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Volume II Issue I FEBRUARY—MARCH 2008
part in Melanoma prevention by re-
moving sun spots that have the po-
tential of tur...
Research shows that there are, in fact two distinct
types of aging. Aging caused by the genes we inherit is
called intrins...
As the population ages, ever-increasing numbers
of people are interested in improving their ap-
pearance. IPL technology c...
San Rafael Professional Offices
6640 E Carondelet Dr.
Tucson, AZ 85710
(520) 886-4199
Check Us Out On The Web WWW.TUCSONDE...
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Happy Valentine's Day 2008 15% off any Tucson Dermaesthetics ...

  1. 1. 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- tients.” 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 youthful skin. When asked what services she sees men utilizing, Angela stated the top were “Microdermabrasions and Lu- menis IPL’s in treating sun damaged skin”. 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 Melanoma NEWSLETTER Happy Valentine’s Day 2008 15% off any Tucson Dermaesthetics Skin Care Center Treatment 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 autoimmune diseases. • The sun. ANSWER:SKINCANCER Tucson Dermaesthetics Skin Care Center Attributes Diversified Clientele to Success Tucson Dermaesthetics Skin Care Center Angela Paez
  2. 2. 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 sun’s rays. 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 aging are: • 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 develops 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- ing. 2-1 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- ning devices. • Staying out of the sun be- tween 10:00 a.m. and 4:00 P.M. • 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 refreshed appearance. 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. 2-2 FOR HEALTHIER, YOUNGER-LOOKING SKIN
  3. 3. 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 satisfaction. • 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 week intervals • 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 3-2 IPL SKIN TREATMENTS USING PHOTOREJUVENATION PAGE 3 TUCSON DERMATOLOGY LTD. NEWSLETTER VOLUME II ISSUE I SKIN 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 eyes. 3-2 THE HISTORY OF BOTOX
  4. 4. San Rafael Professional Offices 6640 E Carondelet Dr. Tucson, AZ 85710 (520) 886-4199 Check Us Out On The Web WWW.TUCSONDERMATOLOGY.COM Desert Life Ste 406 2001 W. Orange Grove Rd. Tucson, AZ 85704 (520) 742-4126 W. David Jacoby Jr. M.D. Bruce H. Lynn M.D. Edwin P. Rather M.D. 2-1, 2-2 References: 1.American Academy of Dermatology, “Turning Back the Hands of Time.” February 21, 2005, avail- able at 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. 3-1 and 3-2 4-1 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” sign. 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 (520) 886-0377 A B C D Consult your dermatologist immediately if any of your moles or pigmented spots exhibit: