No More Baggage
2. Neocutis- Bio Cream
3. Neocutis- Lumiere
4. EltaMD- Barrier Renewal Complex
5. EltaMD- So Silky Hand Cream
6. EltaMD- UV Broadband SPF
Drug Store Finds
1. Yes to Tea Tree- Scalp Relief
2. CeraVe- Vitamin C Serum
3. Vichy- Mineral 89
4. Aveeno- Repairing Cica Hand Mask
5. Burts Bees- Lip Scrub
6. Neutrogena- Hydro Boost Water Gel
7. Neutrogena- Rapid Wrinkle Repair

2020 was definitely a memorable year. As a society, we navigated a crippling pandemic, social isolation, divisive politics, and riots for racial justice. Some of us lost love ones, some of us lost our livelihood, some of us lost our hope. We could dwell on all that negativity or, we could be thankful we are a strong, resilient, loving species and approach 2021 with a refreshed attitude and the confidence to face what tomorrow brings us without fear. That’s what I’m choosing.

Regarding skin, this is a great time of year to start undoing all the damage we did from the summer. Procedures like chemical peels and IPL that we use to treat sunspots require sun avoidance for a couple of weeks which makes these cold winter months ideal timing for scheduling that. Also, if you haven’t already lasered unwanted hair on your body, getting started now, will ensure soft smooth hairless skin in time for summer.

As we look to set resolutions, make goals, and dream big, I encourage you to focus on health, energy and happiness. Be well my friends!

Happy New Year!

 

WINTER AESTHETICS
Did you know there’s a season for certain aesthetics procedures?

Despite the fact we’re here in sunny Florida, sweater weather is upon us! The winter months are a great time for procedures that have a little longer downtime, and the perfect opportunity to hibernate and recover. Let’s look at a few.

IPL- Intense Pulse Light is used to treat a myriad of issues such as wrinkles, age and sun spots, birthmarks, varicose veins, rosacea and so much more! Since it’s recommended to avoid sunlight, these winter months are perfect to start your treatments.

Laser Hair Removal- Laser hair removal is best done when you will have no sun exposure, because it reduces the risk of pigmentation. Treatment can take multiple sessions, so doing it in the winter months when the beach is less tempting is the ideal time.

Sclerotherapy- Treating spider and varicose veins can be hot, not that way! Some patient require compression socks and hosiery, so it’s not always preferable to start these when the temperatures are hitting triple digits. “Pants” season is a convenient excuse, and can allow you plenty of time to heal without anyone ever knowing.

Chemical Peels- Limiting sun exposure after a chemical peel is a crucial part of healing. Peels can make your fresh, baby smooth skin more susceptible to burn and that’s why these chillier months are called peel season.

Ready to book? Call Anna now! 352-512-0092