Happy Valentine's Day 2008 15% off any Tucson Dermaesthetics ...
Volume II Issue I FEBRUARY—MARCH 2008
part in Melanoma prevention by re-
moving sun spots that have the po-
tential of turning into melanoma.”
“We have seen a more diverse clien-
tele,” stated W. David Jacoby Jr.
M.D. “We have patients that are in
their teens, middle aged up into
their 80’s taking advantage of the
Skin Care Center”
Edwin Rather M.D. contributes to
the success and diversification be-
cause “people care how they look, it’s
important to them and we have the
staff that can handle all types of pa-
For more information on the TDSCC
and the products and services of-
fered contact Angela Paez or Chris-
tina Cruz at (520) 886-0377.
Many believe that the key to the suc-
cess of the Tucson Dermaesthetic
Skin Care Center (TDSCC) is mar-
keting only to women. According to
Angela Paez, the key to the new of-
fice is diversification.
It is no longer only women between
the ages of 35 to 55 receiving Mi-
crodermabrasions®, Gel Peels®,
IPL® (Intense Pulse Light Therapy),
Botox®, Restylane®, Radiesse®
Therapies and using skin care
products. The women in this age
group have always been the strong
consumer yet we are seeing more
men taking advantage of these treat-
ments and therapies to maintain
When asked what services she sees
men utilizing, Angela stated the top
were “Microdermabrasions and Lu-
menis IPL’s in treating sun damaged
Bruce Lynn M.D. stated that “We
are seeing a much more diverse cli-
entele in treating sun damaged and
aging skin. It not only assists with a
youthful appearance but also plays a
INSIDE—Causes of Wrinkles,
Healthier Skin, IPL Treatment
for Wrinkles and The ABCD’s of
Happy Valentine’s Day 2008
15% off any Tucson Dermaesthetics Skin Care Center
One coupon per patient. One coupon per visit. Expires 06/14/2008
WHAT CAN THE FOLLOW-
ING LEAD TO?
• Weakened Immune system
from transplants, lympho-
cytic leukemia, a cancer of
the lymph system?
• Rheumatoid Arthritis, Lu-
pus Erythematosis & other
• The sun.
Tucson Dermaesthetics Skin Care Center
Attributes Diversified Clientele to Success
Skin Care Center
Research shows that there are, in fact two distinct
types of aging. Aging caused by the genes we inherit is
called intrinsic (internal) aging. The other type is of ag-
ing is known as extrinsic (external) aging and is caused
by environmental factors, such as exposure to the
Intrinsic Aging, also known as the natural aging
process, is a continuous process that normally begins
in our mid-20’s. Within the skin, collagen production
slows, and elastin, the substance that enables skin to
snap back into place, has a bit less spring. Dead skin
cells do not shed as quickly and turnover of new skin
cells may decrease slightly. While these changes usu-
ally begin in our 20’s, the signs of intrinsic aging are
typically not visible for decades. The signs of intrinsic
• Fine wrinkles
• Thin and transparent skin
• Loss of underlying fat, leading to hollowed cheeks
and eye sockets as well as noticeable loss of firm-
ness on the hands and neck
• Bones shrink away from the skin due to bone loss,
which causes sagging skin
• Dry skin that may itch
• Inability to sweat sufficiently to cool the skin
• Graying hair that eventually turns white
• Hair loss
• Unwanted hair
• Nail plate thins, the half moon disappear, and ridges
Genes control how quickly the normal aging process
unfolds. Some notice those first grey hairs in their 20’s;
others do not see graying until their 40’s. People with
Werner’s syndrome, a rare inherited condition that
rapidly accelerates the normal aging process, usually
appear elderly in their 30’s. Their hair can gray and thin
considerably in their teens. Cataracts may appear in
their 20’s. The average life expectancy for people with
Werner’s syndrome is 46 years of age.
Extrinsic Aging—A number of Extrinsic, or external,
factors often act together with the normal aging proc-
ess to prematurely age our skin. Most premature aging
is caused by sun exposure.
Next issue more information on Extrinsic (or external)
factors that cause wrinkles of the skin such as repetitive
facial expressions, gravity, sleeping positions and smok-
CAUSES OF AGING SKIN (WRINKLES)
PAGE 2 TUCSON DERMATOLOGY LTD. NEWSLETTER VOLUME II ISSUE I
While you cannot stop or even
slow down the intrinsic aging
process, you can prevent signs
of aging by protecting your skin
from the sun, quitting smoking,
and eliminating facial exercises.
