Healthy, younger looking skin


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PowerPoint presentation on healthy, younger looking skin by Kesha Buster, MD, a dermatologist with Via Christi Clinic.

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  • New technology helps rejuvenate skin and enhance appearance. The environment, the aging process and a lack of effort when it comes to caring for your skin can all take a toll, adding years to your appearance. Nothing gives away your age faster than wrinkles, age spots and leathery skin. Even worse, looking weather-beaten or older than you are can impact your self-esteem and the way you approach life. Join Kesha Buster, MD FAAD, a dermatologist and expert in aesthetic treatments, at the November Women’s Connection. She will discuss ways to maintain healthier skin as well present new techniques and procedures to rejuvenate the skin and help maximize your aesthetic.
  • Full face, even tone,
  • Symmetry, even tone, appropriate distribution of hairFemale: wide set eyes, full lips, prominent cheekbones, arched eyebrows, heart shaped lower face (lower face smaller than upper),
  • Gravitational-SMAS saggingBone-recession of mandible and maxilla
  • DON’T forget tanning bedsRemember to say UVB causes photoaging tooCyclobutane–pyrimidine dimers (CPDs)6-4 photoproducts—usus T-C
  • e.g., avobenzone-t is highly photolabile; 1 hour of sun exposure decreases its photoprotective properties by 50%to 60%. Several patents to make stable have been developed: helipplex (NTG) and mexoryl (L’Oreal’s anthelios)
  • Vit C-short half life so often put in more stable form. Problem is some of these more stable forms do not penetrate the skin as readilyAll of above neutralize free radicals (Phloretin CF)Vitamin C (must be in stable, penetrating form)Promotes collagen synthesisPhloretinIncreases cell turnover, decreases production of pigmentFerulic acidInhibits UV-induced creation of pigment
  • 3 tx5 tx
  • Healthy, younger looking skin

    1. 1. Healthier, Younger Looking Skin …A New You!Kesha Buster, MD FAADDermatologyAdvanced Aesthetics & Plastic Surgery
    2. 2. What is healthy, youthful skin?
    3. 3. What is beauty?3
    4. 4. How do we age? Photoaging  UV-induced Gravitational aging  Stretching  Sagging of soft tissue Volumetric aging  Fat and muscle atrophy (loss)  Bone loss  Unknown cause4
    5. 5. How do we age? No.1 culprit for skin  UVA (aging) – penetrates deeper, though windows  UVB (burning) — most effective UV promoter of skin cancer Both UVA and UVB cause DNA damage Chronic sun exposure causes:  Wrinkles, brown spots, blood vessels, loss of elasticity, discoloration, leathery skin, facial volume (fat) loss, skin cancer  Much slower and later in darker skinned people (melanin)5
    6. 6. How do we age? Bolognia JL, Jorrizo JL, Rapini RP. (Ed.). (2008). Dermatology, Edition 2. Elsevier.6
    7. 7. How do I slow aging down? Sun protection (most cost effective)  Sunscreen  Sun avoidance  Sun protective clothing Antioxidants Retinoids7
    8. 8. Slowing aging: SunscreenSunscreen1,2  Multiple studies show both clinical and microscopic evidence of sunscreen prevention of photoaging  Can reduce damage (solar elastosis) that has already occurred  Also prevents skin cancer and pre-skin cancerOrganic (chemical) — absorb UV and convert it to heat  Common allergies  Some forms are unstable (easily breakdown = less effective)Inorganic (physical) — block UV  Zinc oxide, titanium dioxide combined = broad spectrum (UVA, UVB) 1. Stenberg C, Larko O. Sunscreen application and its importance for the sun protection factor. Arch Dermatol 1985;121:1400-1402. 2. Sambandan DR, Ratner D.Sunscreens: an overview and update. J Am Acad Dermatol. 2011 Apr;64(4):748-58. Epub 2011 Feb 3.8
    9. 9. My favorite sunscreen No. 1: SkinCeuticals Physical Fusion  SPF 50  physical blocker, thin, tinted No. 2: Neutrogena with Helioplex  SPF 30+  photostabilized chemical blocker No. 3: L’Oreal Anthelios with Mexoryl  SPF 30+  photostabilized chemical blocker9
    10. 10. Slowing aging: AntioxidantsCan prevent and/or reverse photoaging due tofree radicals1  Vitamin C (must be in stable, penetrating form)  Phloretin  Ferulic acid  Vitamin E  Green tea polyphenols, oral soy isoflavones, coenzyme Q10 and many more … Growth factors and peptides can improve photoaging by reducing lines/wrinkles and supporting skin function1. Rabe JH, Mamelak AJ, McElgunn PJ. Morison WL, Sauder DN. Photoaging: mechanism and repair. J Am Acad Dermatol. 2006 Jul;55(1):1-19.10
    11. 11. Slowing aging: RetinoidsVitamin A and its natural and synthetic derivatives:  Retinol  Tretinoin  Adapalene  TazarotenePrevent and treat photoaging1, 2  Reduce fine lines, wrinkles, discoloration  Boost collagen formationOften causes irritation, redness, peelingMinimize side effects with gradual increase in use, using moisturizer1. Rabe JH, Mamelak AJ, McElgunn PJ, Morison WL, Sauder DN. Photoaging: mechanism and repair. J Am Acad Dermatol. 2006 Jul;55(1):1-19.2. Cho S, Lowe L, Hamilton TA, Fisher GJ, Voorhees JJ, Kang S. Long-term treatment of photoaged human skin with topical retinoic acid improves epidermal cell atypia and thickens the collagen band in papillary dermis. J Am Acad Dermatol. 2005 Nov;53(5):769-74.11
    12. 12. How do I turn back the clock? The three Rs  Relax  Refill  Resurface12
    13. 13. Relax BOTOX® and Dysport ®  Botulinum toxin type A  Block nerve impulses to treated muscles thereby inhibiting muscle activity that leads to wrinkles  Effective in two to seven days  Lasts three to four months  Can be used in many areas13
    14. 14. Relax
    15. 15. Relax
    16. 16. Relax
    17. 17. Relax
    18. 18. Relax
    19. 19. Relax
    20. 20. Relax Mazzuco R, Hexsel D. Gummy smile and botulinum toxin: a new approach based on the gingival exposure area. J Am Acad Dermatol. 2010 Dec;63(6):1042-51.20
    21. 21. Refill Fillers  Many types: hyaluronic acid, calcium hydroxylapatite, poly-L-lactic acid, fat, silicone, collagen, etc. In general, hyaluronic acid (e.g., JUVEDERM®, Restylane®, Perlane®) are safest  Reversible  Allergic reactions are rare Can be used virtually anywhere on face to minimize wrinkles and replenish volume Also used on hands, earlobes, depressed scars21
    22. 22. Refill
    23. 23. Refill
    24. 24. Refill24
    25. 25. Resurface Superficial (epidermis only)  Microdermabrasion  Superficial chemical peels  Microlaser peel Medium to deep (epidermis and dermis)  Dermabrasion  Medium and deep chemical peels  Fractional laser resurfacing  Deep laser resurfacing Nonablative (no downtime)  Broadband light (a.k.a., intense pulse light)25
    26. 26. Resurface Profractional26
    27. 27. Resurface Microlaser peel27
    28. 28. Resurface Broad band light28
    29. 29. Questions?29