Dermatologist recommend com-
prehensive sun protection to
prevent premature aging
caused by the sun. Comprehen-
sive sun protection includes:
• Avoiding deliberate tanning,
including use of indoor tan-
• Staying out of the sun be-
tween 10:00 a.m. and 4:00
• Wearing protective clothing,
such as wide brimmed hat
and long sleeves, when out-
doors during the day.
• Applying sunscreen year
round. Sunscreen should be
broad spectrum (offers UVA
and UVB protection) and
have a sun Protection Fac-
tor (SPF) of 15 or higher.
Sunscreen should be applied
20 minutes before going out-
doors to all skin that will be
exposed. It should be reap-
plied after sweating or being
in the water.
Treatment. If you are bothered
by visible signs of aging, a num-
ber of treatments are available.
Injectable fillers and botulinum
toxin are suitable for people
with busy lifestyles who do not
want the inconvenience of a
long recovery. Radiofrequency
is a procedure that offers an al-
ternative to the traditional face-
lift. Dermabrasion, laser resur-
facing, chemical peeling, Mi-
crodermabrasion, and some
topical treatments can restore
skin, giving it a smoother and
Scientific research in the field
of anti-aging continues to give
rise to new and promising treat-
ment options. A dermatologist
can help you sort through the
numerous options, including
the myriad of the over-the-
counter products. During a con-
sultation, the dermatologist will
examine your skin, discuss your
expectations, and recommend
suitable treatment options.
FOR HEALTHIER, YOUNGER-LOOKING SKIN
As the population ages, ever-increasing numbers
of people are interested in improving their ap-
pearance. IPL technology can be used to help
restore the skin’s youthful appearance.
IPL technology improves the appearance of
photoaged skin, removes age spots (sun-induced
freckles), most benign brown pigments, and red-
ness caused by broken capillaries through a
process called Photorejuvenation for the face and
body. The process is ideal for patients with ac-
tive lifestyles because the procedure required no
downtime and has a low risk of side effects.
Patient Satisfaction. Several appealing quali-
ties of IPL Skin Treatments using Photorejuve-
nation which result in very high levels of patient
• Treatment is quick, gentle and non-invasive.
There is no interruption of routine activities.
• By helping to remove the age spots (sun-
induced freckles) and broken capillaries, the
result is overall more even, luminous,
younger looking skin.
• Patients can see dramatic results within a
very short time.
How It Works. A broad spectrum of light is
transmitted through a small, smooth, transpar-
ent handpiece which is gently placed over the
skin. Cut-off filters in the handpiece change the
wavelength range allowing it to be optimized for
different applications and skin types. The light
penetrated the tissue and is absorbed by either
the blood when treating vascular lesions or the
melanin when treating pigmented lesions dam-
aging them. The body’s natural process then re-
move the injured tissue giving the skin a more
even and youthful appearance.
IPL Skin Treatments using Photorejuvenation
often consist of full-face treatment or treatment
of isolated body areas like the hands or chest.
The treatment regimen typically consists of:
• Four to six treatments administered at three
• Broad spectrum light in the visible and near
infrared range, from 515nm up to 1200 nm.
As a sub-epidermal procedure, IPL Skin Treat-
ments using Photorejuvenation produce few side
effects and requires little to no alteration in the
patient’s normal routine.
To schedule your free IPL consultation to see if
you are an IPL candidate contact Angela or
Christina at Tucson Dermaesthetics Skin Care
Center at (520) 886-0377
IPL SKIN TREATMENTS USING PHOTOREJUVENATION
PAGE 3 TUCSON DERMATOLOGY LTD. NEWSLETTER VOLUME II ISSUE I
Introduced over thirty years ago, botulinum toxin A
or Botox® was first administered by injection into the
muscles surrounding the eye to patients suffering
from crossed eyes. The derivative of the bacterium
Clostridium botulinum produces a protein that inter-
feres with muscle spasms by blocking nerve impulses
and temporarily relaxing the muscle. Early successful
clinical trials resulted in BOTOX® gaining FDA ap-
proval for treatment and/or relief of neck pain caused
by cervical dystonia, involuntary facial muscle
spasms, and eye misalignment (strabismus). Cur-
rently BOTOX® is being assessed for treating a vari-
ety of conditions including migraine headaches, lower
back pain and excessive perspiration.
On April 15, 2002, Allergan earned FDA approval of
BOTOX® Cosmetic for treatment of glabellar lines
(the area located between the eyebrows, including the
corrugators and procerus muscles). Since the ap-
proval, BOTOX® injections have become the most
sought-after cosmetic treatment in clinics nationwide.
The popularity of BOTOX® is attributed to its non-
surgical nature, low occurrence of side effects, af-
fordability, and effectivenenss in reducing moderate
to severe brow furrows, horizontal forehead wrinkles,
and the tiny lines located at the outer corner of the
THE HISTORY OF BOTOX
San Rafael Professional Offices
6640 E Carondelet Dr.
Tucson, AZ 85710
Check Us Out On The Web WWW.TUCSONDERMATOLOGY.COM
Desert Life Ste 406
2001 W. Orange Grove Rd.
Tucson, AZ 85704
W. David Jacoby Jr. M.D.
Bruce H. Lynn M.D.
Edwin P. Rather M.D.
2-1, 2-2 http://www.skincarephysicians.com/agingskinnet/basicfacts.html References: 1.American Academy of Dermatology, “Turning Back the Hands of Time.” February 21, 2005, avail-
able at wwww.aad.org/media/background/news/cosmetic 2005 02 21 turning.html. Accessed 06/20/05. 2.Demierre MF et al. “Public Knowledge, awareness, and perceptions of the association
between skin aging and smoking. “Journal of the American Academy of Dermatology, 1999 Jul;41(1):27-30. 3.Fisher GJ. “The Pathophysiology of Photoaging of the Skin.” Cutis, 2005
Feb;75(2S):5-9. 4.Koh JS el al. “Cigarette smoking associated with premature facial wrinkling: image analysis of facial skin replicas.” International Journal of Dermatology, 2002
Jan;41(1)21-27. 5.Moschella S and Hurley H. (1992) “Aging and It’s Effects on the Skin.” Dermatology: Third Edition. Philadelphia: W.B. Saunders Company. 6.Oikarinen A. “Aging of the
skin connective tissue: how to measure the biochemical and mechanical properties of aging dermis.” Photodermatology, Photoimmunology and Photomedicine, 1994 Apr;10(2):47-52.
3-1http://www.aesthetic.lumenis.com/wt/page/skin_ipl and www.aesthetic.lumenis.com/wt/content/skin_two 3-2 www.botox-info.com/history.cfm
Asymmetry: one half unlike the other half.
Border: irregular, scalloped or poorly circumscribed border.
Color: varied from one area to another; shades of tan, brown, black
and sometimes white, red or blue, also called the “American Flag”
Diameter: while melanomas are usually greater than 6mm in diame-
ter (the size of a pencil eraser) when diagnosed, they can be smaller.
If you notice a mole different from others, or which changes, itches,
or bleeds (even if it is small) you should see a dermatologist.
DID YOU KNOW……………………………..
W. David Jacoby, Jr., M.D. graduated from the University of Michigan Medical School and trained in Dermatology at
Henry Ford Hospital. He was certified by the American Board of Dermatology in 1976 and in Dermatopathology in 1981.
He trained in Chemosurgery with Dr. Fredrick Mohs of the University of Wisconsin in the summer of 1979! In 1980, Dr.
Jacoby became the first physician in Tucson to offer MOHS’ surgery for advanced skin cancers! That he was elected a
Fellow in the American College of Mohs’ Micrographic Surgery and Cutaneous Oncology in 1987. In 2005 he sponsored
C.E. Rose Elementary School’s Sun Shade through the American Academy of Dermatology Sun Shade Grant that pro-
tected approximately 5,100 individuals each day! He LOVES bass fishing!! So now you know!
THE ABCD’S OF MELANOMA DETECTION
Tucson Dermaesthetics Skin Care Ctr.
San Rafael Professional Offices
6616 A East Carondelet Dr.
Tucson, AZ 85710
Consult your dermatologist immediately if any of your moles or pigmented spots exhibit: